Total Defense + Repair: A Novel Concept in Solar Protection and Skin Rejuvenation

July 2015 | Volume 14 | Issue 7 | Supplement Individual Articles | 3 | Copyright © July 2015


David H. McDaniel MD FAAD,a Iltefat H. Hamzavi MD,b Joshua A. Zeichner MD,cSabrina G. Fabi MD FAAD FAACS,d Vivian W. Bucay MD,e Julie C. Harper MD,f Jody A. Comstock MD,g Elizabeth T. Makino BS CCRA MBA,h Rahul C. Mehta PhD,h and Virginia L. Vega PhDh

aMcDaniel Institute of Anti-Aging Research, Virginia Beach, VA
bDepartment of Dermatology, Henry Ford Hospital, Detroit, MI
cDepartment of Dermatology, Mount Sinai Hospital, New York, NY
dDepartment of Dermatology, San Diego, CA
eBucay Center for Dermatology and Aesthetics, San Antonio, TX
fDepartment of Dermatology, University of Alabama, Birmingham, AL
gSkin Spectrum, Tuczon, AZ
hResearch & Development, SkinMedica Inc., an Allergan Company, Irvine, CA

table 5
of molecule oxidation, endogenous antioxidant consumption/ inactivation, and premature aging. A decrease in skin endogenous antioxidant levels occurs in response to environmental factors (ie, solar radiation, pollution, smoking, diet, stress, inactivity, etc.) and endogenous factors (ie, normal metabolism, mitochondria-produced free radicals, chronological aging, activation of immune responses, inflammation , etc.)61,64,65 Either way, a net decrease in the skin antioxidant capacity flips the physiological balance toward premature or accelerated aging.
table 6
An interesting function of antioxidants is linked to their potential capacity to restore or prevent skin damage in a timeline-independent manner. Therefore, topical antioxidants can repair past damage of the skin by controlling undergoing chronic inflammation, promoting ECM repair, decreasing activation of melanocytes, and controlling angiogenesis. They can neutralize present damage by preventing (or minimizing) RMS formation before these molecules can negatively impact ECM production or levels, immune and inflammatory responses, pigment formation, and cellular viability. Finally, they can prevent future skin damage by preserving skin homeostasis and by increasing antioxidant capacity in the skin.

Current Practice

Currently, sunscreens play an important role in maintaining the health of the skin by providing “broad spectrum” protection against the harmful effects of UV radiation (UVA 320 nm - 400 nm and UVB 290 nm - 320 nm). To achieve protection against these wavelengths, sunscreens combine several ingredients (chemical or physical actives) such as PABA derivatives, salicylates, cinnamates (octylmethoxycinnamate and cinoxate), benzophenones (such as oxybenzone and sulisobenzone), avobenzone, titanium dioxide, or zinc oxide.
However, current “broad spectrum” protection does not protect human skin from 94.2% of solar radiation (comprised of