THE EFFICACY OF A COMBINED IPL PROTOCOL AND A HYALURONIC ACID DRUG WITH MANNITOL FOR THE TREATMENT OF HYPERPIGMENTATION

Abstract

Relevance: Today the world of therapeutic cosmetology is filled with a diverse range of methods, both laser and injection. They are aimed at the correction of various aesthetic problems. The most common complaint of a patient at a doctor-cosmetologist appointment is the presence of areas of hyperpigmentation in the facial area. In order to achieve a satisfactory result, the therapy of this pathology should be based on knowledge of the pathogenesis. In addition, it is necessary to take into account the possibility of side effects after laser treatment, which is the most frequent method chosen by doctors. Also, it is worth minimizing the risk of hyperpigmentation by improving the metabolic function of tissues. That is why the combined protocols open up the most promising horizons for the treatment of such difficult-to-correct pathology as hyperpigmentation. The aim of our study was to create an evidence base for the effectiveness of a combined treatment protocol using an IPL system in combination with a drug based on hyaluronic acid and mannitol. Materials and methods: The study involved female patients aged 18 to 45 years with a diagnosis of melasma Code L81.1; Other melanin hyperpigmentation L81.4. The study included patients who had not previously undergone laser and injection procedures in order to correct hyperpigmentation over the past 5-6 months. To evaluate the results, Antera 3D 3B visualizer in the “melanin” mode was used, as well as a laser Doppler flowmetry device Lazma-D. Results: A positive clinical result on the Antera 3D imager was observed in all study groups. It was statistically revealed that the variable Anadn did not differ between the control and experimental groups F (1.30) = 4.031, p = 0.050, ns), as well as before and after treatment (F (1.30) = 0.825, p = 0.368, ns ); the variable Afad did not differ between the control and experimental groups (F (1.30) = 2.483, p = 0.121, ns), as well as before and after treatment (F (1.30) = 3.142, p = 0.082, ns); the variable Mpm increased (p = 0.002) in the experimental group F (1.30) = 5.366, p = 0.024) after the exposure (F (1.30) = 4.718, p = 0.034); the Mpl variable did not differ between the control and experimental groups (F (1.30) = 0.61, p = 0.436, ns), as well as before and after treatment (F (1.30) = 0.028, p = 0.868, ns); The POM variable increased (p = 0.003) in the experimental group F (1.30) = 7.778, p = 0.007) after the treatment (F (1.30) = 8.541, p = 0.005). Conclusions: A significant improvement in the index of oxidative metabolism in tissues suggests that the combined protocol of hyperpigmentation therapy is the most effective and safe. In addition, such therapy allows physiological skin support during IPL therapy in combination with a preparation based on hyaluronic acid and mannitol.