|Title:|| Methods for treatment of sundamaged human skin with retinoids|
|Abstract:||Various effects of photoaging or sundamage of skin including impairment of differentiation of epidermal epithelial cells and loss of collagen fibers, abnormal changes in elastic fibers and deterioration of small blood vessels in the dermis of the skin are retarded by applying topically to the epidermis in a maintenance therapy program effective amounts of retinoids including retinoid derivatives and stereoisomers thereof such that epithelial growths are substantially reduced and prevented and the skin substantially regains and maintains its firmness, turgor and elasticity. Moreover, with persistent treatment dermal blood cells and vessels increase and the epidermis and dermis thicken, resulting in improved ability of the skin to sense, resist and recover from irritation or injury. Further, hyperpigmentation, lines and wrinkles due to aging are reduced and prevented. The treatment is particularly useful for human facial skin and preferably applied in amounts insufficient to cause excessive irritation.|
|Inventor(s):|| Kligman; Albert M. (N/A) |
|Filing Date:||Mar 08, 1988|
|Claims:||1. A method for retarding and reversing the loss of collagen fibers, abnormal changes in elastic fibers, and deterioration of small blood vessels in sundamaged human skin, comprising applying topically to the surface of the skin a composition comprising effective amounts of a retinoid selected from the group consisting of 2-(4-Carboxybenzamido)-5,6,7,8-tetrahydro-5,5,8,8-tetramethylphaphthalene; 2-[N-(4-Carboxyphenyl)carbamoly]-5,6,7,8-tetrahydro-5,5,8,8-tetramethyll-n aphthalene; 1-[3,5-(Di-tert-butyl)benzoyl]-2-(4-Carboxyphenyl)ethene; TTNT 2-(5,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2-naphthyl)-6-benzo (b) thiophene carboxylic acid; TTNF 2-(t,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2-naphthyl)-6-benzo (b) furancarboxylic acid; TTNI 2-(5,6,7,8-tetraphydro-5,5,8,8-tetramethyl-2-naphthyl)-6-indolecarboxylic acid; TTNN 2-(5,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2naphthyl)-6-naphthalene carboxylic acid; p-(5,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2-anthracenyl) benzonic acid; and esters or amides of 13 trans retinoic acid or 13-cis retinoic acid wherein the --OH group of the carboxylic acid (--COOH) group is substituted by --OR.sup.1 or NR.sup.2 R.sup.3, wherein R.sup.1, R.sup.2 and R.sup.3 are such that these esters or amides can be converted to 13-trans retinoic acid or 13-cis retinoic acid through hydrolysis, metabolism, or cleavage, in a non-toxic, dermatologically acceptable vehicle in a program of maintenance therapy, whereby the skin substantially regains and maintains its firmness, turgor and elasticity during said therapy, said composition and amounts of retinoid therein being selected so as to provide a dose for application which is insufficient to cause excessive irritation. |
2. A method according to claim 1 wherein said skin is human facial skin.
3. A method according to claim 1 wherein said vehicle is an emollient vehicle.
4. A method according to claim 1 wherein said dose is a sub-irritating dose.