Daily Cosmetic Research Analysis
A wearable paper battery-powered microneedle iontophoresis patch showed high transdermal delivery and antifibrotic biomarker modulation for hypertrophic scars in preclinical testing. A GBD 2021 analysis documented rising facial fracture incidence in China and the U.S. with distinct etiologic patterns. Composite type I/III collagen provided immediate infraorbital filling but largely degraded by 3 months, while improving photoaging markers in a nude mouse model.
Summary
A wearable paper battery-powered microneedle iontophoresis patch showed high transdermal delivery and antifibrotic biomarker modulation for hypertrophic scars in preclinical testing. A GBD 2021 analysis documented rising facial fracture incidence in China and the U.S. with distinct etiologic patterns. Composite type I/III collagen provided immediate infraorbital filling but largely degraded by 3 months, while improving photoaging markers in a nude mouse model.
Research Themes
- Wearable transdermal drug delivery for scar remodeling
- Population burden and etiologies of facial fractures
- Injectable collagen strategies for infraorbital aging and photoaging
Selected Articles
1. Paper battery powered iontophoresis microneedles patch for hypertrophic scar treatment.
A paper battery-powered microneedle iontophoresis patch delivered 90.19% of drug into hypertrophic scar tissue in vitro and reduced TGF-β1 and collagen I expression, indicating antifibrotic potential. The wearable, self-administered platform addresses pain and heterogenous delivery issues of intralesional steroids.
Impact: Introduces an integrated, low-power wearable platform that combines microneedles and iontophoresis for targeted scar therapy, potentially changing HS management. Demonstrates mechanistic biomarker modulation alongside high delivery efficiency.
Clinical Implications: If safety and efficacy are confirmed in humans, this platform could reduce dependence on painful intralesional injections, enable at-home therapy, and standardize dosing to improve outcomes in hypertrophic scar remodeling.
Key Findings
- Achieved 90.19% active drug delivery into hypertrophic scar tissue using microneedles plus iontophoresis.
- Significantly reduced TGF-β1 and collagen I mRNA and protein expression associated with scar formation.
- Wearable paper battery integration enabled a self-administered, compact iontophoresis system.
Methodological Strengths
- Integrated device engineering with quantified transdermal permeation performance.
- Mechanistic readouts (TGF-β1, collagen I) supporting antifibrotic action.
Limitations
- No human clinical trial data; efficacy demonstrated in vitro/preclinical models only.
- Long-term safety, dosing schedules, and real-world usability were not assessed.
Future Directions: Conduct controlled clinical studies to evaluate safety, pain reduction, dosing regimens, and scar remodeling outcomes; optimize drug payloads and release profiles for different scar phenotypes.
Hypertrophic scar (HS) is a plaque fibrous and indurated dermal lesion that may cause physical, psychological, and cosmetic challenges for patients. Intralesional injection of triamcinolone acetonide (TA) is commonly used in clinical practice, which cause unbearable pain and uneven drug delivery within HS tissue. Herein, we developed a paper battery powered iontophoresis-driven microneedles patch (PBIMNP) for self-management of HS. The high integration of PBIMNP was achieved by incorporating a paper battery as the power source for iontophoresis. The transdermal drug delivery strategy of PBIMNP combined microneedles and iontophoresis techniques, involving "pressing and poking, phase transformation, and diffusion and iontophoresis", which can actively deliver 90.19% drug into the HS tissue with excellent in vitro drug permeation performance. PBIMNP administration effectively reduced the mRNA and protein levels, leading to a decrease in the expression of TGF-β1 and Col I associated with HS formation, demonstrating its efficacy in HS treatment. The microneedles and wearable design endow the PBIMNP as a highly promising platform for self-administration on HS treatment.
2. Burden and trends of facial fractures in China and the United States based on GBD 2021 analysis.
Using GBD 2021 data, facial fracture incidence increased from 2010 to 2021 in both China (EAPC 1.56%) and the U.S. (EAPC 0.38%), with male predominance and different leading causes. Falls and road injuries dominated in China, while falls and mechanical forces were predominant in the U.S.
Impact: Provides up-to-date, country-specific trends and etiologies to inform targeted prevention and resource allocation for maxillofacial trauma.
Clinical Implications: Guides tailored prevention (e.g., fall-prevention in high-risk male age groups, road safety in China; workplace/mechanical safety in the U.S.) and planning of trauma services and reconstructive resources.
Key Findings
- Facial fracture incidence increased in 2010–2021 with higher growth in China (EAPC 1.56%) than the U.S. (EAPC 0.38%).
- Male incidence exceeded female in both countries; peak incidence differed (China: 30–34 years; U.S.: 20–24 years).
- Leading causes differed: China—falls and road injuries; U.S.—falls and mechanical forces.
Methodological Strengths
- Use of standardized GBD 2021 metrics (age-standardized incidence, YLD) across an 11-year period.
- Age- and sex-specific analyses with EAPC trend estimation enabling comparative insights.
Limitations
- Reliance on modeled estimates and coding/registry data may introduce misclassification and residual bias.
- Severity, treatment details, and individual-level confounders are not captured.
Future Directions: Link GBD estimates with hospital-based registries to validate patterns, and evaluate targeted interventions (e.g., fall-prevention programs) for impact on incidence.
Facial fractures significantly impair functions related to respiration, vision, and speech, while also posing long-term cosmetic and psychological challenges. Regional disparities in the burden of facial fractures reflect variations in risk factors, healthcare accessibility, and preventive measures. This study investigates recent causes, trends, and the burden of facial fractures in China and the United States. Utilizing the Global Burden of Disease 2021 dataset, the study analyzed epidemiological data on facial fractures in China and the United States, focusing on age-standardized incidence rates and years lived with disability from 2010 to 2021. Estimated annual percentage changes (EAPC) were calculated to assess trends, while age- and sex-specific analyses provided further insights into population-specific patterns. Additionally, the primary etiologies of facial fractures in both countries were examined. Between 2010 and 2021, the incidence of facial fractures increased in both China and the United States, with a more pronounced rise in China (EAPC: 1.56%) compared to the United States (EAPC: 0.38%). In 2021, the highest incidence in China was observed among males aged 30-34 years, while in the United States, it was among males aged 20-24 years. Males consistently exhibited higher rates than females in both countries. Falls and road injuries were the leading causes of facial fractures in China, whereas falls and mechanical forces were predominant in the United States. The rising incidence of facial fractures in China and the United States highlights the need for targeted preventive strategies tailored to each country's specific risk factors and demographic patterns. These findings underscore the importance of addressing facial fractures as a global public health priority, with implications for policy-making and resource allocation to reduce the burden of these injuries worldwide.
3. Safety and Efficacy Evaluation of Composite Collagen in Human Infraorbital Anti-aging and Nude Mouse Skin Photoaging.
In 36 patients, type I/III composite collagen provided immediate infraorbital filling that regressed after one week due to dehydration/contraction and largely degraded by three months. In a nude mouse photoaging model, injections improved collagen regeneration, reduced inflammation, and controlled melanin, supporting biological activity beyond volumization.
Impact: Combines human pre–post outcomes with mechanistic in vivo data to contextualize durability and biological effects of composite collagen fillers in a complex periocular region.
Clinical Implications: Counsel patients on immediate improvement but transient volumizing (notably regressing within weeks) and consider maintenance schedules or adjunct therapies; potential anti-photoaging benefits may inform combination strategies.
Key Findings
- Immediate infraorbital filling was achieved, with regression at 1 week due to dehydration/contraction.
- Most injected composite collagen degraded by 3 months after partial degradation at 1 month.
- In photoaged nude mice, injections improved collagen regeneration, reduced inflammation, and controlled melanin.
Methodological Strengths
- Prospective pre–post assessments at multiple time points in 36 patients.
- Complementary mechanistic evaluations in a photoaging animal model (histology, gene expression, ELISA).
Limitations
- No control group or randomization; outcomes primarily observational.
- Short clinical follow-up (12 weeks) limits conclusions on long-term durability and safety.
Future Directions: Randomized controlled studies with longer follow-up to quantify durability, safety, and comparative effectiveness versus other fillers; elucidate mechanisms linking collagen remodeling and photoaging improvement.
BACKGROUND: Collagen is currently a widely used injectable filler material. Due to the complexity and specificity of the infraorbital structure and function, it undergoes various aging changes earlier in the facial aging process. Additionally, continuous exposure to Ultraviolet (UV) leads to photoaging of the skin. In this study, we utilized type I and type III composite collagen as a filler material for injecting the infraorbital region of the human face and the dorsal region of a nude mouse skin photoaging model to assess its effectiveness and safety. OBJECTIVE: To assess the effectiveness of type I and type III composite collagen in treating age-related changes in the human infraorbital area, as well as in a nude mouse model of skin aging. METHODS: A total of 36 patients with infraorbital aging were enrolled to receive type I and type III composite collagen injections. The improvement of infraorbital aging was assessed at pre-injection, immediate post-injection, 1 week, 4 weeks, and 12 weeks. Additionally, nude mice photodamaged models were prepared and collagen injections were administered to treat photodamaged skin. The therapeutic efficacy was assessed by gross view, histological staining, gene expression analysis, and ELISA assay. RESULTS: Type I and Type III composite collagen injection can immediately fill depressed areas. However, one week after the injection, the collagen dehydrates and contracts, causing the material to be absorbed by the tissues and resulting in a slight regression of the filling effect. After one month, some of the collagen has degraded, with most of it degrading after three months. Additionally, in treating photoaging, type I and type III composite collagen has a more pronounced therapeutic effect on photoaging and demonstrates better results in collagen regeneration, inflammation reduction, and melanin control. CONCLUSION: Type I and Type III composite collagen demonstrates superior efficacy and safety in addressing infraorbital aging and photoaging in nude mice skin, making it a more favorable choice as an injection material. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .