Daily Cosmetic Research Analysis
A double-blind randomized split-face trial shows that combining onabotulinumtoxinA with a hyaluronic acid microdroplet filler (VYC-12/Skinvive) improves canthal wrinkle severity and patient satisfaction up to 6 months. A systematic review links positive genital self-image to better sexual function, while a comprehensive narrative review synthesizes therapeutic uses and global regulations of sulfur and its derivatives in dermatology.
Summary
A double-blind randomized split-face trial shows that combining onabotulinumtoxinA with a hyaluronic acid microdroplet filler (VYC-12/Skinvive) improves canthal wrinkle severity and patient satisfaction up to 6 months. A systematic review links positive genital self-image to better sexual function, while a comprehensive narrative review synthesizes therapeutic uses and global regulations of sulfur and its derivatives in dermatology.
Research Themes
- Aesthetic dermatology therapeutics and combination injectables
- Psychosexual health and the role of body image in function
- Dermatologic pharmacology and regulatory science for legacy agents
Selected Articles
1. Efficacy and Durability of the Association of Botox and Skinvive in the Treatment of Moderate/Severe Wrinkles in the Periorbital Region: A Randomized, Controlled, Double-Blind, Split-Face Clinical Study.
In a double-blind randomized split-face trial of 25 women, adding VYC-12 (Skinvive) to onabotulinumtoxinA improved crow’s feet severity at rest and contraction from 3 months and sustained to 6 months versus BTX alone, without changes in EMG activity. Patient satisfaction was significantly higher at 3 and 6 months with the combination.
Impact: This RCT provides controlled evidence that BTX plus a microdroplet HA product yields superior aesthetic outcomes with sustained benefit, informing combination-injectable protocols.
Clinical Implications: Consider BTX+VYC-12 for patients seeking longer-lasting crow’s feet improvement and higher satisfaction, with similar muscle activity suppression as BTX alone. Protocols may integrate microdroplet HA to enhance tactile smoothness and fine-line effacement.
Key Findings
- No inter-protocol differences in EMG activity across all timepoints (p=0.86).
- BTX+VYC-12 reduced crow’s feet severity at rest by 3 months (p=0.04) and under contraction at 3 (p=0.007) and 6 months (p=0.001) versus BTX alone.
- FACE-Q satisfaction scores were significantly higher with the combination at 3 and 6 months (both p=0.001).
Methodological Strengths
- Randomized, double-blind, split-face design controlling for interindividual variability
- Use of objective (EMG) and validated subjective measures (Merz scale, FACE-Q)
Limitations
- Small, single-center sample of 25 women limits generalizability
- Split-face design may introduce cross-diffusion effects; trial registration and CONSORT adherence not reported
Future Directions: Larger multicenter RCTs with diverse populations, longer follow-up, dose optimization, and biomechanical/skin-quality endpoints (e.g., elasticity, hydration) to define protocols.
BACKGROUND: The combined efficacy and durability of botulinum toxin A (BTX) and hyaluronic acid fillers (HA) for canthal wrinkles have not been thoroughly evaluated in randomized clinical trials. AIMS: This study evaluated the efficacy, safety, and durability of the combined treatment protocol of onabotulinumtoxinA and Juvederm Volite VYC-12 (Skinvive) for moderate and severe canthal lines. METHODS: This randomized double-blinded split-face trial included 25 women with periorbital dynamic wrinkles at severity levels II-IV according to the Merz 5-point scale. After bilateral onabotulinummtoxinA injections, the sides of the participants' faces were randomized to receive HA injections or a simulated injection. Assessed variables included electromyography activity (EMG), Merz 5-point crow's feet scale, and FACE-Q appraisal on crow's feet lines. Assessments were performed at baseline, 1, 2, 3, and 6 months. For differences in EMG and satisfaction scores, the two-way repeated measures ANOVA and Bonferroni's post hoc analyses were conducted. Wrinkle severity scores were analyzed with the Mann-Whitney U test. RESULTS: Inter-treatment comparisons revealed no significant differences between treatment protocols in all assessed periods for EMG (p = 0.86). For severity of canthal wrinkles, onabotulinumtoxinA + VYC-12 exhibited lower canthal wrinkle severity in rest and contracted positions after 3 (p = 0.04), and 3 (p = 0.007) and 6 (p = 0.001) months, respectively. Additionally, satisfaction with BTX-HA treatment was significantly higher after 3-month (p = 0.001) and 6-month (p = 0.001) follow-ups compared to BTX treatment. CONCLUSIONS: Higher improvements in canthal wrinkles could be enhanced by using onabotulinumtoxinA and VYC-12 in association as a treatment protocol.
2. The impact of genital self-image on sexual function: a systematic review.
Across 10 observational studies including 7,448 adults, positive genital self-image was consistently associated with better sexual function (desire, satisfaction). Premature ejaculation and pelvic floor dysfunction adversely affected both GSI and sexual performance; notably, genital cosmetic surgery did not yield significant functional differences.
Impact: Synthesizes multi-database evidence across both sexes, clarifying that perception of genital appearance relates to sexual function, and informing counseling around cosmetic genital procedures.
Clinical Implications: Screen for genital self-image concerns during sexual dysfunction assessments and set realistic expectations that cosmetic genital surgery may not improve sexual function. Integrate pelvic floor evaluation when appropriate.
Key Findings
- Positive genital self-image correlates with better sexual function (desire, satisfaction) across included studies.
- Premature ejaculation and pelvic floor dysfunction negatively impact both GSI and sexual performance.
- No significant differences in sexual function between women with and without cosmetic genital surgery.
- Sociocultural dissatisfaction with genital size adversely affects GSI and sexual well-being, especially in men.
Methodological Strengths
- Comprehensive multi-database search using a PICO-framed question
- Large aggregate sample size across both sexes; exclusion of low-quality studies
Limitations
- Predominantly cross-sectional designs limit causal inference
- Heterogeneity and limited population diversity restrict generalizability
Future Directions: Prospective longitudinal studies across diverse populations; standardized GSI and sexual function measures; evaluation of counseling and pelvic floor interventions.
INTRODUCTION: Genital self-image (GSI) refers to a person's perception of their genitalia, whether positive or negative. In recent years, it has become increasingly common for individuals to report dissatisfaction and insecurity regarding the appearance of their bodies and genitals. This scenario has a negative impact on both physical and psychological health, in addition to negatively influencing sexual life. OBJECTIVES: To gather information on the relationship between GSI and sexual function and to determine whether there is an association between these two factors. METHODOLOGY: A Systematic Review was carried out in the following databases: CINAHL, Embase, MEDLINE, Open Science Journal, PeDro, PubMed, Scielo, Scopus, Science Direct, Springer Link, and OpenGrey. The research question was based on the PICO strategy: "Is there an association between genital self-image and sexual function?". Observational quantitative studies were included, regardless of language and publication data. Studies that did not include the terms "Genital Self-Image", "Sexual Function", and their synonyms and/or keywords in the title, duplicated studies or with low methodological quality were excluded. RESULTS: Out of 1727 initially identified studies, 10 met the inclusion criteria. These studies involved 7448 participants (2280 men and 5168 women) aged 18 to 72 years. The analysis showed a consistent association between positive GSI and better sexual function, including increased desire and satisfaction. Conditions such as premature ejaculation and pelvic floor dysfunction negatively impacted both GSI and sexual performance, suggesting a reciprocal relationship between the GSI and sexual function. Despite the growing interest in genital cosmetic surgeries, studies did not show significant differences in sexual function between women who underwent these procedures and those who did not. Sociocultural factors, including dissatisfaction with genital size, were also found to negatively affect GSI and sexual well-being, especially among men. CONCLUSION: A positive GSI is associated with better sexual function, greater satisfaction and quality in intimate experiences. Despite this, methodological limitations and the lack of diversity in the populations studied restrict the generalization of the results. Future research should focus on addressing gaps, such as the lack of longitudinal studies and the underrepresentation of diverse populations.
3. Sulfur and Its Derivatives in Dermatology: Insights Into Therapeutic Applications-A Narrative Review.
This narrative review collates pharmacologic evidence for sulfur and derivatives in dermatology (e.g., scabies, tinea versicolor, psoriasis, atopic dermatitis) and uniquely maps regional regulatory restrictions and usage. It identifies mechanistic and translational gaps, advocating preclinical work for adjuvant applications.
Impact: Provides the first consolidated overview of both therapeutic mechanisms and global regulatory frameworks for sulfur-based dermatologic agents, guiding safe and compliant clinical use.
Clinical Implications: Clinicians can revisit sulfur-based therapies as cost-effective adjuncts for select dermatoses while aligning concentrations/formulations with regional regulations and monitoring for irritation.
Key Findings
- Summarizes therapeutic indications and mechanisms of sulfur forms (sublimed, precipitated) and derivatives (hydrogen sulfide) in dermatology.
- Provides, for the first time, an overview of regional regulatory restrictions on sulfur/derivatives in dermatologic use.
- Highlights knowledge gaps in mechanistic understanding and calls for preclinical translational studies.
Methodological Strengths
- Comprehensive literature coverage spanning 1947–2025
- Inclusion of regulatory analysis across regions to inform practice
Limitations
- Narrative review without PRISMA methodology increases selection bias risk
- Heterogeneous primary studies and limited quantitative synthesis
Future Directions: Standardized preclinical models to elucidate sulfur/H2S mechanisms, dose–response, and formulation effects; pragmatic trials assessing adjunctive efficacy and tolerability within regulatory-compliant parameters.
BACKGROUND: Sulfur has been historically used in dermatological therapy due to its broad-spectrum antimicrobial and immunomodulatory activities and demonstrates therapeutic efficacy in conditions such as scabies, tinea versicolor, psoriasis, and atopic dermatitis. However, systematic analyses of the therapeutic potential and mechanisms of different forms of sulfur (e.g., sublimed and precipitated sulfur) and bioactive derivatives (e.g., hydrogen sulfide), particularly their effects on cutaneous diseases, remain underrepresented in contemporary literature. AIM: Our study aimed to provide a comprehensive evaluation of pharmacological evidence and regulatory frameworks governing sulfur and its derivatives in dermatology, elucidating their mechanisms and therapeutic potential in various skin disorders. METHODS: A comprehensive PubMed search was conducted using medical terms including sulfur, sulfide, hydrogen sulfide, and dermatology. Relevant literature published between 1947 and 2025 was reviewed. RESULTS: This article not only summarizes the indications, potential therapeutic value, and mechanisms of sulfur and its derivatives in skin disorders, but also provides, for the first time, an overview of the usage restrictions and regulations established by food and drug administrations in most regions regarding the application of sulfur and its derivatives in dermatology. CONCLUSIONS: This review highlights critical gaps in understanding the therapeutic bioactivity of sulfur and its derivatives, underscoring the need for preclinical studies to explore their translational potential as adjuvant therapies in dermatology.