AAD 2016 Poster Presentation on pages 3-4. EltaMD Barrier Renewal Complex Product Information CERAMIDE & ENZYME FORMULA Ceramide and enzyme therapy Visibly improves skin appearance Promotes healthy skin barrier • Replenishes moisture • • EltaMD® Barrier Renewal Complex is clinically proven to moisturize the stratum corneum and improve dry, compromised skin after a single application within 24 hours. This advanced formula works to visibly minimize the appearance of fine lines and wrinkles while significantly improving skin texture, tone and pore size. A selected blend of ceramides and other essential lipids help strengthen the barrier and restore its natural hydration system. Enzymes and vitamins minimize inflammation and promote skin cell turnover. Within 21 days, skin appears softer, smoother, healthier and more youthful. EltaMD Barrier Renewal Complex is fragrance-free, paraben-free, sensitivity-free and noncomedogenic. Label uses Use to achieve and maintain a healthy skin barrier, replenish moisture and reduce the appearance of fine lines and wrinkles. Directions Apply morning and night to face, neck, and décolletage. For day-time use, follow with EltaMD sunscreen as directed by a physician. Package size/dispenser 1.7 oz / 48 g Airless pump Applications per package Varies by application amount and size of area covered Ingredients Purified Water, Ethylhexyl Isononanoate, Niacinamide, Glycerin, Glyceryl Stearate, PEG-100 Stearate, Dimethicone, Ceramide NP, Cholesterol, Ceramide EOS, Cetyl Alcohol, Ceramide NS, Ceteareth-25, Ceramide EOP, Caprooyl Sphingosine, Caprooyl Phytosphingosine, Ceramide AP, Hyaluronic Acid, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Xylitylglucoside, Squalane, Anhydroxylitol, PEG-7 Trimethylolpropane Coconut Ether, Polyisobutene, Piptadenia Colubrina Peel Extract, Actinidia Chinensis (Kiwi) Fruit Extract , Bromelain, Tocopherol, Xylitol, Ficin, Glutamine, Biotin, Proline, Behenic Acid, Carbomer, Citric Acid, Sodium Hydroxide, Butylene Glycol, Benzyl Alcohol, Potassium Sorbate, Phenoxyethanol, Hexadecanol, Sodium Bisulfite, Disodium EDTA. Availability Physician-dispensed only Item # 02562 EltaMD : The Science of Skin Care Delivered Safely ® Swiss-American 1-800-633-8872 2055 Luna Road, #126, Carrollton, TX 75006 eltamd.com S KIN CA R E ©2015 Swiss-American. All rights reserved. EltaMD is a registered trademark of Swiss-American. 88-534 Rev. 4/15 Available only through approved physicians. CY T21 K Sub. 1. Subject shows a statistically significant improvement in skin barrier function as measured by a decrease in transepidermal water loss, compared to untreated skin. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. CMY Sub.31. Subject shows a statistically significant improvement in skin smoothness and skin tone. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. MY T21 CM Y T0 M T0 C T0 T0 Sub. 5. Subject shows a statistically significant improvement in reduction of pore size, compared with baseline. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. 8-625 Rev. 3/16 EltaMD ® Barrier Renewal Complex is clinically proven to moisturize the stratum corneum and improve dry, compromised skin in just 24 hours after a single application. T21 Sub. 21. Subject shows a statistically significant improvement in skin elasticity. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. T21 Clinical study on file. ACKNOWLEDGEMENTS Stephens and Associates Denver, CO. This study was sponsored in full by EltaMD Skin Care, a division of Swiss-American ©2016 Study funding sponsored in full by Swiss-American Products, Inc. (Carrollton, Texas) Study Conducted by Thomas J. Stephens & Associates, Inc., Richardson, Texas and Colorado Springs, Colorado Acknowledgments & Disclosures A moisturizer that can hydrate, provide penetrating lipid profiles (e.g. ceramides and fatty acids) and ingredients that decrease inflammation was hypothesized to resolve dry skin symptoms and associated inflammation more quickly than a leading dermatologist recommended ceramide containing moisturizer. The test moisturizer was developed and tested in double blind kinetic and usage clinical studies compared to controls. Skin appearance, moisturization, smoothness, tone, pore size, flakiness, elasticity and skin barrier function were assessed in 32 female subjects (15 test: 17 control) with dry or combination facial skin using both objective and subjective measurements. Dry skin may be induced by one or more factors such as low humidity, low environmental temperature, aging, psychological stress, microorganisms, and/or exposure to chemicals. Use of moisturizers to combat symptoms of dry skin are often the first treatment option to increase skin hydration. Unfortunately, the dry skin transepidermal water loss can induce inflammatory cytokine release and subsequent inflammatory cell infiltrate. These complex interactions can then lead to additional inflammation and hyperproliferation. This inflammation cannot be resolved simply by adding moisture to the stratum corneum. Dry skin is characterized by a lack of either lipids, water or both, resulting in tightness, flaking and inflammation. Skin may appear dull, especially on the cheeks and around the eyes. It may lack elasticity, presenting accentuated fine lines and wrinkles. In more severe cases, itching and burning may occur. Dry skin can be genetically determined or triggered by external factors such as UV exposure, environment, cosmetics, or medications. It can also be a natural consequence of the aging process, as sebum production slows down. Introduction Use of a moisturizer containing multiple ingredients that target key deficiencies can improve skin texture and appearance. Breaking the dry skin cycle may be of use in maintaining healthy skin and improving compromised skin quickly. As expected, both products had significant improvements in hydration and skin dryness in as little as 4 hours and 24 hours following a single application as well as during the 3 week study period. Significant improvements in TEWL, skin tone, fine flakes, coarse flakes desquamation index values were also seen for both products. However, significant improvements in extensibility, pure elasticity and biological elasticity measurement over a 24 hour period were only observed for the test product group. The test product also significantly reduced pore size in as little as one week and throughout the entire study. The control moisturizer was statistically outperformed for pore size and visible smoothness. Within 21 days, 100% of test product subjects had significant visible and tactile smoothness improvements. Abstract Melanie C. Timms¹ , Laura K. S. Parnell, BS, MSc² Swiss‐American Products, Inc. Carrollton, TX¹; Precision Consulting, Missouri City, TX DOUBLE BLIND RANDOMIZED CLINICAL STUDY ON SKIN TEXTURE IMPROVEMENT WITH SPECIALIZED MOISTURIZERS T0 M Y CY T0 K T21 T21 Clinical study on file. ACKNOWLEDGEMENTS Stephens and Associates Denver, CO. This study was sponsored in full by EltaMD Skin Care, a division of Swiss-American ©2016 Sub. 21. Subject shows a statistically significant improvement in skin elasticity. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. CMY T0 MY Sub. 5. Subject shows a statistically significant improvement in reduction of pore size, compared with baseline. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. CM EltaMD ® Barrier Renewal Complex is clinically proven to moisturize the stratum corneum and improve dry, compromised skin in just 24 hours after a single application. T21 T21 Sub. 1. Subject shows a statistically significant improvement in skin barrier function as measured by a decrease in transepidermal water loss, compared to untreated skin. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. T0 Sub.31. Subject shows a statistically significant improvement in skin smoothness and skin tone. Unretouched photographs of subject at baseline and after 21 days of twice-daily use of EltaMD Barrier Renewal Complex. C DOUBLE BLIND RANDOMIZED CLINICAL STUDY ON SKIN TEXTURE IMPROVEMENT WITH SPECIALIZED MOISTURIZERS Melanie C. Timms¹ , Laura K. S. Parnell, BS, MSc² Swiss‐American Products, Inc. Carrollton, TX¹; Precision Consulting, Missouri City, TX Abstract Dry skin may be induced by one or more factors such as low humidity, low environmental temperature, aging, psychological stress, microorganisms, and/or exposure to chemicals. Use of moisturizers to combat symptoms of dry skin are often the first treatment option to increase skin hydration. Unfortunately, the dry skin transepidermal water loss can induce inflammatory cytokine release and subsequent inflammatory cell infiltrate. These complex interactions can then lead to additional inflammation and hyperproliferation. This inflammation cannot be resolved simply by adding moisture to the stratum corneum. A moisturizer that can hydrate, provide penetrating lipid profiles (e.g. ceramides and fatty acids) and ingredients that decrease inflammation was hypothesized to resolve dry skin symptoms and associated inflammation more quickly than a leading dermatologist recommended ceramide containing moisturizer. The test moisturizer was developed and tested in double blind kinetic and usage clinical studies compared to controls. Skin appearance, moisturization, smoothness, tone, pore size, flakiness, elasticity and skin barrier function were assessed in 32 female subjects (15 test: 17 control) with dry or combination facial skin using both objective and subjective measurements. Acknowledgments & Disclosures Study Conducted by Thomas J. Stephens & Associates, Inc., Richardson, Texas and Colorado Springs, Colorado Study funding sponsored in full by Swiss-American Products, Inc. (Carrollton, Texas) 8-625 Rev. 3/16 As expected, both products had significant improvements in hydration and skin dryness in as little as 4 hours and 24 hours following a single application as well as during the 3 week study period. Significant improvements in TEWL, skin tone, fine flakes, coarse flakes desquamation index values were also seen for both products. However, significant improvements in extensibility, pure elasticity and biological elasticity measurement over a 24 hour period were only observed for the test product group. The test product also significantly reduced pore size in as little as one week and throughout the entire study. The control moisturizer was statistically outperformed for pore size and visible smoothness. Within 21 days, 100% of test product subjects had significant visible and tactile smoothness improvements. Use of a moisturizer containing multiple ingredients that target key deficiencies can improve skin texture and appearance. Breaking the dry skin cycle may be of use in maintaining healthy skin and improving compromised skin quickly. Introduction Dry skin is characterized by a lack of either lipids, water or both, resulting in tightness, flaking and inflammation. Skin may appear dull, especially on the cheeks and around the eyes. It may lack elasticity, presenting accentuated fine lines and wrinkles. In more severe cases, itching and burning may occur. Dry skin can be genetically determined or triggered by external factors such as UV exposure, environment, cosmetics, or medications. It can also be a natural consequence of the aging process, as sebum production slows down. Objective Fig. 1 Smoothness Improvement vs. Baseline Results # 120 Methods This single-center, randomized, evaluator-blinded, controlled clinical trial was conducted to assess the efficacy and tolerance of the test moisturizer compared to a commercially available control moisturizer after a single application on the leg and twice daily for 3 weeks on the face. A total of 32 female subjects aged 32 to 65 (mean age=50.3), with dry or combination facial skin completed the 3-week usage study and 16 subjects completed the 24-hour kinetic study. Subjects applied the assigned test or control moisturizer to the entire face twice per day. Objective and subjective tolerance and clinical efficacy evaluations were performed by an expert grader at baseline, post-application, week 1, week 2 and week 3 of product use. Parameters assessed by an expert grader included tactile smoothness, visual smoothness, evenness of skin tone and pore size. • Within 21 days, 100% of subjects had visible and tactile smoothness in subjects using the test product. *Significant improvements in visible and tactile smoothness in as little as one week and throughout study for both products. See Figure 1. • • Significant improvements in extensibility, pure elasticity and biological elasticity measurement over 24 hour period in test product subjects. Within one week, both products had significant improvements in Skin tone, TEWL values, Fine and coarse flakes, Desquamation index. Figure 2 Bioinstrumentation measurements were taken at each time point using corneometer, cutometer, tewameter, D-squame discollection. Digital photography was also included in the study. As seen in Figure 1, tactile and visual smoothness was improved and was statistically significantly improved for the test and control products. References As seen in Figure 3, pore size was visually and statistically reduced over the study. Leveque, J. L., et al. “Biophysical characterization of dry facial skin.” Statistically significant compared to Baseline * p<0.05 J Soc Cosmet Chem 82 (1987): 171-177. Byrne, A. J. “Bioengineering and subjective approaches to the clinical evaluation of dry skin.” International journal of cosmetic science 32.6 (2010): 410-421. Hashizume, Hideo. “Skin aging and dry skin.” The Journal of dermatology 31.8 (2004): 603-609. Rawlings, A. V., and C. R. Harding. “Moisturization and skin barrier function.” Dermatologic therapy 17.s1 (2004): 43-48. * Measurement Test Moisturizer Control Moisturizer Measurement 100.0% 100.0% Visual Smoothness 100.0% 82.4% Hydration 85.7% 64.7% Pore Size 71.4% 35.3% Coarse Flakes 71.4% 58.8% 20 0 Baseline Tactile Test Week 1 Visual Test Week 2 Tactile Control Visual Control # 70 60 Test Control * 30 20 * A statistically significant improvement in extensibility, pure elasticity and biological elasticity measurements over a 24 hour period were only observed for the test product group. Comparisons between the test materials indicated that the test moisturizer outperformed the control, a leading ceramide-containing moisturizer, for improving visual smoothness at weeks 1 and 3, evenness of skin tone at weeks 2 and 3, and pore size at week 3. 50 40 Conclusions Week 3 Fig. 3 Pore Size Reduction Improvement vs. Baseline *During entire 3 week study period for both products *The test product outperformed control for pore size reduction (p=0.04). * 40 Significant improvements in moisturizing and skin dryness Significant reduction in pore size within one week and maintained throughout the entire study with test product. See Figure 3. * 60 *In as little as 4 hours and even after 24 hours following a single application for both products • 100% 80 *The test product significantly outperformed control for visible smoothness (p=0.04). See Figure 1. • # 100 Percent As seen in Table 1: Percent The objective of this study was to measure a facial moisturizer that can hydrate, provide penetrating lipid profiles (e.g. ceramides and fatty acids) and ingredients that decrease inflammation to resolve dry skin symptoms and associated inflammation more quickly than a commercially available recommended ceramide containing moisturizer. Table 1 Percent Improvement From Baseline by Group * Within 21 days, 100% of test product subjects had significant visible and tactile smoothness improvements. Both moisturizers were tolerated well by the study panel throughout the three-week study period. 10 0 Baseline Week 1 Week 2 Week 3 Fig. 2 Smoothness and Tone Improvement Cross-Polarized Front View; Test Subject As seen in Figure 2, skin smoothness and skin tone is improved over 3 weeks of twice daily usage. Statistically significant compared to Baseline ^ p<0.001Statistically significant compared between moisturizers # p=0.04 Sub31-C174: baseline Sub31-C174: week 3
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