ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal

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ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
FOR MEDICAL PROFESSIONAL USE ONLY

THE
ANTIOXIDANT
AUTHORITY
30 Y EARS OF RESEARCH I N E V E RY D R OP

 EFFECTIVELY NEUTRALIZES
 free radical damage

 VISIBLY IMPROVES
 fine lines, wrinkles,
 and discoloration
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
THE SKINCEUTICALS
VITAMIN C DIFFERENCE
"Skin is naturally built for repair. When
 bombarded by environmental assaults, skin
 must focus on neutralizing oxidative damage,
 limiting its capacity for reparative functions.
 Daily use of pure vitamin C antioxidants,
 when properly formulated to penetrate skin,
 protect against damage, enhancing self-
 repair to reduce signs of aging."

 Sheldon Pinnell
 M.D., Founding Scientist of SkinCeuticals

SKINCEUTICALS PROVIDES ADVANCED :

      1
                  FORMULATION AND SYNERGIES
                  OF POTENT VITAMIN C

    2
                  SCIENTIFIC AND CLINICAL
                  VALIDATION OF CLAIMS

     3
                  INTEGRATION WITH
                  IN- OFFICE PROCEDURES

                                                   Dr. Pinnell’s research established
                                                   the paramaters for effective vitamin C
                                                   antioxidant delivery to skin, allowing
                                                   SkinCeuticals to pioneer the emergence
                                                   of cosmeceuticals.
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
FORMULATION AND SYNERGIES
                            OF POTENT VITAMIN C
FORMULATION AND SYNERGIES

                            With over 30 years of research, only SkinCeuticals vitamin C antioxidants have been shown to deliver enhanced
                            absorption and proven efficacy along three strict parameters.

                                                                                                  60 0                                                                                  PURE L-ASCORBIC
                                                                                                                                                                                        ACID
                                                                                                                                                                                        Topically delivered
                                                                                                                                                                                        l-ascorbic acid has
                                                                            VITAMIN C (PMOL/MG)

                                                                                                  40 0
                              PURE                                                                                                                                                      been shown to increase
                              L-A SCORB I C                                                                                                                                             vitamin C levels in skin.

    1                         AC I D                                                              20 0

                                                                                                     0       CONTROL      SKINCEUTICALS                 ASCORBYL           MAGNESIUM
                                                                                                                       15% L-ASCORBIC ACID              PALMITATE           ASCORBYL
                                                                                                                          FORMULATION                 FORMULATION          PHOSPHATE
                                                                                                                                                                          FORMULATION

                                                                                                  120 0                                                                                 HIGH
                                                                                                                                                                                        CONCENTRATIONS
                                                                                                   90 0
                                                                                                                                                                                        OF L-ASCORBIC ACID
                                                                            ABSORPTION LEVELS

                                                                                                                                                                                        10–20% concentration
                              CONCENTRATION                                                                                                                                             provides meaningful
                              1 0 -2 0 %
                                                                                                   60 0
                                                                                                                                                                                        levels of vitamin C
                                                                                                                                                                                        in skin.
                                                                                                   30 0

                                                                                                     0          0          5         10          15         20       25       30

                                                                                                                               PERCENT VITAMIN C

                                                                                                  120 0                                                                                 FORMULATED AT AN
                                                                                                                                                                                        ACIDIC pH
                                                                                                   90 0                                                                                 Only pH levels below
                                                                            VITAMIN C (PMOL/MG)

                                                                                                                                                                                        3.5 provide optimal
                                                                                                   60 0                                                                                 vitamin C delivery.
                              p H < 3. 5
                                                                                                   30 0

                                                                                                   40 0

                                                                                                         0   CONTROL   2       2.5           3        3.5        4    4.5      5

                                                                                                                                          PH LEVELS

                                       Source: Douglas, D; Sheldon, P. (1992). Stable Ascobic Acid Compositions. US Patent: 5,140,043. Pinnell, S.R., et al (2001). Dermatol Surg 27: 137–142
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
FORMULATION AND SYNERGIES
                            POTENT VITAMIN C
FORMULATION AND SYNERGIES

                            In addition to strict formulation parameters for topical vitamin C, SkinCeuticals antioxidant
                            serums contain precise ingredient combinations proven to perform synergistically.

    1
                                                                 10

                                                                                                                                               8x
                                                                  8
                                      ENVIRONMENTAL PROTECTION

                                                                                                                                                                  EN VIRON MEN TA L
                                                                  6                                                                                               PROTECTION

                                                                                                                                               C E Ferulic: The combination of vitamins C,
                                                                  4                                                                            E, and of ferulic acid yields 8x skin’s natural
                                                                                                                                               environmental protection (p≤0.05).
                                                                  2
                                                                                                                                               Phloretin CF and Phloretin CF Gel
                                                                                                                                               match its environmental protection.
                                                                  0   VEHICLE   VITAMIN C   VITAMIN E    C+E            C+E+
                                                                                                                     FERULIC ACID

                                                                       C E FERULIC                                                                                               PHLORETIN CF
                                                                      U.S. PATENT NO.                                                                                            U.S. PATENT NO.
                                                                         7,179,841                                                                                                  9,248,082

                            Pinnell, S.R., et al (2005). Ferulic Acid Stabilizes a Solution of Vitamin C and E and Doubles its Photoprotection of Skin. J Invest Dermatol 125:826-832.
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                                           SCIENTIFIC AND CLINICAL
                                                           VALIDATION OF CLAIMS
                                                            SkinCeuticals has extensive in-vivo research demonstrating the benefits of topical application
                                                            of SkinCeuticals antioxidants to help protect against environmental aggressors.

                                                                 40
                                     PROTECTION FROM ERYTHEMA

                                                                                                            C E FERULIC PROVIDES MORE THAN                                                       *Phloretin CF and Phloretin CF Gel provide
                                                                                                            TWICE THE PROTECTION OF ITS MOST                                                     equally significant protection against
                                                                 30
                                                                                                            EFFICIENT COMPETITOR                                                                 environmentally-induced inflammation
                                                                 20

                                                                 10

2                                                                 0
                                                                        UNTREATED            C E FERULIC          COMPETITOR
                                                                                                                      A
                                                                                                                                       COMPETITOR
                                                                                                                                           B
                                                                                                                                                            COMPETITOR
                                                                                                                                                                C
                                                                                                                                                                                  COMPETITOR
                                                                                                                                                                                      D
                                                                                                                                                                                                        COMPETITOR
                                                                                                                                                                                                            E
                                                                                                                                                                                                                              COMPETITOR
                                                                                                                                                                                                                                  F
                                                                                                                                                                                                                                                     COMPETITOR
                                                                                                                                                                                                                                                        G

                                                         Erythema is a marker of environmentally-induced free radical inflammation. SkinCeuticals
                                                         topical vitamin C formulation, C E Ferulic, provides superior protection against this damage
                                                         three times the minimum erythema doses (3x MED)

                                                           VISIBLE SUBSTANTIATION

                                                                  UNTREATED                   C E FERULIC                  COMPETITOR A                  COMPETITOR B                    COMPETITOR C                   COMPETITOR D

                                                                                                                                                    Protocol: 23 subjects with five randomized test sites received application of test products
                                                                                                                                                    for four consecutive days, followed by UV-irradiation of 3x MED at 1x MED intervals.
                                                                                                                                                    Measurements were taken two hours after application. C E Ferulic was tested in two cells;
                                                                                                                                                    its weighted average is indicated in the quantitative data above. Competitors were seven
                                                                                                                                                    leading, global competitor formulations sold in the professional channel, that claim high
                                                                                                                                                    concentrations of vitamin C (between 10–20%).
                                                                 COMPETITOR E                COMPETITOR F                  COMPETITOR G

                                                        BIOLOGICAL SUBSTANTIATION
                                                        Erythema testing for inflammation is only one method of antioxidant testing. Comprehensive evaluation should
                                                        also include biomarker testing, indicating biological action, which is an additional predictor of antioxidant activity
                                                        in skin. This substantiation should be subject to peer-review for publication in scientific journals.

                                                       BIOMARKER SUBSTANTIATION IN PEER-REVIEWED PUBLICATIONS

                                                                SKINCEUTICALS       SKINCEUTICALS           COMPETITOR           COMPETITOR             COMPETITOR            COMPETITOR             COMPETITOR            COMPETITOR             COMPETITOR
                                                                 C E FERULIC        PHLORETIN CF                A                    B                      C                     D                      E                     F                     G

                                                         Pinnell, S.R., et al (2005). J Invest Dermatol 125:826-832. Pinnell, S.R., et al (2008). J Am Acad Dermatol 59:418-425. Pinnell, S.R., et al (2008). J Cosmet Dermatol 7:290-297.
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                          SCIENTIFIC AND CLINICAL
                                          VALIDATION OF CLAIMS
                                         C E FERULIC : REDUCTION OF THYMINE DIMERS

                                                               10 0                                               In-vivo, C E Ferulic significantly reduces
                                                                                                                  thymine dimer count versus vehicle (p≤0.05).
                                     MEAN NO. THYMINE DIMERS

                                                                80

                                                                                                                  Caused by UVA radiation, thymine dimers
                                                                60
                                                                                                                  are DNA mutations.

2
                                                                40
                                                                                                                  Phloretin CF also shows significant results
                                                                20                                                on thymine dimers.

                                                                 0
                                                                        VEHICLE      C E FERULIC

                                         PHLORETIN CF: REDUCTION OF P53 INDUCTION

                                                                80                                                In-vivo, skin protected with Phloretin CF shows
                                                                                                                  significantly lower levels of p53 compared to
                                                                60
                                                                                                                  placebo (p≤0.05).
                                     CELLS / MM SKIN

                                                                                                                  An increased expression of p53 indicates
                                                                40
                                                                                                                  damage to the skin.

                                                                20
                                                                                                                  C E Ferulic and Phloretin CF Gel also show
                                                                                                                  significant results on p53 induction.
                                                                 0      PLACEBO      PHLORETIN CF   UNEXPOSED
                                                                                                    (CONTROL)

                                              C E FERULIC : REDUCTION OF INFRARED RADIATION A-INDUCED MMP-1 UPREGULATION

                                                                 4                                                In-vivo, C E Ferulic significantly reduces the
                                                                                                                  upregulation of IR-A-induced MMP-1 by 62%
                                                                 3                                                (p≤0.05).
                                     MMP-1 / 185 RRNA

                                                                 2                                                MMP-1 is the main collagen-degrading
                                                                                                                  enzyme in human skin.
                                                                 1

                                                                 0    UNIRRADIATED   INFRARED A     C E FERULIC
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                     NEW DISCOVERY
                                     SKINCEUTICALS C E FERULIC HELPS
                                     REDUCE MARKERS OF DAMAGE INDUCED BY
                                     A COMBINATION OF ATMOSPHERIC AGGRESSORS

                                     Traditionally, the effects of atmospheric aggressors on skin have been tested individually. A new SkinCeuticals study
                                     exposed skin explants to different combinations of ultraviolet light (UV), ozone (O3 ), and diesel engine exhaust
                                     (DEE) that one would experience in a typical, urban environment.

                                     This study demonstrates that the combination of these atmospheric aggressors increases levels of oxidative and
                                     inflammatory markers, and decreases levels of key epidermal proteins required for healthy skin barrier function.

2                                    Topical treatment with C E Ferulic effectively helps prevent oxidative damage, inflammation, and skin protein
                                     damage induced by combined aggressor exposure.
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                                 NEW DISCOVERY
                                                 SKINCEUTICALS C E FERULIC HELPS
                                                 REDUCE MARKERS OF DAMAGE INDUCED BY
                                                 A COMBINATION OF ATMOSPHERIC AGGRESSORS

                                                 C E FERULIC
                                                 HELPS PREVENT OXIDATIVE DAMAGE INDUCED BY COMBINED AGGRESSOR EXPOSURE - 4HNE

                                                        2

                                                       1.6

2
                                     4HNE EXPRESSION

                                                       1.2

                                                       0.8

                                                       0.4

                                                        0
                                                                CONTROL C E FERULIC                          UV        C E FERULIC               UV        C E FERULIC                 UV         C E FERULIC                 UV         C E FERULIC
                                                                             +                                              +                    +              +                       +              +                       +              +
                                                                         CONTROL                                            UV                   O3             UV                     DEE             UV                     O3              UV
                                                                                                                                                                +                                      +                       +              +
                                                                                                                                                                O3                                    DEE                     DEE             O3
                                                                                                                                                                                                                                              +
                                                                                                                                                                                                                                             DEE

                                                 Exposure to aggressors can cause an increase in 4HNE, a biomarker of lipid peroxidation and protein oxidation. 4HNE
                                                 expression increased by 70% 24-hours after skin was exposed to the combination of UV, ozone, and diesel engine exhaust.

                                                 C E FERULIC
                                                 Helped to reduce 4HNE activation by 41% from the combination of all 3 aggressorss
                                                 *Statistically significant result vs. exposure to 3 aggressors alone, p < 0.05

                                                 CONTROL                                                                          COMBINED AGGRESSOR                                                      C E FERULIC +
                                                                                                                                  EXPOSURE                                                                COMBINED AGGRESSOR
                                                                                                                                  The oxidative pathway 4HNE was                                          EXPOSURE
                                                                                                                                  activated when skin was exposed to                                      When skin was exposed to the
                                                                                                                                  the combination of UV + ozone +                                         combination of UV + ozone + diesel
                                                                                                                                  diesel engine exhaust, which can be                                     engine exhaust, C E Ferulic helped
                                                                                                                                  seen by the increase in fluorescence                                    reduce 4HNE activation, which can
                                                                                                                                                                                                          be seen by the lack of fluorescence

                                                 Reference: Ferrera, F. et al. (2020). Additive effect of combined pollutants to UV induced skin OxInflammation damage. Evaluating the protective topical application of a cosmeceutical mixture formulation.
                                                 Elsevier B.V. February 2020
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                                NEW DISCOVERY
                                                SKINCEUTICALS C E FERULIC HELPS
                                                REDUCE MARKERS OF DAMAGE INDUCED BY
                                                A COMBINATION OF ATMOSPHERIC AGGRESSORS

                                                C E FERULIC
                                                HELPS PREVENT INFLAMMATION INDUCED BY COMBINED AGGRESSOR EXPOSURE - NFkB

                                                        2

                                                       1.6

2
                                     NFkB EXPRESSION

                                                       1.2

                                                       0.8

                                                       0.4

                                                        0
                                                               CONTROL C E FERULIC                          UV        C E FERULIC               UV        C E FERULIC                  UV        C E FERULIC                  UV        C E FERULIC
                                                                            +                                              +                    +              +                        +             +                        +             +
                                                                        CONTROL                                            UV                   O3             UV                      DEE            UV                      O3             UV
                                                                                                                                                               +                                      +                        +             +
                                                                                                                                                               O3                                    DEE                      DEE            O3
                                                                                                                                                                                                                                             +
                                                                                                                                                                                                                                            DEE

                                                Exposure to aggressors can cause an increase in NFkB, a biomarker of skin inflammation. NFkB expression
                                                increased by 97% 24-hours after skin was exposed to the combination of UV, ozone, and diesel engine exhaust.

                                                C E FERULIC
                                                Helped to reduce NFkB activation by 47% from the combination of all 3 aggressors
                                                *Statistically significant result vs. exposure to 3 aggressors alone, p < 0.05

                                                CONTROL                                                                          COMBINED AGGRESSOR                                                       C E FERULIC +
                                                                                                                                 EXPOSURE                                                                 COMBINED AGGRESSOR
                                                                                                                                 The inflammatory pathway                                                 EXPOSURE
                                                                                                                                 NFkB was activated (stained                                              When skin was exposed to the
                                                                                                                                 green) when skin was exposed                                             combination of UV + ozone +
                                                                                                                                 to the combination of UV +                                               diesel engine exhaust, C E Ferulic
                                                                                                                                 ozone + diesel engine exhaust                                            helped reduce NFkB activation

                                                Reference: Ferrera, F. et al. (2020). Additive effect of combined pollutants to UV induced skin OxInflammation damage. Evaluating the protective topical application of a cosmeceutical mixture formulation.
                                                Elsevier B.V. February 2020
ANTIOXIDANT AUTHORITY - THE YEARS OF RESEARCH IN EVERY DROP - Loreal
SCIENTIFIC AND CLINICAL VALIDATION

                                                    NEW DISCOVERY
                                                    SKINCEUTICALS C E FERULIC HELPS
                                                    REDUCE MARKERS OF DAMAGE INDUCED BY
                                                    A COMBINATION OF ATMOSPHERIC AGGRESSORS

                                                    C E FERULIC
                                                    HELPS PREVENT SKIN PROTEIN DAMAGE INDUCED BY COMBINED AGGRESSOR EXPOSURE - FILAGGRIN

                                                             2

                                                            1.6
                                     FILAGGRIN EXPRESSION

2                                                           1.2

                                                            0.8

                                                            0.4

                                                             0
                                                                   CONTROL C E FERULIC                          UV        C E FERULIC               UV        C E FERULIC                  UV        C E FERULIC                  UV        C E FERULIC
                                                                                +                                              +                    +              +                        +             +                        +             +
                                                                            CONTROL                                            UV                   O3             UV                      DEE            UV                      O3             UV
                                                                                                                                                                   +                                      +                        +             +
                                                                                                                                                                   O3                                    DEE                      DEE            O3
                                                                                                                                                                                                                                                 +
                                                                                                                                                                                                                                                DEE

                                                    Exposure to aggressors can cause a decrease in filaggrin, a protein essential for skin barrier function. Filaggrin
                                                    expression decreased by 73% 24-hours after exposure to the combination of UV, ozone, and diesel engine exhaust.

                                                    C E FERULIC
                                                    Helped counteract 55% of filaggrin degradation from the combination of all 3 aggressors
                                                    *Statistically significant result vs. exposure to 3 aggressors alone, p < 0.05

                                                    CONTROL                                                                          COMBINED AGGRESSOR                                                       C E FERULIC +
                                                                                                                                     EXPOSURE                                                                 COMBINED AGGRESSOR
                                                                                                                                     Filaggrin expression decreased                                           EXPOSURE
                                                                                                                                     (stained red) when skin was exposed                                      When skin was exposed to the
                                                                                                                                     to the combination of UV + ozone +                                       combination of UV + ozone +
                                                                                                                                     diesel engine exhaust                                                    diesel engine exhaust, C E Ferulic
                                                                                                                                                                                                              helped preserve filaggrin proteins

                                                    Reference: Ferrera, F. et al. (2020). Additive effect of combined pollutants to UV induced skin OxInflammation damage. Evaluating the protective topical application of a cosmeceutical mixture formulation.
                                                    Elsevier B.V. February 2020
SCIENTIFIC AND CLINICAL VALIDATION

                                                SKINCEUTICALS ANTIOXIDANTS HELP
                                                REDUCE MARKERS OF OZONE POLLUTION-INDUCED
                                                INFLAMMATION

                                                HELPS PREVENT OZONE POLLUTION-INDUCED INFLAMMATION - NFkB

                                                       250                                                                                    Exposure to ozone pollution can cause an
                                                                                                                                              increase in markers of inflammation. This is
                                                       200
                                                                                                                                              reflected by the activation of the NFkB pathway.

2
                                     NFkB EXPRESSION

                                                       150                                                                                    NFkB expression increased by 140% when skin
                                                                                                                                              was exposed to 0.8 ppm ozone.
                                                       100

                                                        50
                                                                                                                                              C E FERULIC
                                                         0                                                                                    Helped to reduce NFkB activation by 28%
                                                             CONTROL               OZONE               C E FERULIC          PHLORETIN CF
                                                                                  EXPOSURE                  +                    +            PHLORETIN CF
                                                                                                         OZONE                 OZONE
                                                                                                        EXPOSURE              EXPOSURE        Helped to reduce NFkB activation by 47%
                                                                                                                                              *Statistically significant result vs. ozone exposure alone, p < 0.0001

                                                CONTROL                                       OZONE EXPOSURE                                  C E FERULIC +                                      PHLORETIN CF +
                                                                                              The inflammation                                OZONE EXPOSURE                                     OZONE EXPOSURE
                                                                                              pathway NFkB was                                When skin was                                      When skin was
                                                                                              activated (stained                              exposed to 0.8 ppm                                 exposed to 0.8 ppm
                                                                                              green) when skin was                            ozone, C E Ferulic                                 ozone, Phloretin CF
                                                                                              exposed to 0.8 ppm                              helped reduce NFkB                                 helped reduce NFkB
                                                                                              zone                                            activation                                         activation

                                               Reference: Valacchi, G et al. Vitamin C Compound Mixtures Prevent Ozone-Induced Oxidative Damage in Human Keratinocytes as Initial Assessment of Pollution Protection. PLOS ONE DOI:10.1371/
                                               journal.pone.0131097
SCIENTIFIC AND CLINICAL VALIDATION

                                                          SKINCEUTICALS ANTIOXIDANTS HELP
                                                          REDUCE MARKERS OF OZONE POLLUTION-INDUCED
                                                          SKIN AGING

                                                       HELPS PREVENT AGAINST OZONE POLLUTION-INDUCED TYPE III COLLAGEN DEGRADATION

                                                                100                                                                                 WHEN SKIN WAS EXPOSED TO 0.8 PPM OZONE
                                                                                                                                                    • Type III collagen decreased by an average of 60%
                                                                 80
                                     TYPE III COLLAGEN LEVELS

2
                                                                                                                                                    • Skin treated wtih C E Ferulic showed 35% less type
                                                                 60                                                                                   III collagen degradation
                                                                 40                                                                                 • Skin treated with Phloretin CF showed 95% less
                                                                                                                                                      type III collagen degradation
                                                                 20
                                                                                                                                                    *Statistically significant result vs. ozone exposure alone, PCF p
SCIENTIFIC AND CLINICAL VALIDATION

                                     VISIBLE ANTI-AGING RESULTS
                                     Along with extensive scientific testing, all SkinCeuticals vitamin C antioxidant
                                     formulas are demonstrated to clinically improve skin aging.

                                     C E FERULIC : REDUCTION IN COARSE WRINKLES, IMPROVED
                                     SKIN FIRMNESS, AND A BRIGHTENED COMPLEXION
                                                                                                                                                                C E FERULIC: highly effective on
                                       BASELINE
                                                                                                                                                                firmness, elasticity, and wrinkles

2                                                                                                                                                               FINE LINES

                                                                                                                                                                FIRMNESS

                                                                                                                                                                ELASTICITY

                                                                                                                                                                    WRINKLES

                                                                                                                                                                0     5   10    15   20    25     30    35    40
                                                                                                                                                                % IMPROVEMENT

                                                                                                                                                                Statistically significant (p≤0.05) Clinical results at week 52.

                                       16 WEEKS

                                     AVERAGE results
                                     Protocol: 16-week clinical study conducted on 50 caucasian male and female subjects ages 40–60 years old (USA, 2013).      Protocol: 52-week clinical study conducted on 50 female
                                     For controlled results, subjects used SkinCeuticals Gentle Cleanser and Ultimate UV Defense SPF 30 daily, and Emollience   subjects ages 40–60 years old of all skin types (USA, 2011).
                                     moisturizer as needed.                                                                                                     For controlled results, subjects used SkinCeuticals Gentle
                                                                                                                                                                Cleanser and Ultimate UV Defense SPF 30 daily, and
                                                                                                                                                                Hydrating B5 Gel as needed.
SCIENTIFIC AND CLINICAL VALIDATION

                                     VISIBLE ANTI-AGING & ANTI – PIGMENTATION RESULTS
                                     PHLORETIN CF: REDUCTION IN DISCOLORATION
                                     AND UNEVEN SKIN TONE

                                                                                                                                                    PHLORETIN CF: highly effective
                                       BASELINE
                                                                                                                                                    on skin tone, discoloration, and
                                                                                                                                                    skin radiance

2                                                                                                                                                   FINE LINES

                                                                                                                                                        TONE

                                                                                                                                                    DISCOLORATION

                                                                                                                                                        WRINKLES

                                                                                                                                                    0     5    10   15    20    25    30     35    40
                                                                                                                                                    % IMPROVEMENT

                                                                                                                                                    Statistically significant (p≤0.05) Clinical results at week 24.

                                       18 WEEKS

                                     AVERAGE results
                                     Protocol: 24-week clinical study conducted on 35 caucasian female subjects ages 35–65 years old (USA, 2008).   Protocol: 24-week clinical study conducted on 35
                                     For controlled results, subjects used SkinCeuticals Gentle Cleanser and a sunscreen daily.                     caucasian female subjects ages 35–65 years old (USA,
                                                                                                                                                    2008). For controlled results, subjects used SkinCeuticals
                                                                                                                                                    Gentle Cleanser and a sunscreen daily.
SCIENTIFIC AND CLINICAL VALIDATION

                                     VISIBLE ANTI-AGING RESULTS
                                     AOX + EYE GEL : REDUCTION IN DARK CIRCLES
                                     AND FINE LINES WHILE IMPROVING RADIANCE

                                       BASELINE

2

                                       8 WEEKS

                                     AVERAGE results
                                     Protocol: 12-week clinical study conducted on 40 male and female subjects 30-56 years old (USA, 2010).
CE FERULIC + LASER
INTEGRATION WITH IN-OFFICE PROCEDURES

                                                               INTEGRATION WITH IN- OFFICE PROCEDURES
                                                               C E FERULIC: THE STANDARD FOR POST-LASER CARE
                                                               C E Ferulic is unique in its proof of safety and efficacy when used in conjunction with laser treatments.

                                                                                               Clinical trials
                                                                                                                                    7                                               30+
                                                                                                                                                                                    Presentations
                                                                                                                                                                                                                              Published in 2017
                                                                                                                                                                                                                                Lasers Surgery
                                                                                           demonstrating efficacy                                                                      globally                                 and Medicine
                                                                                          and safety post-ablative                                                                                                               -Waibel, et al.
                                                                                          and non-ablative laser.

      3                                                                                                  1                     INCREASES SERUM'S TOPICAL UPTAKE

                                                                                                                                        A C C E L E R AT E D TO P I C A L U P TA K E
                                                           LOW-ENERGY NON-ABLATIVE FRACTIO NAL LASER INCREASES TOPICAL UPTAKE OF C E FERULIC
                                                           BY 17X 1
                                                                                                                                    2                                                                                                     Laser + C E Ferulic
                                                                     C U M U L AT I V E P E R M E AT I O N ( mg / cm 2)

                                                                                                                                                                                                            17x
                                                                                                                                1.8                                                                                                      C E Ferulic alone

                                                                                                                                1.6

                                                                                                                                1.4

                                                                                                                                1.2

                                                                                                                                    1

                                                                                                                                0.8

                                                                                                                                0.6

                                                                                                                                0.4

                                                                                                                                0.2

    A C C E L E R A T E D T0O P I C A 5L U P T10A K E                                                                                                                          15             20            25         30

   TO P I C A L U P TA K E
                                                                                                                                                                           T I M E ( hours)
      2                                                                                                                                                                                 Laser + C E Ferulic

                                                                                                                                                         17x
  1.8                                                                                                                                             Laser + C E Ferulic                   C E Ferulic alone

                                                                17 xCLINICALLY PROVEN TO COMPLEMENT RESULTS + REDUCE DOWNTIME
  1.6                                                                                                                                             C E Ferulic alone

                                                                 2
  1.4

  1.2
                                                                                                                          POST NON-ABLATIVE LASER
      1

  0.8                                                      IN- OFFICE POST-LASER APPLICATION OF                                                                                                                  PATIENT ASSESSMENT SHOWS INCREASED
  0.6                                                      C E FERULIC IS SAFE AND CLINICALLY PROVEN                                                                                                             PATIENT SATISFACTION AFTER 1 AND 3
  0.4
                                                           TO 2 :                                                                                                                                                MONTHS IN 2 :
                                                           • Decrease post-laser erythema, edema, and heat                                                                                                       • Dyschromia
  0.2
                                                             sensation by 2 days
      0                                                5                     10                                                15            20         25            30                                         • Firmness
                                                           v
 15                                               20            25                                                        30
                                                                                                                          T I M E ( hours)
                                                                                                                                                                                                                 • Radiance

M E ( hours)                                                                                                                                                                                                     • Overall appearance
                                                           References:
                                                           Elford, Erica Lee, et al. American Society for Laser Medicine and Surgery. Enhanced Skin Permeability of Topical Aqueous Antioxidant Serum following 1927nm Laser Treatment. 2013.
                                                           Brauer, Jeremy & Elford, Erica & Loncaric, Anya & Struck, Steven & Bedi, Vikramaditya & Geronemus, Roy. (2012). TREATMENT OF PHOTOAGED SKIN USING FRACTIONAL NON-ABLATIVE LASER IN
                                                           COMBINATION WITH TOPICAL ANTIOXIDANTS. Lasers in Surgery and Medicine. 44. 68-68.
INTEGRATION WITH IN-OFFICE PROCEDURES

                                        INTEGRATION WITH IN- OFFICE PROCEDURES
                                        C E FERULIC: THE STANDARD FOR POST-LASER CARE
                                        C E Ferulic is unique in its proof of safety and efficacy when used in conjunction with laser treatments.

                                                 3                                          CLINICALLY PROVEN TO ACCELERATE RECOVERY POST FRACTIONAL ABLATIVE LASER

                                        C E FERULIC APPLIED IMMEDIATELY POST LASER AND                                                                                                                       REDUCTION OF SWELLING 4 DAYS POST TREATMENT
                                        CONTINUED DAILY FOR SEVEN DAYS IS CLINICALLY
                                        PROVEN TO3:
                                        • Decrease post-laser erythema on days 3 and 5

3                                       • Decrease post-laser swelling on day 7

                                        • Decrease post-laser downtime by 2 days

                                        • Accelerate return to work and social activities at 5 days
                                              vs. typical duration of 7-10 days

                                                                                                                                                                                                             LASER + OCCLUSIVE OINTMENT        LASER + C E FERULIC

                                                                                                                                       Lasers in Surgery and Medicine

                                          Laser-Assisted Delivery of Vitamin C, Vitamin E, and Ferulic
                                          Acid Formula Serum Decreases Fractional Laser
                                          Postoperative Recovery by Increased Beta Fibroblast
                                          Growth Factor Expression
                                          Jill S. Waibel, MD,1 Qing-Sheng Mi, MD, PhD,2 David Ozog, MD,3 Le Qu,4 Li Zhou, MD,2 Ashley Rudnick, BS,1
                                          Firas Al-Niaimi, MSc, MRCP, EBDV,5 Julie Woodward, MD,6 Valerie Campos, MD,7 and Serge Mordon, PhD8
                                          1
                                            Miami Dermatology and Laser Institute, 7800 SW 87th Avenue, Suite B200, Miami, Florida 33173
                                          2
                                            Hesnry Ford Immunology Program, Departments of Dermatology and Internal Medicine, Henry Ford Hospital, 1 Ford
                                          Place, Detroit, Michigan 48202
                                          3
                                            Henry Ford Immunology Program, Henry Ford Hospital, 3031 W Grand Blvd., Detroit, Michigan 48202
                                          4
                                            Henry Ford Immunology Program, Department of Dermatology, Henry Ford Hospital, 1 Ford Place, Detroit, Michigan

                                                                                                                                                                          "Results from this study show trends of decreasing downtime 24–48 hours with ability of
                                          48202
                                          5
                                            Sk:n Clinic, 144 Harley Street, London, UK
                                          6
                                            Duke University, 2351 Erwin Rd., Suite 3802, Durham, North Carolina 27705
                                          7
                                            Clı´nica Val
                                                        eria Campos, Jundiaı´, S~
                                                                                ao Paulo, Brazil
                                          8
                                            INSERM U1189, INSERM, 1 Avenue Oscar Lambret, Lille, France

                                                                                                                                                                          patients to return to work and social life more quickly."4
                                          Background and Objective: Laser-assisted drug deliv-           rapid wound healing. Lasers Surg. Med.
                                          ery is an emerging technology to achieve greater penetra-       2015 Wiley Periodicals, Inc.
                                          tion by existing topical medications to reach desired
                                          targets in the tissue. The objective of this research          Key words: drug delivery systems; wound healing
                                          was to study whether laser-assisted delivery of Vitamin
                                          C, E, and Ferulic immediately postoperatively of fractional
                                          ablative laser could improve wound healing. Secondary          INTRODUCTION
                                          objectives were to evaluate the potential molecular               Ablative fractional resurfacing has become a powerful
                                          markers involved in this wound-healing process.                tool for facial skin rejuvenation. In our busy society,
                                          Study Design/Material and Methods: A double                    postoperative downtime is a major factor for patients when
                                          blinded, prospective, single center, randomized split face     considering esthetic procedures.
                                          trial of Vitamin C, E, and Ferulic topical formula #740019        Fractional lasers were developed within the last decade
                                          to decrease postoperative recovery time in fractional          to treat rhytids [1,2]. Non-ablative fractional lasers were
                                          ablative laser resurfacing for photo damage. Fifteen           first discovered and only function to coagulate collagen. In
                                          healthy men and women of ages 30–55 years were treated         2008, more robust fractional ablative lasers were intro-

                                                                                                                                                                          - DR. JILL WAIBEL
                                          with the Vitamin C, E, and Ferulic acid serum to one side of   duced, which vaporize thin columns in the epidermis and
                                          face and vehicle to the other side of face, within 2 minutes   dermis in a fractional pattern. The depth of these zones
                                          immediately after fractional ablative CO2 laser surgery        is determined by the laser fluence. Because the wounds are
                                          and daily during the healing process. Patients were            so small (120–300 mm in diameter), there is a rapid healing
                                          evaluated daily on days 1–7 using photographs, patient         response with a unique molecular healing cascade and
                                          questionnaires, and molecular evaluation.                      prolonged neocollagenesis [3]. These microscopic vertical
                                          Results: Clinically, postoperative Vitamin C, E, and
                                          Ferulic delivery resulted in decreased edema versus
                                          vehicle on postoperative day 7 and decreased erythema
                                          versus vehicle on postoperative days 3 and 5. Molecularly,       Conflict of Interest Disclosures: All authors have completed
                                          the expression of basic fibroblast growth factor (bFGF) was    and submitted the ICMJE Form for Disclosure of Potential
                                                                                                         Conflicts of Interest and none were reported.
                                          significantly increased at day 5 on the lesion treated with      Contract grant sponsor: Loreal/SkinCeuticals.
                                                                                                           
                                          Vitamin C, E, and Ferulic acid serum compared to vehicle           Correspondence to: Jill S. Waibel, MD, Miami Dermatology
                                          control on the other side.                                     and Laser Institute, 7800 SW 87th Avenue, Suite B200, Miami,
                                                                                                         FL 33173.
                                          Conclusion: This is first study to show that Vitamin C, E,     E-mail: jwaibelmd@miamidermlaser.com
                                          and Ferulic acid correlate with more rapid wound healing         Accepted 9 November 2015
                                                                                                           Published online in Wiley Online Library
                                          post-fractional ablative laser. Elevated bFGF could be           (wileyonlinelibrary.com).
                                          involved in the Vitamin C, E, and Ferulic acid-induced           DOI 10.1002/lsm.22448

                                           2015 Wiley Periodicals, Inc.

                                        Reference:
                                        Waibel J.S., Mi Q.S. et al. (2015). Laser-assisted delivery of vitamin C, vitamin E, and ferulic acid formula serum decreases fractional laser postoperative recovery by increased beta fibroblast growth factor
                                        expression., Laser in Surgery and Medicine, November 2015.
INTEGRATION WITH IN-OFFICE PROCEDURES

                                        WHICH ANTIOXIDANT FORMULA
                                        IS RIGHT FOR YOUR PATIENT?
                                        SkinCeuticals has developed a full menu of high-potency antioxidant formulas designed to provide
                                        the most advanced protection from environmental damage for all skin types and concerns.

                                                               C E FERULIC®
                                                               N, D, C, S
                                         AGIN G

3
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                                                               PHLORETIN CF
                                                               N, O, C

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                                                               AOX+ EYE GEL
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                                                                                       O: OILY
                                                                                       D : DRY
                                                                                       C : C OMB IN ATION
                                                                                       S: SE N SITIVE
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