Académique Documents
Professionnel Documents
Culture Documents
Helmy
Fungsi pertahanan
Pengaturan suhu tubuh
Fungsi persepsi
Fungsi absorbsi
Fungsi ekskresi
Keratinisasi
Pembentukan pigmen
Pembentukan vit D
Sweat production
Sebum production
A. Skin Featuring
fine wrinkle
B. Skin Layer
Epidermis
Corneum
Lucidum
Granulosum
Spinosum
Basale
Dermis
Hipodermis
b. dermis
Fibroblas (merupakann komponen utama dermis)
Endotel vaskular
Mast cell
histiosit
c. hipodermis
Adiposa
Fibroblas hipositik
Endotel vaskular
Lapisan
Epi
Dermis
Hipo
Fungsi
Proteksi
Penunjang
Isolator
Komponen
Utama
PH
Keratin
Colagen
Lemak
4,5 6,5
7,1 7,3
Tebal
0,3 mm
3,5 mm
Variatif
Kandungan
Air
10 25 %
60 70 %
Pembuluh
darah
Glands
>>
Keringat &
sebacceus
1. NMF
2. lipid bilayer
3. Acid mantle
1. NMF
2. Lipid Bilayer
Usia
Seasonal effect
Atopi
Genetik
Diet (berkaitan dengan ketersediaan omega 3)
Glucocorticoid (stres hormon menghambat
terbentuknya lipid bilayer)
3. Acid mantle
Lipid lowering drugs (contoh golongan -statin)
dehidrasi
scrub berlebihan
exfoliate agent
electricity home device
sabun
low estrogen (menopause, haid)
UV & x-radiation
usia (elderly dan neonatus)
stres
kulit tipe 1 fitzpatrick
Testosteron
increased bacteria
1. Oxidatif Stress
2. Lipid Peroksidase
3. Mitokondria damage
4. Cellular senescence
Absorbsi UV
Photoproteksi (menyerap free radikal)
Menangkap radikal bebas
Mencegah peroksidase lipid
Mencegah oksidatif stres
Mencegah fotoaging
Mencegah fotokarsinogenesis
Membantu sintesis vitamin D
FREE RADICALS
ROS (Reactive Oxygen Species)
Oxidatife stress, lipid peroxidase,mitocondrial
damage,cellullar scenescene.
Antioksidan
-Free radicals
-Vitamin C oxidisation
-Incactivate vitamin A receptors
-Peroxidation of lipids in cell membranes can demage cell membranes by
disruption fluidity and permeability . Lipid peroxidation can also adversely affect
the function of membrane bound proteins such as enzyme and receptors.
-Langerhan cell dendrite shortening and cell migration
-Melanogenesis (formation of pigment granules eumelanin and pheomelanin)
-Keratinocyte proliferation (to pick up melanosomes)
-Increase collagenase / elastase enzymes of MMP family
-Venous / lymphatic capillary demage due to loss structural support of loose
connective tissue (areolar)
-Impair cellular replication trought DNA demage
-Cellular senescense
-Vitamin D synthesis
Transfer ke keratinosit
Melanin:
Hemoglobin
Karotenoid
Blood circulation
Melanin
Kolagen
Nutrition
Suplemment
Omega 3
Vitamin A & E
Colostrum
Vit. C
Calcium
Topical Applied
Anti Oxidant
Alpha Lipoic
Vit A, C & E
Omega 3
Gluthatione
Resveratrol
Clinical
Interventio
n
Lymph Drainage
Photo
Modulation
Fibroplastic phase
5 14 Days
Wound healing
Nutrition
Supplement
Omega 3
Vit. A & E
Colostrum
Vit. C
Calcium
Minerals
Iron
Zinc
Copper
Amino acids
Topical Applied
Anti Oxidant
Growth Factors
Sun protection
Alpha lipoic
Vit. A, C & E
Omega 3
Gluthatione
Resveratrol
Colostrum
Copper peptides
Broad spectrum
Sun protection
290 400 nm
Clinic
Intervention
Lymph
drainage
Photo
modulation
Maturative phase
14 28 days 2 years
Wound healing
Nutrition
Supplement
Omega 3
Vit. A & E
Colostrum
Vit. C
Calcium
Minerals
Iron
Zinc
Copper
Amino acids
Topical Applied
Anti Oxidant
Growth Factors
Sun protection
Alpha lipoic
Vit. A, C & E
Omega 3
Gluthatione
Resveratrol
Colostrum
Copper peptides
Broad spectrum
Sun protection
290 400 nm
Clinic
Intervention
Lymph
drainage
Photo
modulation
Penetration
Ionthoporesis
Sonophoresis
1.
Apikal
2.
3.
Pembuluh darah
Limfatik (membuang zat-zat yang tidak terbuang dr
vena)
nerve
Tiroid
Paratiroid
Estrogen
Testosteron
Insulin
Growth hormon
Androgen
Glogau
Fitzpatrick
Bowmann
1.
2.
3.
4.
5.
Tipe I
Tipe II
Tipe III
Tipe IV
: no
: mild
: moderate
: severe
(<35 thn)
(40 thn)
(50 thn)
(60-70 thn)
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
A : Asimetris
B : Border
C : Colour
D : Diameter (>6 mm)
E : Enlargement (vertikal n horizontal)
Ciri kepribadian:
Narsistik
Window shopping dokter
Kapasitas psikiatrik tdk usah ditangani
1.Kulit Berminyak
Lemak bekerja berlebihan sehingga terlihat
Mengkilat,Tebal,Tonus kuat,Pori besar dan biasanya
Berjerawat.
2.Kulit Normal
Tidak berminyak dan tidak kering sehingga terlihat
segar dan bagus,pori nyaris tidak terlihat
3.Kulit Kering
Kelenjar lemak kurang aktif,kulit kusam,tipis
,bersisik,halus,lebih cepat timbul keriput.
4.Kulit Kombinasi
Normal berminyak di bagian tengah wajah dan normal
kering di bagian lainnya,biasanya usia di atas 35 th
keatas
LIPID DRY
OILY
Secretion
Secretions
Texture
Surface may be rouht and flaky ,
with open or closed comedones
around the nose wing.
Premature ageing and wringkles.
When viewed with black light
there will be with flacky patches
in odd areas like the
zygomatic/cheeks
Colour
Skin appears blotchy and
dull in appearance.
Igmentation and diffused
redness ,easily aggressed
or sensitised when placed
under duress
DIFFUSED
REDNESS
Colour
Permanent high colour or
blotchy with flushing tendecy.
Nose, chin, cheeks are the first
areas to be affected. If chin has
permanent diffused redness it
is an exellent diagnostic clue
Texture
Texture
Colour
Often minimal, but may
be oily. Could have an
impaired acid mantle and
be easily aggressed.
Hot water
Air conditioning
Pollutan
Friction from clothing
Frequent air travel
Other chemical
4.
5.
6.
7.
8.
skin
do not use drying alcohol or
clay based masks
do not harsh abrasive
exfoliants
use creams designed for lipid
dry skins to maintain acid
mantle
minimal sun exposure with
sun protection at all times
avoid artifical atmospheres
take essential fatty acids 03 &
06
take vitamin supplements for
epidermis
1.
2.
3.
4.
5.
6.
7.
8.
9.
normal
berminyak
kering
kombinasi
pori
kecil /
medium
besar
Kecil ketat
T-zone
besar, pipi
pori
kecil/sdng
kelembapan
bagus
Sangat
tinggi
Teksture
kulit
halus
kelainan
Komedo,
pustule,
papul, milia
Bmnyk
tampak
tebal, krng
nampak
tipis
Sensitive,
T-zone
penuan dini, pustule
bintik-bintik papule, krng
milia &
pmblh kplr
rusak
Pori Pori
A blackhead occurs when the pore opens to the surface, and the
sebum, which contains the skin pigment melanin, oxidizes and
turns a brown/black color. It is not dirt and can not be washed
away. Blackheads can last for a long time because the contents
very slowly drain to the surface.
A pustule forms several days later when white blood cells make
their way to the surface of the skin. This is what people usually
refer to as a "zit" or a "pimple".
Nodule
When a follicle breaks along the bottom, total collapse can
occur, causing a large, inflamed bump that can be sore to the
touch
Development: A nodule occurs when the follicle wall
ruptures deep within the dermis. Contaminated debris from
the follicle empties into the dermis and infects adjoining
follicles. A nodule is a severe form of an acne lesion.
Cyst
Sometimes a severe inflammatory reaction can result in very
large pus filled lesions.
Development: Like nodules, cysts begin as a deep break in
the follicle wall. A membrane develops around the infection
in the dermis. As a cyst works its way to the surface, it
damages healthy skin tissue, destroying the follicle. The
likelihood of scarring is very high.
1 . Cereal
2. Pastry
3. Cake
4. Duck skin
193,400
426,740
838,400
6,259,000
Dietary consideration
minimize intake of food high in AGE such as
meat, cheese, egg yolk
Decreased cooking temperature
broilling and frying can lead to increased
amount of AGEs
Carnosine 2000 mg
Lipoic acid 400-600 mg
Chromium 300 microgram
Vit E 400 IU
Malar
Mandibular
Centrofacial
SELAMAT
PRAKTEK