Skin Education

Research + Evidence.

Aesthetic treatments should never rely on marketing alone. This library shares selected peer-reviewed research related to treatments and skin concerns discussed at Adorn.

Research links are provided for education and may evaluate devices, formulations, concentrations, or protocols different from those used at Adorn. Published findings do not guarantee individual results or mean that every treatment is appropriate for every client.

Meta-analysis

Microneedling as an Adjuvant to Topical Therapies for Melasma

Microneedling as an Adjuvant to Topical Therapies for Melasma

Journal of the American Academy of Dermatology

A systematic review and meta-analysis exploring microneedling as an add-on to topical therapies for melasma.

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Systematic Review

Microneedling and Its Use in Hair Loss Disorders

Microneedling and Its Use in Hair Loss Disorders

2022

This review evaluated 22 clinical studies involving more than 1,100 participants. The authors found encouraging results but noted substantial variation among treatment protocols and relatively low overall evidence quality.

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Review

SkinCeuticals Smart TCA Peel Product Information

SkinCeuticals Smart TCA Peel — Product Information

SkinCeuticals

Manufacturer product information for the SkinCeuticals Smart TCA Peel (15% TCA + 3% glycolic acid), including intended uses and average downtime. Provided for reference; not a peer-reviewed study.

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Review

Microneedling in Dermatology: A Review and Practical Guide

Microneedling: A Review and Practical Guide

Alster TS, Graham PM · Dermatol Surg · 2018

A review of the published medical literature on microneedling in dermatology, outlining how controlled micro-injury may support improvement in scars, stretch marks, and fine lines, with a practical guide to technique and recovery. Individual results vary.

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Meta-analysis

Combined Microneedling and Minoxidil in Androgenetic Alopecia

Combined Microneedling and Minoxidil in Androgenetic Alopecia

This analysis found improvement in hair-count outcomes when microneedling was combined with minoxidil compared with minoxidil alone across the included trials, although study protocols varied considerably.

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Systematic Review

Microneedling with Cutaneous Delivery of Topical Agents for Melasma

Microneedling with Cutaneous Delivery of Topical Agents for Melasma

Journal of Cosmetic Dermatology

A systematic review of microneedling used to enhance cutaneous delivery of topical agents for melasma.

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Systematic Review

Trichloroacetic Acid Peeling for Treating Photoaging

Trichloroacetic Acid Peeling for Treating Photoaging

A systematic review of TCA chemical peeling for photoaging, supporting the use of TCA peels for sun-damage and aging concerns.

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Systematic Review

Microneedling for Acne Scarring

Microneedling as a Treatment for Acne Scarring: A Systematic Review

Mujahid N, Shareef F, Maymone MBC, Vashi NA · Dermatol Surg · 2020

A systematic review of microneedling for acne scarring. The evaluated studies showed improvement in the appearance of acne scars after microneedling, while the authors note more research is needed to compare it with other treatments. Results vary by individual.

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Clinical Study

15% TCA + 3% Glycolic Acid Chemical Peel for Hand Lentigines

15% TCA + 3% Glycolic Acid Chemical Peel for Hand Lentigines

A study evaluating the same 15% TCA + 3% glycolic acid formulation used in the SkinCeuticals Smart TCA Peel for lentigines (sun spots) on the hands. Findings should not be automatically generalized to every facial concern.

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Randomized Controlled Trial

Microneedling Frequency and 2% Minoxidil in Women with Androgenetic Alopecia

Microneedling Frequency and 2% Minoxidil in Women with Androgenetic Alopecia

2026

In this newer trial involving women with mild-to-moderate androgenetic alopecia, adding microneedling every two or four weeks did not significantly outperform 2% minoxidil alone over 24 weeks.

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Meta-analysis

Efficacy of Microneedle as an Assisted Therapy for Melasma

Efficacy of Microneedle as an Assisted Therapy for Melasma

A systematic review and meta-analysis assessing microneedling as an assisted therapy for melasma.

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Systematic Review

Adverse Effects of Microneedling

A Systematic Review Examining the Potential Adverse Effects of Microneedling

Gowda A, Healey B, Ezaldein H, Merati M · J Clin Aesthet Dermatol · 2021

A systematic review of possible adverse effects of microneedling across 51 studies. The authors conclude microneedling is relatively safe with mostly expected, temporary effects such as redness, and encourage informed decision-making to reduce avoidable complications.

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Guideline

Acne Management Guidelines

Guidelines of care for the management of acne vulgaris

Reynolds RVS, Yeung H, Cheng CE, et al. · J Am Acad Dermatol · 2024

Evidence-based guidelines from the American Academy of Dermatology on managing acne vulgaris. The guideline supports medical therapies and helps distinguish when acne warrants medical rather than aesthetic care. It does not recommend facials as primary medical acne therapy.

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Review

Chemical Peels for Acne

Chemical peels in the treatment of acne: patient selection and perspectives

Castillo DE, Keri JE · Clin Cosmet Investig Dermatol · 2018

A review of chemical peels as supportive care for acne, covering patient selection, safety, and special considerations for different skin tones. It supports superficial to medium peels as an adjunct within a broader acne plan when appropriate.

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Clinical Study

A Non-HQ Formulation for Melasma

A pilot study using reflectance confocal microscopy (RCM) in the assessment of a novel formulation for the treatment of melasma

Tsilika K, Levy JL, Kang HY, et al. · J Drugs Dermatol · 2011

A small pilot study using reflectance confocal microscopy to assess a non-hydroquinone depigmenting formulation for melasma, reporting improvement in pigmentation. Pigment conditions require evaluation and ongoing sun protection; individual results vary.

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Systematic Review

Chemical Peels for Melasma

Chemical Peels for Melasma: A Systematic Review

Sarkar R, Lakhani R · Dermatol Surg · 2024

A systematic review of chemical peels for melasma, concluding that peels were found to be safe and effective as part of melasma management. Melasma can recur and requires ongoing care and sun protection.

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Systematic Review

Microneedling for Hair Loss

Microneedling and Its Use in Hair Loss Disorders: A Systematic Review

English RS Jr, Ruiz S, DoAmaral P · Dermatol Ther (Heidelb) · 2022

A systematic review of microneedling for hair-loss disorders. The authors note generally favorable results as an adjunct therapy, particularly in pattern hair loss, but highlight that data quality is limited and larger trials are needed. Hair loss has multiple causes.

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Review

Microneedling for Hair Loss

Microneedling for Hair Loss

Gupta AK, Quinlan EM, Venkataraman M, Bamimore MA · J Cosmet Dermatol · 2022

A review of microneedling for hair loss, including a quantitative analysis suggesting microneedling may support hair count, especially when combined with other therapies. The authors emphasize that more research is needed and that causes of hair loss vary.

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Review

Enzyme Exfoliation Overview

An overview of the use of proteolytic enzymes as exfoliating agents

Trevisol TC, Henriques RO, Souza AJA, Furigo A Jr · J Cosmet Dermatol · 2022

An overview of proteolytic enzymes used as exfoliating agents. The authors note that while enzymatic exfoliation has potential, the clinical literature is limited and further study is needed before broad recommendations.

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Systematic Review

Microneedling With Exosomes

The Use of Microneedling With Exosomes in Dermatology: A Systematic Review

Dhaliwal NK, Moothathamby T, Sokhal BS, Gkini MA · J Cosmet Dermatol · 2026

A systematic review of microneedling combined with exosomes across several dermatologic conditions. The authors conclude the combination shows promise but that more evidence is needed on safety and effectiveness. There are currently no FDA-approved exosome products.

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Systematic Review

Polynucleotides in Aesthetic Medicine

The Effectiveness of Polynucleotides in Esthetic Medicine: A Systematic Review

Lampridou S, Bassett S, Cavallini M, Christopoulos G · J Cosmet Dermatol · 2025

A systematic review of polynucleotides in esthetic medicine, reporting promising outcomes for skin texture, wrinkles, and elasticity. The evidence is limited and largely involves injected formulations; results from one delivery method should not be automatically applied to another.

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Clinical Study

Topical PDRN, Vitamin C & Niacinamide

A Mixture of Topical Forms of Polydeoxyribonucleotide, Vitamin C, and Niacinamide Attenuated Skin Pigmentation and Increased Skin Elasticity by Modulating Nuclear Factor Erythroid 2-like 2

Kim HM, Byun KA, Oh S, et al. · Molecules · 2022

An animal-model study of a topical mixture of polydeoxyribonucleotide, vitamin C, and niacinamide delivered via a microneedling system, reporting reduced pigmentation and improved elasticity. Findings are preclinical and do not guarantee results in humans.

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Safety Communication

FDA Safety Notification: Exosome Products

FDA Public Safety Notification on Exosome Products

U.S. Food and Drug Administration · FDA

A U.S. FDA public safety notification regarding exosome products. There are currently no FDA-approved exosome products. Exosome cosmetic products are not FDA-approved exosome therapy, stem-cell therapy, or proven regenerative treatments.

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