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Environ AVST Vitamin A Step-Up System

5-step vitamin A progression with retinyl propionate

Duration
1 days1 sessions (夜)
Downtime
なし
Sessions
Step 1→5を8-20 weeks間で段階的にステップアップ

About This Treatment

Environ AVST is a progressive vitamin A (retinyl propionate) step-up system developed by Dr. Des Fernandes in South Africa.

Step 1 (low) through Step 5 (high), increasing concentration every 2-4 weeks. Retinyl propionate offers unique metabolic profile with higher bioactivity but less irritation than retinol or tretinoin.

Certified by Swiss Vitamin Institute. Suitable for sensitive skin.

Mechanism of Action

Retinyl propionate is metabolized in viable epidermis/dermis to retinal→retinoic acid via a unique pathway, achieving higher retinoid bioactivity than retinol or retinyl palmitate at the dermal level. Activates RAR/RXR for collagen synthesis, epidermal turnover normalization, and DNA repair. Gradual concentration increase upregulates retinoid receptors while minimizing retinoid reactions.

Indications

General indication (see detailed description)Wrinkles / fine lines

Expected Results

Retinyl propionate confirmed higher retinoid bioactivity vs retinol and retinyl palmitate. Step-up approach achieves >95% continuation rate (minimal dropout from retinoid reactions). Wrinkle depth and texture improvement at 12 weeks.

Clinical Evidence

Bilia AR, Bergonzi MC, Morgenthaler J, et al. (2020)
Retinyl propionate vs retinol and retinyl palmitate: comparison of retinoid bioactivity using skin models. Exp Dermatol
Clinical improvement was reported in this study (see original paper for details).
Kafi R, Kwak HS, Schumacher WE, et al. (2007)
Improvement of naturally aged skin with vitamin A (retinol). Arch Dermatol
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Step-up approach minimizes irritation but transient dryness/mild redness possible. Higher steps (4-5) may cause typical retinoid reactions (peeling). Sunscreen recommended.

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