Lembaga estetika medik Indonesia

Skin Health
Nutritional oral and suplementation
Optimal function of the cell
 Water
It keeps the skin hydrated, in good shape; improves
circulation and blood flow keeping your skin glowing;
helps cells take up nutrients and flush out toxins, and
reduces the look of fine lines and wrinkles. Drinking 8-
12 glasses of water a day is recommended.
Makan sehat
Gizi seimbang
Karbohidrat : 50-60% ( KH kompleks, oligosakarida,
maltodestrin)
protein 10-20 % (1-2 gr/kgBB)
Lemak 20-25 % ( PUFA: MUFA:SAFA= 1;1;1)
Vitamin & mineral
serat
# 55-65% total energy
# un-refined carbohydrate (CH):
vegetables ,whole grains,legumes
# low refined carbohydrate
# fiber –containing foods
# providing : vitamins & minerals
# low sugar
# 5-20% OF TOTAL ENERGY
# Animal : plant protein = 2:1
# 1,0-1,2 g/Kg BW
Prolene and lysine
LEMAK( Alpha Linoleic & Alpha
Linolenic Acid)
Foods Rich in Essential fatty Acids
•Essential fatty acids such as omega-3s and omega-6s help produce the skin’s
natural oil barrier, keeping dry skin and blemishes at bay. They are necessary fats
that help leave skin smoother and younger-looking.
Omega-3 essential fatty acids. Another way to treat inflammation is
to eat foods that contain Omega-3 fattyacids, such as walnuts, salmon and
soybeans. Cold water fish e.g., salmon, trout, sardines, tuna and mackerel are
the best source of Omega-3 essential fatty acids. You may also take an
Omega-3 supplement like fish oiland/or flaxseed oil. The Omega-3 essential
fatty acids found in fish oils, EPA and DHA are essential buildingblocks for
the body’s anti-inflammatory prostaglandins (e.g., prostaglandin E1) and for
turning off Cox-2 and thebody’s proinflammatory cytokines (IL-1, IL-6, and
TNFa). In addition, omega-3 fatty acids block the activity of
Sources of essential fatty acids
are:
• Olive and canola oils
• Flax and walnuts
• Cold-water fish such as salmon, sardines, and
mackerel.
VITAMIN & MINERAL
Carotenoid +lutein_lycopene 8mg/day 12 week
Polyphenol
Flavonoid
Tocopherol
Vit C
 Nutrition for healthy skin
 Vitamin A, also known as retinoids, benefits the skin by normalizing
keratinization, downregulating sebum production which contributes to acne,
and reversing and treating photodamage, striae, and cellulite.
 Vitamin D and analogs are used to downregulate the cutaneous immune
system and epithelial proliferation while promoting differentiation.
 Vitamin C is an antioxidant that regulates collagen synthesis, forms barrier
lipids, regenerates vitamin E, and provides photoprotection.
 Vitamin E is a membrane antioxidant that protects against oxidative damage
and also provides protection against harmful UV rays. [29]
• Functions :
- collagen & elastiae function
- antioksidant
• Others :
- phenylalanine fyrosine
- ferric ferro ion
- iron fromfransferrin tissue ferrites
- folic acid active filinic acid
- synthesis of steroid hormone
- etc
• Dry skin
• Defect in the formation of intersellular cement subtances
• Severs deficiency : scurvy
- pain,tenderness and swelling thighs and legs
- child : irritable and cries
- gum bleeding
- re – opening of old wounds
 • I. Sodium – dependent transporter
- sodium – dependent vitamin c transporter

• II. Via dehydro – ascorbic acid (DHAA)

I .ENZYMATIC FUNCTION :
- Biosynthesis of carnitine
- Biosynthesis of collagen
II.ANTIOXIDANT :
- Reducing agent intra -& extra - cellular
 Highly reactive molecules with free
radical
 free radicals
 Regenarted molecules withouf free
radical
Sayur dan buah
Vitamin & mineral
Antioksidan : vitamin, mineral, phytocemical
Serat , prebiotik
Jumlah & macam : 10 porsi buah , 3-5 porsi sayuran
kualitas
 SOD
Catalase
Glutathione Essential
Peroxidase (GPx) enzymes
complete
defense
Glutathione, CoQ 10 syestem
EE
Increasingly Carotenoids,
protective effect vitamin e
Classisal
Flafanoids.Vitamin
A,C
antioxidan
Play a
bufferingrole
Trace
but are rapidly
elements,Proteins
saturated
2. Selenium-rich Foods
Selenium is a trace mineral that may help protect skin cells from
free radical damage. It nourishes and extends the skin’s youthful
appearance. Improves various skin problems and overall skin
health.
Sources of selenium are:
• Brazil nuts
• Button mushrooms
• Shrimp
• Lamb
• Fish such as snapper, cod, halibut, tuna, and salmon
• Cooked beef,
• Light turkey meat
• Oysters
• Sardines
• Crab
• Whole-wheat pasta
3. Coenzyme Q10 (CoQ10)
CoQ10 is a powerful antioxidant made naturally in
your body. It helps neutralize harmful free radicals,
which are one of the causes of aging. Under perfect
conditions, the body can produce as much CoQ10 as it
needs. However, various factors, such as aging, stress
and some medications can lower the levels of CoQ10 in
the body. As a result, the ability of cells to withstand
stress and regenerate declines. Eating foods rich in
CoQ10 can increase its levels in the body keeping it
healthy and beautiful.
4. Fruits and Vegetables
Fruits and vegetables are rich in antioxidants that
prevent or slow down the damage done to cells by free
radicals. This damage contributes to signs of aging,
such as wrinkles and dry skin.
5. Vitamin E-rich Foods
Vitamin E is another antioxidant that may help shield
your skin from damage done by the sun. It has the
ability to regulate vitamin A in the body, which itself is
important for healthy skin and reduce the appearance
of fine lines and wrinkles.
Vitamin E is found in vegetable oils, nuts, seeds,
olives, spinach, asparagus, olives, and leafy greens in
small amounts.
• Anti inflamation & anti oksidant
• Protection against ultraviolet > dry &damaged skin
• Infection
• Carbuncle
• Open wound
Nutrien spesifik
Maltodekstrin, oligosakarida
Whey protein, arginin, glutamin, carnosin
Asam lemak O3, asam lemak 0 6, asam lemak O 9
Garlic
Antioksidan
Herbal
Green tea helps to stop inflammation, slow DNA
damage, and can help prevent the sun from burning
your skin.
Phytochemicals
Physiological active compounds found in plants that
are not nutrients but appear to help promote health
and reduce risk for cancer, heart disease, and other
condition
Briliat color
phytochemicals
Allyl sulfides : onions
Carotenoid : beta caroten, lutein&Zeaxantin, lycopene
Indoles : cruciferous vegetable
Flavonoid & phenols : fruit, green tea,
apple,brocoli,grapefruit,berries
Phytoestrogen : isoflavons, soy, legumes , lignan-
flaxseed
Saponin : potatoes
Glication
Sugar combine with protein in several ways
Free radical Glycation acumulate in age. They cause
inflamation, loss of flexibility in tissue, organ,
ultimately impaired function
Glication and Skin
Damaged microsirculation
Increase stiffness, lost of elasticity
Damaged matric protein
etc
Exogenous source of AGE : diet
Heating of food can create reactive AGE product by
accelerating glycation
Food manufacturer enhance natural flavours by
incorporationg synthetic AGE’s into food( with
significant browning, caramelization e.g donut)
The Maillard Reaction
Common example
Browning of meat
Baked goods
Caramel candy
Coca cola
Foods that contain AGE
Orange juice 600
Tea 2025
Coffee 2200
Clasic coke 8500
Diet coke 9500

Age unit /250ml

 Age unit/100 gr

1 . Cereal 193,400
2. Pastry 426,740
3. Cake 838,400
4. Duck skin 6,259,000
Non Pharmacological therapy
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
Anti Glycation Nutrient
Carnosine 2000 mg
Lipoic acid 400-600 mg
Chromium 300 microgram
Vit E 400 IU
Suplementation
Menambah zat tertentu yang mempunyai fungsi
tertentu /terapeutic efec
Tujuan : menangkal radikal bebas
meningkatkan gairah
meningkatkan pertumbuha
Vitamin & suplement anti aging
Vit C 500-1000 mg/hr
Vit E 100-400 IU
Beta caroten 10rb-25rb IU
Alpha lipoic acid 100-600 mg
Vit B1,B6,B12
As folat 400 mg
SOD 250 mg
Selenium 50 mcg-100 mcg
Seng 30-50 mg
Magnesium 200 mg
Kalsium 500-1500 mg
Koenzim Q100 100 mg
Omega 3 1000-2000 mg
Dosis rendah multivitamin
Probiotik& prebiotik
Glukosamin 1500 mg/day > 35 tahun 4-6 minggu