Evidence map›Paper›PMID 40707570›Full record

SynthesisScientific reports2025

Comparative efficacy of topical interventions for facial photoaging: a network meta-analysis.

Lulu Lin, Xueqing Chen, Chuanhui Liu, Qiting Wang, Weishan Lian, Xin Xu, Yawei Guo, Huiyuan Zhong, Jiangming Zhong, Nan Zhao and 3 more

Abstract readComparative StudyNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Reduction of Ultraviolet- and Heat-Induced Aging Using Betulin-Loaded Arginine-Caprylate Self-Assembly: Randomized Double-Blind Clinical Trials.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026
    Trial
  2. Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lulu Lin *School of Public Health, Sun Yat-sen University, Guangzhou, China.
Xueqing Chen *HBN Research Institute and Biological Laboratory, Shenzhen Hujia Technology Co., Ltd, Shenzhen, China.
Chuanhui LiuSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Qiting WangSchool of Public Health, Guangdong Pharmaceutical University, Guangzhou, China.
Weishan LianSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Xin XuSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Yawei GuoSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Huiyuan ZhongSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Jiangming ZhongHBN Research Institute and Biological Laboratory, Shenzhen Hujia Technology Co., Ltd, Shenzhen, China.
Nan ZhaoHBN Research Institute and Biological Laboratory, Shenzhen Hujia Technology Co., Ltd, Shenzhen, China.
Weibin ChengInstitute for Healthcare Artificial Intelligence Application, The Affiliated Guangdong Second Provincial General Hospital of Jinan University, No. 1,Shiliugang Rd, Haizhu District, Guangzhou, China. chwb817@gmail.com.
Peng ShuHBN Research Institute and Biological Laboratory, Shenzhen Hujia Technology Co., Ltd, Shenzhen, China. shupeng@hbn.cn.
Zhongzhi XuSchool of Public Health, Sun Yat-sen University, Guangzhou, China. xuzhzh26@mail.sysu.edu.cn.

Funding

Guangzhou Municipal Science and Technology Program key projects 2024A04J4621Young Teacher Foundation of Sun Yat-sen University 51000-12230014
6 · The paper itself

Abstract

Chronic ultraviolet (UV) exposure is the primary cause of skin photoaging, leading to wrinkles, pigmentation changes, and loss of dermal elasticity. This systematic review and network meta-analysis evaluated the efficacy and safety of topical compounds for treating skin photoaging. A comprehensive search identified 23 RCTs with 3905 participants, comparing anti-aging agents. Bayesian network meta-analysis showed isotretinoin, retinol, and tretinoin significantly improved fine wrinkles, with isotretinoin ranked highest. Tazarotene was most effective for coarse wrinkles, while glycolic acid reduced roughness. Tretinoin and retinol were superior for hyperpigmentation. Safety analysis indicated tretinoin had the most favorable profile, whereas tazarotene and glycolic acid had higher adverse event risks. Isotretinoin and tretinoin emerged as the most balanced treatments across efficacy and safety. These findings provide evidence-based guidance for clinical decision-making in anti-photoaging therapy and underscore the potential for these agents to be integrated into routine dermatologic practice, particularly for patients seeking effective and well-tolerated topical interventions. However, limitations included limited racial diversity, potential commercial bias, and variability in dermatological assessments. These findings provide evidence-based guidance for clinical decision-making in anti-photoaging therapy.

Indexed as

Dermatologic AgentsFaceSkin AgingAdministration, TopicalHumansNicotinic AcidsRetinoidsTreatment OutcomeTretinoinUltraviolet RaysVitamin ADermatologic AgentsNicotinic AcidsRetinoidstazaroteneTretinoinVitamin AEfficacyNetwork meta-analysisSafetySkin photoagingTopical compounds

Identifiers

PMID40707570
PMCPMC12289910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.