Instrumental and Patient-Reported Assessment of Skin Changes During a 90-Day Dermocosmetic Regimen: A Prospective Single-Arm Observational Study

Background: Skin aging is influenced by intrinsic and extrinsic factors that alter skin texture and microrelief. Non-invasive imaging techniques enable objective longitudinal assessment of these characteristics. This study aimed to instrumentally and subjectively evaluate skin surface changes during a standardized 90-day dermocosmetic regimen containing multiple active ingredients. Methods: This prospective, single-arm observational study included 47 women aged 30–60 years with visible signs of facial skin aging. Participants applied a standardized anti-age serum and cream regimen twice daily for 90 days. Skin surface morphology was assessed at baseline and after 30, 60, and 90 days using Visioscan® VC 20plus imaging with SELS® software. Subjective outcomes were evaluated using a structured product questionnaire and the validated Skindex-16 instrument. Results: Significant temporal changes were observed across objective skin surface parameters. From baseline to day 90, mean skin roughness decreased from 4.99 ± 2.29 to 1.66 ± 0.67, while the wrinkle-related parameter decreased from 191.08 ± 87.26 to 74.27 ± 15.25. Reductions were also observed in scaliness, contrast, entropy, variance, and anisotropy, whereas smoothness, homogeneity, and energy increased over time. Skindex-16 scores decreased across Symptoms, Emotions, and Functioning domains, indicating lower participant-reported dermatology-related burden. The regimen was well tolerated, with no serious adverse events reported. Conclusions: In this exploratory single-arm observational study, the standardized dermocosmetic regimen was associated with measurable longitudinal changes in Visioscan-derived skin surface parameters and patient-reported outcomes over 90 days. Because the study included no control group, the findings cannot establish causality or isolate the contribution of individual regimen components.