Beyond Botox….

I think by now we all know there is no miracle in a bottle, and botox has been the closest thing we have seen to astonishing results with minimal side effects.


However, optimum skin health goes beyond botox.  It is similar to the health of our bodies- to be optimally healthy you have to work on several factors- diet, cardio and strength training.  Having youthful healthy skin is much the same. IF you only do botox, you are only addressing one aspect of what takes place as we age. The aging face is multifactorial and thus your anti-aging treatments should be so as well. Bone loss, descent of fat pads, skin texture changes, dermal thinning and photodamage all contribute.  When you work with a dermatologist and their staff, you are offered non-invasive treatment options to address these different aspects of aging.


Technology advancements in the field of cosmeceuticals has brought us amazing topical skin care products.  I recently attended a conference where a scientist was reviewing various ingredients/ peptides and said to conduct the research, develop best formulations and then bring those highly active ingredients to market costs money!  If you are getting a Vitmain C serum on Amazon for under a certain price point- do not expect much change to your skin.  Even when we find highly effective products it is good to change your regimen every so often.  We do not like to use growth-hormone products long term and not every person can tolerate tretinoin.  So partner with someone who can help you achieve your best! Last but not least- healthy inside will reflect healthy outside- clean eating, restful sleep, adequate water intake, physical exercise…..and wear an SPF 30 on your face daily!


I always tell patients our goal is find the treatments that will give the most bang for the buck and find the balance between a treatment that is highly effective while still being safe.  You want to partner with a skincare expert who attends educational events, stays up on current trends, has access to multiple modalities to use and works alongside a Board-Certified Dermatologist or Plastic Surgeon to minimize unwanted side effects.  Look for someone who will be candid, give realistic expectations and instead of trying to sell you something- will give you both short term as well as long –term goals for your skin.


Written by Kerri Zukosky, PA-C

What are these tiny, red bumps on my arms???

Keratosis Pilaris aka KP is an annoying skin condition that MANY people deal with. September seems to be the high time for weddings which prompted this post. Soooo many brides come to us asking about this condition as they are getting ready to bare their arms in their strapless gowns. Keratosis Pilaris can also appear on the thighs, buttocks and facial skin in children.

What causes KP?

KP is caused by the build up of dead skincells in the follicles, causing a dry, bumpy, sometimes irritated skin surface. Sometimes it shows up as just tiny, red dots. Sometimes it just textural and rough with little to no redness or discoloration. And sometimes it’s both. Our dry, Colorado climate definitly contributes to this skin condition.

So how do we treat KP?

Keratosis Pilaris has no known “cure”, but it is a dry skin condition, therefore, we treat is very similarly. Microdermabrasion is excellent for removing the impacted dead skincells and smoothing the surface. Microdermabrasion also allows the topical treatments to penetrate more deeply. Topical treatments include moisturizers of course to soften the skin and keep it hydrated but also chemical exfoliating products with Glycolic Acid or Salicylic Acid to slowly dissolve the impactions such as Revision Brightening Wash. Chemical peels can also be a great treatment especially if there is discoloration associated with the bumpiness. Children should see a Dermatologist for a proper diagnosis and treatment.

As always, a consultation is best so we can assess your exact skincare needs.

Accent Aesthetics: 720-420-4090


Colorado Home Care Must Haves For Your Skin

We all know that our Colorado climate can be tough on our skin. A good at-home skincare routine is absolutely imperative if you want to change your skin or maintain it. We tell this to all of our clients who are investing time and money to come in and see us . One of the biggest mistakes we see clients make is coming in regularly for treatments to dramatically help their skin and then using inactive products at home. That’s not helping your skin or wallet out. Think of good homecare as insurance on your investment. You wouldn’t go to the dentist every 6 months for a deep cleaning and NOT floss and brush every day at home, right?

So what does almost EVERYONE need to use at home?


#1: A good sunscreen!

YUP! This is an absolutely, hands down, the most important step in your regime if you want to PREVENT aging, hyperpigmentation, loss of collagen and elastin, fine lines and wrinkles, etc. etc. ESPECIALLY here in sunny Colorado. Sun-proofing your skin is so important. Sunscreen will be the best anti-wrinkle cream you ever use, and you want to start as soon as possible.

#2: Retinol!

Retinol is going to be the workhorse of your regime. It stimulates cell turnover, which prompts new, healthy skin cell production, which thickens your dermis and stimulates collagen production. A good retinol nightly will help treat acne, acne scarring, brown spots and sun damage, fine lines and wrinkles, pore size and overall skin texture. We recommend Revision Retinol Complete. This retinol is filled with peptides that tell your skin cells exactly what to do. It’s time released which helps eliminate the dryness and irritation associated with retinoids and retinols making it easier to use consistently.

#3: Eye cream!

The skin around the eyes is the thinnest skin on the body and contains no active oil glands. That’s a recipe for disaster! Add in constant movement from smiling, crying, rubbing etc., and that poor skin doesn’t stand a chance against lines, wrinkles, puffiness and crepyness. We recommend eyecream twice daily, which one you choose depends on your main concern and skin type. Even if your 20 and see no signs of aging around your eyes yet, DO IT! You can thank me later…

#4: Topical Vitamin C!

Ours bodies don’t produce or store vitamin C, which is a major building block for collagen. Vitamin C is also an amazing antioxidant which helps protect your skin from free radicals such as UV rays, pollution, smoke,  etc. It’s important to use a GOOD, high quality, pharmaceutical grade Vitamin C. Please don’t order just any Vitamin C from Amazon or buy something cheap at the grocery store, you are wasting your money!! With the right Vitamin C product topically, you’ll see increased hydration, lightening and brightening of brown spots and redness and with continued use, firmer, healthier skin!

So this is a great place to start for anyone who is new to Colorado or if you are a native and want to prevent skin damage or maintain the skin you have!

We are always a phone call away or if you are curious you can check out our Revision Skincare Starter Kits!

What Is Ultherapy?


The Non-invasive facelift aka your dream come true. Check out Ultherapy Treatment.

ultherapy treatment colorado



At Accent Aesthetics, we pride ourselves on providing the perfect combination of treatments for your unique skin care needs.  If you have not heard about the non-surgical, ultrasound treatment that rejuvenates and regenerates your skin to lift and tighten the brow area, lower face, neck and decollete – then you will want to learn more about Ultherapy!



Ultherapy is a treatment that delivers microfocused ultrasound energy non invasively at multiple depths, triggering a natural regenerative response that stimulates the growth of new collagen.  Results appear gradually over 2-3 months, and improvements can continue up to 6 months after treatment.  So why is it so unique?  It is the only non-invasive treatment that has been cleared by the FDA to actually lift and tighten the skin. Ultherapy uses ultrasound imaging which allows our aestheticians to see the layers of skin targeted during treatment, making it a highly specialized, one of a kind treatment, with NO downtime.



While Ultherapy does not duplicate the effects of cosmetic surgery, it is a great alternative for patients not ready for surgery or for those who want to continue building collagen after a surgical lift.


Overall, Ultherapy is one of our favorite treatments for its advanced, non surgical lifting and tightening results. Schedule a consultation and see what Ultherapy can do for you.

IPL Treatment Client Review! Check Out Her Results

Accent Aesthetics / Golden Colorado


Before my IPL laser face treatment I have normal to dry skin with occasional hormonal breakouts. Dark spots on the cheekbones and close to the hairline, fine lines and Rosacea.



When asked what is my biggest concern about my skin, hands down, I always say my dark spots. I don’t have many, or so I thought, but the ones I do have, have become darker and larger. I have tried brightening serums but haven’t received the results I am looking for. So I reached out to Ramie and Katherine ( with over 30 years of experience ) at Accent Aesthetics in Golden, Colorado for their expertise. After discussing various treatments, we decided on an IPL of the entire face.



IPL treatments are also referred to as “photofacials.” IPL treatments boast 50-75% improvement rate in treating rosacea, sun spots, age spots, brown spots, chronic sun damage, fine lines and skin. Cost per treatment ranges from $300- $600. You can purchase a package of several treatment visits, which can reduce the total costs. Most professionals suggest 2-5 (depending on damage) treatments for optimal results.  Contact Accent Aesthetics to book your appointment today!



Accent Aesthetics, located in Golden, Colorado has a beautiful new office and a very friendly front staff. Ramie and Katherine, both licensed medical aestheticians, were extremely thorough, explaining the entire procedure and what to expect in the days following. The treatment starts with putting a numbing cream on the entire face. I’m not gonna lie, the topical left my face stinging and blotchy. Damn you, sensitive skin! How the hell am I going to handle the treatment? The numbing cream takes about 45 min to kick in. I highly recommend this step!



Before the treatment begins, you will be given eyewear to protect you from the bright flashes of light. Ramie then applied a cool gel to my skin, this helps lubricate the handpiece and cool the epidermis during the treatment. Now comes the laser, I have to say, the anticipation might be the worst part. The laser feels exactly like how Katherine and Ramie explained it to me, like a hot rubber band snapping your skin. Now, that description sounds pretty bad, but the entire procedure only lasted 15 minutes. Anyone can handle that, Right? No pain, no gain.



I have sensitive skin which inflames very easily, so my face was like a tomato after the treatment, red and hot. Ramie and Katherine gave me 2 ice packs which helped cool my face. The heat was intense and made me panic, will this last for hours or days? But in reality, after about an hour, my face cooled and felt fine, kinda like the day after you had too much sun, precisely the reason I am getting this treatment in the first place!




I discovered that the downtime after an IPL Treament in terms of discomfort, is minimal. An hour and a half post treatment, the heat disipaited. Based on my experience, I wouldn’t want to go to work immediately after the IPL, but the day after I did. Waking up the next day, it was crazy to see how dark the pigment was! Since my late 20’s I have been diligant about wearing sunscreen and covering my face when outside for periods of time. Clearly my skin has a lot of damage, damage that I didn’t even think I had! To all my peeps out there- Sunscreen, Suncreen, Sunscreen!

Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment


Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment



Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment



Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment



Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment



Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment



Recovery IPL Laser Face Treatment
Recovery IPL Laser Face Treatment




AM and PM Regimen- 1.) Cleansed my skin with Lamer Cleansing Foam, 2.) Applied hydrocortesone, 3.) La Mer Concentrate     4.) La Mer Face Oil, 5.) Creme de la Mer then 5.) La Mer sunscreen for day. You don’t want to exfoliate the skin until all of the coffee grounds slough off naturally! As far as makeup goes, I was able to wear it the following day, of course you could still see the dark pigment but hey, it was a great conversation starter!





I am blown away with my results! Minimal recovery time with a huge payoff, I am beyond thrilled with this treatment! My dark spots that I was most self conscious about are gone, I have reduced pore size, smoother texture and I feel like my skin is more plump, all in just 2 weeks! Ramie and Katherine were very thorough, informative and professional. This is an invasive treatment, so it is impairative that you do your research. I highly recommend Accent Aesthetics! I can’t wait to see my results after round #2!

IPL Laser Treatment Results!
My Results IPL Intense Pulsed Light Treatment