Skincare Essentials Part 2

Skincare Essentials

Skincare Essentials in your 50’s and 60’s

Skincare treatments in these decades are going to be determined by how you’ve treated it up until now and what your major concerns are. Skincare essentials like strong chemical peels and microneedling with radio frequency are huge collagen producers and will smooth and tighten skin the most effectively. Using “full dermal health” lasers will help rejuvinate skin and prevent further damage.

Your 50’s is not the time to go easy on your skin as your likely to not see any results. The skin in your 50’s and 60’s needs the extra push to stimulate collagen and produce results. One of our highly recommended skincare essentials is Ultherapy. This should be done every 6-12 months depending on your level of laxity. Ultherapy not only stimulates collagen at extremely deep levels but also elastin which gives our skin that nice snap back and resilance youthful skin has.

This is also the time to start doing some injectables if you haven’t already. Injectables can be scary for some, we’ve all seen the celebrities and “houswives” that look overfilled. Injectables are nothing to be afraid of if performed by a skilled injector with the same natural aesthetic as you. Injectables can soften fine and deep wrinkles but also prevent them from ever forming. Some injectables are important for rebuilding your skin’s “scaffolding’ or underlying structures to lift and firm the face. There is a lot that they can do and tend to have very quick results.


As for skincare essentials at home, retinol is a must. Try to use a retinol that you can tolerate nightly, (We can make recommendations). Use an anti-aging/color correcting serum daily if you aren’t already. Revision DEJ Booting Serum is the best! This will revive your skincells and get them to start acting and looking like much younger skincells.  A topical line relaxer around the eyes and mouth can soften and prevent wrinkles from getting deeper. We recommend Revision Revox. And of course a heavy duty moisturizer day and night to seal in those corrective ingredients and keep skin hydrated! skincare essentials


Skincare Essentials for Every Decade

Skincare Essentials

Skincare can be extremely overwhelming these days. As we all have heard by now, prevention is easier than treatment. But what does that mean, exactly? We’re here to tell you. Skincare essentials

In your 20’s

If we’re lucky enough to get our hands on you in your 20’s, you’re golden! This is the time when your skin is at it’s best. Hydration is good, collagen and elastin are in abundance, and most likely you aren’t showing signs of excessive sun damage. In your 20’s we will focus on prevention. Treatments such as Hydrafacial, microdermabrasion or light to medium chemical peels. The key is consistancy. With consistant treatments, the skin stays looking and feeling great without getting too aggressive.

Home Skincare Essentials for your 20’s 

Products will be minimal and basic. A medical grade antioxidant serum and SPF in the morning and a light retinol at night. These will prevent collagen loss and sundamage.If you have oily or acneic skin, we will recommend different alpha and/or beta hydroxy acids to  If you are excessively dry or your undereyes are a concern, we can recommend a product or 2 to add to your regimen. No need to go crazy and use 10 different products, your skin is able to thrive on a simple routine. You don’t need much when you have a few medical grade, super corrective products.

In your 30’s

This is the time to get serious about your skincare, if you haven’t already, seek out a professional Aesthetician to guide you. The good news is your skin is most likely experiencing less acne and oiliness but possibly showing more signs of sundamage in the form of hyperpigmentation. Melasma may be popping up as well. This is most common in women with hormonal changes such as pregnancy, breastfeeding or taking birth control. Your 30’s are also when your collagen production starts to deplete.  Consistant treatments are still the key. Medium to deep chemical peels here and there are excellent for treating multiple concerns such as hyperpigmentation, large pores, fine lines and for prevention in the form of collagen production.  Microneedling is a great way to produce collagen and treat all textural issues. Laser treatments such as AdvaTx are great for treating reds and browns in the skin and smoothing out uneven texture. This is the time to treat a concern before it gets worse.

Home Skincare Essentials for your 30’s

If you have been using basic medical grade skincare thus far,  no need to change too much. We  may need to add an extra brightening ingredient if sundamage is prevelant. Add a retinol if you haven’t already or increase the strength. Think of retinols as a 401K for your skin. They are essential for preserving the collagen  you have and producing more. They also increase cell turnover causing your skincells to act younger and allowing other ingredients to penetrate better. You may need to add a hydrating serum, especially if you live in Colorado, or add a highly moisturizing cream/mask at night to prevent water loss. Eye cream is a must in your 30’s. The skin around the eyes is the thinnest on the whole body so nuture it now, you will thank us later. And of course continuing using an SPF daily that you love. This is a good time to start using one that is a bit thicker and has more active ingredients.Think of your skincare regimen as an investment.

In your 40’s

Your 40’s can present some interesting and frustrating skin changes. Collagen and elastin production slow dramatically, making wrinkles, dullness and discoloration more noticable. Also, the 40’s can present hormonal changes causing adult acne. Good times. This is a time where you will want to find a good balance between exfoliation and hydration, especially in dryer climates. Obviously, consistant treatments are important, but this is a great time to throw in some “big gun” treatments as well. Ultherapy is #1 when it comes to collagen and elastin production, helping defy the effects of gravity. Ultherapy provides great lift and tone to skin beginning to show signs of sagging. Microneedling and Radio Frequency treatments are excellent throughout the year as well.

Home Skincare Essentials for your 40’s 

Homecare regimen will look similar to your 30″s, excellent medical grade and/or prescription correctives. You made need to use a heavier moisturizer at night as moisture production is extremely low. Eye cream is a must around eyes and lips. A product such as Revox Line Relaxer is a great addition to your regimen as it targets reduction and prevention of motion lines, the lines we treat with neuromodulators such as botox. This can really help keep the skin smooth and youthful

Vitamin A aka Retinoids


What are Retinoids? 

Most of us have heard of Retinol and Retin-A, but do you know that ALL retinoids and retinols are simply forms or derivitives of VITAMIN A?!

This often surprises clients when I tell them this, as Retinoids and Retinols have been vilified by some people in the skincare industry. A lot of skincare companies are making their money off of using the words “clean” and “chemical free” these days. All this does is scare the consumer. As we all know everything is a chemical, water, air, vitamins, everything. So this holds no truth and can be very unbeneficial for your skin. Vitamin A derivatives have been used for decades and have been studied since the early 20th century when the structure of Vitamin A was discovered.

Vitamin A

Our bodies can’t make vitamins, so we must get them externally. We can get vitamin A either through topical application or through the ingestion of beta-carotene-rich foods like carrots, sweet potatoes, and spinach. When broken down, vitamin A and its metabolites are very beneficial. They can affect everything from vision to inflammation to the proliferation of cells.

Proliferation means growth. Retinoids increase cellular turnover in the skin, meaning they grow faster, which is going to make the skin a little bit thicker. They also make the outermost cells shed, which is why some people think it’s exfoliating, even though that’s really a secondary effect. This makes the stratum corneum (the outermost layer of skin) more compact, which gives a nice anti-aging benefit.

Unfortunatly some skincare companies such as Beauty Counter are dragging them through the mud claiming they cause cancer. This is the furthest thing from the truth and they have no clinical studies to back up their claims. We actually use retinoids to treat and prevent cancerous and pre-cancerous cells. And the clinical papers on it are never ending. Just another reason to get your skincare advice from professionals.

What does this do for me? 

Retinoids also aid in the moisturization of skin by stimulating the productions of compounds that have sugars in them (glycosaminoglycans).

Most importantly they help PREVENT collagen loss and SUPPORT collagen production!

Finally, retinoids are antioxidants, so they help prevent a lot of oxidative stress. Retinoids are truly amazing and do so many great things for the skin!


What Melasma Looks Like


What is Melasma?

A skin condition presenting as brown patches on the face of adults. Both sides of the face are usually affected. The most common sites of involvment are the cheeks, bridge of nose, forehead and upper lip.

Who gets Melasma?

It mostly occurs in women, with only 10% of men being affected. Dark skinned races, particularly Hispanic, Asian, Indian and African American tend to experience it more than others due to the increase of melanin or pigment cells.

What causes Melasma?

The precise cause is unknown. People with a family history of melasma are more likely to develop it themselves. A change in hormonal status may trigger the condition. Melasma is commonly associated with pregnancy and also called chloasma or the “mask of pregnancy.” Birth control pills may also contribute or cause melasma, however, hormone replacement therapy used after menopause has not been shown to cause the condition.

Sun exposure is also a contributor. Ultraviolet light from the sun, and even very strong light from light bulbs, can stimulate pigment producing cells, or melanocytes, in the skin. People with skin of color have more active melanocytes than those with light skin. These melanocytes produce a large amount of pigment under normal conditions, but this production increases even further when stimulated by light exposure or an increase in hormone levels. Incidental exposure to the sun is mainly the reason for recurrences of the skin condition.

Any irritation or trauma to the skin may cause an increase in pigmentation in dark skinned individuals, which may also worsen melasma. It’s not associated with any internal diseasesor organ malfunction.

How is melasma treated?

While there is no cure, many treatments have been developed. Melasma may disappear after pregnancy, it may remain for many years or a lifetime.

Sunscreen is essential in the treatment of process. They should be broad spectrum, protecting against UVA and UVB rays from the sun. A SPF of 30 or higher should be selected. In addition, physical sunblock lotions and creams such as zinc oxide and titanium oxide are preferred as they do not protect the skin in a chemical way which may cause inflammation and exacerbate the condition. SPF should be worn daily, whether or not it is sunny outside or if you are outdoors or indoors. A significant amount of ultraviolet rays is received while walking down the street, driving in cars, and sitting next to windows.

A variety of lightening creams are available for treatment. These creams do not “bleach” the skin but rather decrease the activity of melanocytes, pigment producing cells.

Other medications which have been found to help are azelic acid, kojic acid, niacinimide and Vitamin C. You will have to talk to your Dermatologist or Aesthetician to know what is right for your condition.

Chemical peels, microdermabrasion and various laser treatments may help melasma. They should only be used by a medical skincare professional and in conjuction with a proper regimen for melasma specifically.


Breaking down the trending “Skin-Cycling”

skin cycling

I will admit, I am a Gen X-er and not often up to date on the ever changing Instagram and Tiktok trends. But within the last few months we have been inundated with questions and comments about a recent Tik Tok trend called “skin cycling.” So of course we had to dive in and gather all of the opinions around here from the Physician’s Assistants, Dermatologists, Aestheticians and Medical Assistants. Specializing in Dermatology we found some strong, educated opinions.

This term was coined by Whitney Bowe, a New York based Dermatologist. The term is new but the concept is not. 

Skin Cycling Steps: 

Night 1: Use a chemical based exfoliant such as glycolic acid or salicylic acid to “prep” the skin.

Night 2: Use a retinoid, a form a vitamin A.

Night 3/4: Do not use any actives or correctives, simply moisturize.

Repeat weekly.

“This could be helpful if you have sensitive skin but you will get better results using a retinol as many nights as possible versus just a few nights a week. This will create more cell turnover giving better and faster results for scarring, hyperpigmentation and anti-aging.” –Allison Clark, MA at Accent Dermatology and Laser Institute

Advice From the Pros

Now as a skincare professional, I don’t hate this. But also as a skincare professional, this is nothing new and certainly not ground breaking. But I suppose to a young Tik Tok viewer, this would be “news.” This would be a very simple and easy regimen one might do if they are just dipping their toe into skincare, if they are very young, OR if they are very sensitive to active ingredients. The concept is that using active ingredients only on certain days and then having rest days helps to prevent the skin barrier from being compromised due to overuse of overly aggressive ingredients.

Many clients come to us wanting to know where to start, they are perhaps doing nothing or only cleansing and moisturizing, wanting to take it up a notch to see more result. On the flip side, we see SO many people, especially younger skincare fanatics that use WAY too much product and buy into every new social media or celebrity inspired product claiming to be amazing. Both of these two types of clients would benefit from skin cycling. The first client to get a foot in the door and start using corrective, active ingredients to start seeing results and the second to stop overusing way too many trendy, aggressive products which are most often causing more issues.

Overuse of aggressive ingredients breaks down the skin’s barrier, causing redness, dryness, irritation and even more acne sometimes as the skin’s pH is not balanced.

Using too many ingredients such as 1-2 serums, then an antioxidant, then an exfoliant, then a moisturizer, then an SPF for example is often times just a waste as many of those ingredients cannot get through all of the layers of product to the skin.

With that being said, I don’t love the idea of skin cycling for someone wanting results and as a skincare professional I would recommend someone use less concentrated or aggressive active ingredients, more often. Consistency is key when it comes to skincare. Just like going to the gym! 1-2 nights of product such as retinol and AHA/BHA are not enough to see good results. These products are going to be more effective when used regularly than sporatically.

“To get the most out of a retinol or any tretinoin product you need to use it consistently. It’s best to use something that your skin will tolerate on a nightly basis because it’s trying to regulate the skin.”  –Dr. Stephen Huang, MD, FAAD

I think the reason some people are having so much irritation from their actives is because their provider doesn’t explain how to use it so it doesn’t fry the skin or the person is buying and using something that is not from a skincare professional and they have no guidance. skin cycling skin cycling




By now you’ve probably heard of PRP, or platelet rich plasma, in either an orthopaedic setting or used for the famous “Vampire Facial”, but what exactly is this new PRF? PRP vs PRF

PRF stands for platelet rich fibrin, and is the second generation, new and WAY improved version of PRP. Our bodies have amazing healing and regenerative properties, and PRF seeks to take advantage of these. When used in aesthetics, it is an all natural way to reverse visible signs of aging.

How Does it Work?

When blood is spun it is separated into layers based on density- red blood cells, white blood cells/platelets, and plasma. The majority of our body’s healing capabilities lie in the white blood cell/platelet layer (buffy coat) and plasma layer. When we collect the plasma and buffy coat layers, that is called PRP or PRF depending on the tubes used to spin the blood (more on that below).


The first step in our body’s healing process is the formation of a fibrin clot matrix, followed by the recruitment of growth factors to help form new blood vessels, new cells, new collagen, and overall new healthy tissue. The half life of growth factors is very short, we are talking 6-8h, whereas a clot lasts a few weeks to a few months and releases growth factors continuously over that time period. So where does PRP vs PRF fit into all of this?

PRP vs PRF – What’s The Difference?

The only meaningful difference between PRP and PRF is the tubes used to collect them. PRP utilizes tubes with anticoagulants, whereas PRF tubes have no chemical additives. Anticoagulants are chemicals that keep blood from clotting, which is great when we want to send your blood to a lab and it needs to stay liquid for a long time, but is the absolute worst if we are trying to utilize your blood for the healing properties, as the formation of the clot is the first and arguably one of the most important steps in the healing process! So because PRP tubes have anticoagulants, no clotting factors make it into what is injected- you only get the growth factors, which are beneficial, but again only last a few hours on their own. Not much time to aid in any sort of healing or regeneration. PRF tubes on the other hand have nothing in them, so you not only get the growth factors for immediate help but also the clotting factors, which again release additional growth factors slowly over the next few weeks for the full healing spectrum!

So now you can see why PRF is the new and improved version of PRP, because why settle for just a few hours of growth factors with PRP when you can get weeks of your body’s full healing capabilities with PRF!

There are many ways PRF is used in aesthetics. It may be used as a liquid- injected directly into fine lines/wrinkles/other problem areas, microneedled into skin, or mixed with other products such as Radiesse or Sculptra. This may improve collagen/elastin formation, blood flow, healing of skin from inflammatory lesions such as acne, etc. PRF may also be heated and used as a solid (biofiller)- injected directly into areas where traditionally an HA filler (or other types of fillers) would be used to both improve volume and stimulate your body’s own collagen/elastin response in that area.

If you’re ready for a truly all natural way to reverse and prevent aging and other aesthetic concerns, come in for a consult today so we can see what PRF can do for you!