Topical medicines, Injectables for relaxing wrinkles, filling and replacing volume and Light- Source treatments like lasers – Call the (Skin Doctor) is my Blog that questions when you might consider these medical enhancements. Having worked for a dermatologist for 15 years. I have watched the evolution of medical beauty enhancements since Botox was at it’s beginning. Having come from the spa industry with a successful career, I thought I knew everything about maximizing your skin. When I first started at the doctor’s office, I had to unlearn. The medical industry didn’t believe anything unless it had a costly study done to prove it’s claims. Conversations about aromatherapy and spa services were discouraged because there was no clinical proof.

The two have now merged.

Clinical and spa products have crossed lines to provide excellent surface results for at home use. Spa product lines have added effective, active, science – driven ingredients and physician only product lines now include botanicals that can be of benefit. Spa services can go stronger and have longer lasting results. For services performed by a Medical Esthetician, they can go deeper and perform tasks that some state laws do not allow estheticians to do – such as milia removal and chemical peels.

But only a medical office can offer medicines and treatments under a physicians watchful eye that can penetrate the epidermis and affect the dermal layer of the skin. This is where women and men start asking themselves – how far do I want to go to maximize my skin? Let’s look at the three areas that can work: topicals, injectables, light/laser treatments


Retinoid products and medicines – This is a very confusing category. Let’s clear it up.

Retinoids are Vitamin A derived. Retinols and the like (there are other derivatives) are a form of retinoid. Their initial action on the skin is similar. They cause cell turn-over rates to be increased which help fine lines, wrinkles, pore size, collagen and skin tone. Over-the-counter retinol products take time to work but can assist your skin with fighting the aging process. Retinoids are prescription only because they penetrate deep into the dermis. Most women know Retin-A, a formula that was one of the first and was mostly indicated for acne. Retinoids have morphed into many strengths and formulas that prevent the the down sides of Retin-A – redness, flakiness and sensitivity. Your doctor can prescribe one that is right for your skin and you can go stronger if needed.

When to start? I believe a mild retinol product could be started at night in your 20’s (unless you’ve been in the sun with hobbies or lifestyle). Along with regular exfoliation, the skin will prevent fine lines and pigment issues. Then, as you age, you up the strength of your

For More on Retinoids, – The difference between retinol and retinoids Retinoids vs Retinol

Acne – Over production of oils and unwanted bacteria can be harnessed by pore penetrating medicines. Most protocols call for a form of retinoid from the beginning of treatment.

Pigment Controlling


Light/Laser Treatments: