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HomeTreatmentsSkincare

Skincare

Medical skincare combines device-based treatments with prescription-grade topicals and regenerative therapies. Unlike consumer skincare, the products and techniques used in a clinical setting reach depths and concentrations that over-the-counter products can't match. This guide covers the main categories and what to expect from each.

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Microneedling

Microneedling creates controlled micro-injuries using a device with tiny needles (0.5–3mm in clinical settings) that trigger collagen and elastin production. It's effective for acne scarring, texture, enlarged pores, fine lines, and early laxity. At-home dermarollers operate at 0.25–0.5mm — too shallow to reach the dermis where collagen remodeling happens. In-office treatments (SkinPen, Morpheus8, Rejuvapen) target the dermis. A series of 3–6 sessions spaced 4–6 weeks apart produces results that continue building for 3–6 months after the series is complete.

PRP (platelet-rich plasma)

PRP therapy uses the patient's own blood — spun in a centrifuge to concentrate growth factors — either injected or applied topically after microneedling. Growth factors in PRP stimulate collagen production and can improve tissue quality over time. Combined with microneedling ('vampire facial'), PRP enhances the collagen response. Results are subtle and build gradually — PRP is not a quick-fix treatment. It's appropriate for patients looking to improve texture, fine lines, and overall skin quality over several months.

Prescription topicals

Medical skincare clinicians can prescribe and compound topicals that aren't available over the counter: tretinoin (retinoic acid, 10-50x stronger than retinol), hydroquinone for hyperpigmentation, azelaic acid in prescription strength, and compounded formulas combining multiple actives. A properly supervised prescription topical regimen is often more effective at improving skin texture and tone than any device treatment alone. Expect 6–12 weeks before seeing significant results, and significant initial purging/irritation during adaptation.

Frequently asked questions

How many microneedling sessions do I need?
Most clinicians recommend 3–6 sessions spaced 4–6 weeks apart for initial results. Single sessions produce improvement, but the cumulative collagen response from a series is significantly better. Maintenance is typically 1–2 sessions per year after the initial series.
Is PRP worth it?
PRP is backed by clinical evidence for skin rejuvenation and has the advantage of using your own biology — no foreign substances. Results are gradual and subtle compared to fillers or laser. It's best suited for patients who want to invest in long-term skin quality improvement rather than immediate visible change.
Can I start tretinoin at a clinic?
Yes — NPs, PAs, and physicians at clinics can prescribe tretinoin and other prescription topicals. Many clinics offer prescription skincare consultations. Tretinoin is the most evidence-backed topical for treating fine lines, acne, and hyperpigmentation, and it's significantly more effective than OTC retinol products.

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