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Expert Opinion

From chemical peels to pimple patches, here are expert-approved breakout banishers.

Dermatologist-Approved At-Home And In-Office Acne Treatments

8 Dermatologists Share Their Favorite In-Office And At-Home Acne Treatments

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You’ll be hard pressed to find someone who hasn’t experienced a breakout at some point in their life. According to the American Academy of Dermatology (AAD), acne is the [most common](https://www.aad.org/media/stats-numbers) skin condition in the United States, with upwards of 50 million Americans dealing with it annually. 

Some 85 percent of adolescents and young adults between the ages of 12 and 24 experience at least mild acne, and it’s not exactly like those pesky pimples magically disappear in adulthood. A [study](https://jamanetwork.com/journals/jamadermatology/fullarticle/479093) in the *Journal of the American Medical Association* found that 40 to 54 percent of adults over the age of 25 have some degree of facial acne. Adult acne is considered more common in women than [men](https://aedit.com/aedition/how-to-treat-adult-acne-in-men), though it is increasingly impacting people in their [thirties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s), [forties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-40s), and beyond. 

While there are an array of [professional treatments](https://aedit.com/aedition/best-professional-treatments-for-acne-and-acne-scars) and [at-home skincare](https://aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads) that can treat various aspects of breakouts, dermatologists and plastic surgeons haven’t had a singular [solution](https://aedit.com/procedure/acne-solutions) to offer patients that targets acne at the source without a laundry list of side effects – until now. In March, Cutera received clearance from the U.S. Food and Drug Administration for [AviClear™](https://www.cutera.com/solutions/aviclear/), a first-of-its-kind energy device for the treatment of mild to severe acne, and it is being hailed as the biggest acne breakthrough in decades. Here’s what you need to know.

## **What Is AviClear?**
[AviClear™](https://aviclear.com/) is the first and only FDA-cleared energy device for the treatment of mild to severe acne. “What’s amazing is that it works on all types of acne – whether it’s cystic acne, inflammatory acne, hormonal acne, mask acne,” says [Arash Moradzadeh, MD](https://aedit.com/provider/arash-moradzadeh-md-430), a board certified plastic and reconstructive surgeon in Beverly Hills, CA. “Regardless of what type of acne you have, it’s very effective.”

The laser treatment, which is safe for all [skin tones](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types), uses a 1726-nanometer wavelength to address the source of breakouts. Acne forms when sebum (read: oil), dead skin cells, and bacteria on the skin get trapped in the pores. AviClear™ works by selectively targeting oil glands, so that they produce less oil and, over time, less acne without damaging the rest of the skin. “The laser is actually being absorbed by the sebaceous glands, causing them to be down regulated, or destroyed, so that you then have less acne,” Dr. Moradzadeh explains. 

## **Who Is the Ideal Candidate for AviClear?**
One of the most compelling things about AviClear™ is just how inclusive the treatment is. “Unlike other lasers that you can’t use on [dark skin](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones), you can do this on anyone,” Dr. Moradzadeh says. It also doesn’t discriminate against certain types of acne, which means it can treat patients from adolescence through adulthood. Unsurprisingly, “teenagers are one of the main groups that want this treatment,” he says – though it’s not just about short-term relief. Less acne for less periods of time will likely mean less scarring down the road. “They can get treated early and avoid getting acne scars that are then very difficult to treat and cover,” Dr. Moradzadeh shares. 

Additionally, AviClear™ is an in-office, energy-based procedure, which means it doesn’t require prescription or over-the-counter topicals, oral medications, or patients remembering to do anything at home. “You are avoiding chemicals, antibiotics, and difficult regimens that some people can’t stick to and abide by,” he says. “For example, a lot of women don’t want to be on birth control for their hormonal acne, so this is giving them a non-chemical, safe alternative.” 

## **How Does AviClear Treatment Work?**
The treatment protocol for AviClear™ is three sessions, spaced one month apart. Dr. Moradzadeh says each appointment treats the entire face – not just the areas you are prone to breakouts. “When you do the treatment, you are doing it over the whole face,” he shares. “Over the course of your three treatments, you are effectively treating all of the sebaceous glands.”

As Dr. Moradzadeh explains, patients are asked to wash their face upon arriving at the office, before the skin is “degreased” with acetone and “rehydrated” with water to improve contact. After the 15 to 30 minute treatment, he says most patients are “a little bit pink” for about 15 minutes. “There is really no downtime,” he shares. In fact, “most of my patients actually love the way they look after they leave because of that kind of micro-swelling glow in the skin,” Dr. Moradzadeh says. The effect “actually makes their acne look less visible when they walk out,” he adds. Patients can resume activities immediately after treatment.

![AviClear Before & After-2](//images.ctfassets.net/zw35sfestf1t/3iPwQlkdTBNgLWzVCIvgcT/952b4fca323e39b72051fed8e4385809/AviClearBA2.PNG)

If you’ve had a [laser treatment](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) in the past, you may be wondering about the comfort level. The AviClear™ device features a built-in sapphire cooling technology and sensory controls that work to maintain the skin’s temperature throughout the session. As such, “the treatment itself is relatively comfortable,” Dr. Moradzadeh says. “It feels a little bit hot with a needle-like sensation, but you do not require any pain medication or [numbing cream](https://aedit.com/aedition/numbing-cream-breakouts) at all.”

During the three months of treatment (and the months that follow), Dr. Moradzadeh says patients can carry on with their existing breakout-busting routine – including prescriptions like [Accutane](https://aedit.com/procedure/accutane), [spironolactone](https://aedit.com/procedure/spironolactone-for-acne-treatment), and [tretinoin](https://aedit.com/procedure/tretinoin). “You are not limited like you normally would be,” he explains. “If someone is already on Accutane, they can actually still get this treatment and then transition off their Accutane; if someone is already on spironolactone or an antibiotic or a skincare regimen, they can continue that during this treatment and then taper off.” The net-net: “Nothing has to really change,” he says.

Even so, it’s important to share your current skincare regimen with your provider to ensure you are setting yourself up for success. “I usually just review their protocol and see if there is anything better they could be doing as they get through the first six months to their clearer skin,” Dr. Moradzadeh notes. One non-negotiable during treatment? [Sunscreen](https://aedit.com/aedition/best-sunscreens-of-2022). “In terms of photosensitivity, the only thing we recommend is that you must wear sunscreen every day,” he emphasizes.

## **What Are the Results of AviClear?**
If you are familiar with Accutane, you may know that it is a brand name for isotretinoin, a potent form of vitamin A that was approved by the FDA in 1982 for the treatment of severe, resistant, nodular acne that is unresponsive to conventional therapy. The orally prescribed medication treats acne by reducing the size of oil glands and the amount of oil they produce. The results can be life-changing ([read one patient’s experience here](https://aedit.com/aedition/what-its-like-to-take-accutane)) and lasting, but it is not without a litany of side effects that makes it a difficult choice for many.

What makes AviClear™ so unique is that it treats acne in the same way, but it does so without the additional quality of life impacts. We’re highlighting the similarities between the two because the results of AviClear™ are similar to those of Accutane. “The results that have been seen are equal to Accutane, and you are also avoiding Accutane and the side effects,” Dr. Moradzadeh says. It should be noted that, during clinical testing, no significant adverse effects were observed.

So, what does that mean in practice? “When you first start Accutane, there is this phenomenon called ‘the purge’ where you get a breakout,” he explains. “With AviClear™, it is very similar.” One to two weeks after your first treatment, you can expect to have a purge period. “After your second treatment, you see less of that,” he shares. “And then, three months after your third treatment, you notice a significant reduction in your acne.” About six months after your third treatment, “you will usually love your skin,” he notes.

![AviClear Before & After-1](//images.ctfassets.net/zw35sfestf1t/2rqiD6xjS9dcmiuiUwYV62/3bb0dfffc69bf0995e981e34cbab93b9/AviClearBA1.PNG)

In the clinical studies, 80 percent of patients saw at least half of their acne clear after three treatments, and 87 percent said they were “satisfied” or “very satisfied” at week 12. The results continued to improve over the course of six months. Furthermore, any breakouts patients experienced post-treatment were reported to be shorter with fewer and smaller flare-ups. 

While AviClear™ has not yet been studied for the improvement of [acne scars](https://aedit.com/concern/acne-scars), Dr. Moradzadeh says some patients with “reddish- or pink-colored scars” find that they go away during treatment, while appearance of the remainder of their acne scars is minimized. “We are seeing skin quality improvements as a whole, but we have other treatments that are very specific for [acne scar management](https://aedit.com/procedure/acne-scar-solutions),” he notes.

## **The Takeaway**
As Dr. Moradzadeh says, AviClear™ is a “game changer” because it’s the first true acne innovation in more than 30 years. But it’s not just about the aesthetics of clearer skin. [Research](https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.16099) has found that those diagnosed with acne are at an increased risk (40 to 60 percent greater) of developing major depression, and Dr. Moradzadeh has treated patients who don’t want to leave the house or go to school because of their skin. “Acne has such a strong impact on people’s self esteem and how they feel about themselves, and it hurts to not be able to give them something that is amazing,” he says. “So, to have something now that gives them equal results to Accutane feels good.” For the first time in a long time – or maybe ever – “treating acne is a happy thing,” he notes.

Aesthetics

The 1726nm laser is being called the biggest acne breakthrough since Accutane.

The Benefits Of AviClear Laser Therapy For Treating Acne

Meet The Laser That Is Being Called The Biggest Acne Breakthrough In Decades

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If ever there was a beauty, skincare, and wellness buzzword that stands the test of time, ‘[collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine)’ would be it. You’ll be hard pressed to research anything related to skin health or aging without coming across the term. When it comes to plump, youthful skin, we know collagen is good and a lack of collagen is not. What’s often left out of conversations about collagen, however, is a deeper exploration of exactly what it is, how it’s produced, and the effect it has on skin quality.

Simply put, collagen gives the skin its structure and natural collagen levels start dropping pretty early in life (think: [mid-twenties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s)). But all is not lost. There are steps that can be taken to slow the declines and even stimulate new collagen production. Intrigued? Here, top dermatologists and nutritionists break down everything we need to know about the beautifying protein.

## **What Is Collagen?**
Collagen is a protein that is naturally found in the human body. “It is a protein produced by the body that makes up something we call connective tissues,” says [Angela Lamb, MD](https://aedit.com/provider/angela-lamb-md-34643), a board certified dermatologist in New York City. “You can also consume collagen through external sources.” Aside from water and fat, the body is mainly made up of proteins – and collagen is the most ubiquitous of them. 

There are different types of collagen, but type I makes up roughly 90 percent of the collagen in the human body. It is a vital component in bones, muscles, cartilage, and, yes, skin. “Collagen is a structural protein that provides rigidity and firmness to the skin,” says [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a NYC-based board certified dermatologist. 

Basically, collagen is an essential building block of healthy skin. “Collagen is the main component of the skin – in fact, 80 percent of our skin is formed from collagen,” explains [Jennifer Hanway](https://jenniferhanway.com/), a board certified holistic nutritionist. “It is found in the extracellular matrix of the skin, so it plays a pivotal role in the skin's structure and rigidity.” Said another way: “It really is the framework that keeps our skin supple, firm, and lifted,” she adds.

## **What’s the Relationship Between Collagen & Skin?**
“The main role of collagen in the skin is to give it elasticity, bounce, and stretch,” Dr. Lamb says. That’s a lot of responsibility, which is why we’re sorry to say that, once you reach your mid- to late-twenties, natural collagen levels start declining at the rate of about one percent a year. “From the age of around 25, both the types of collagen and the amount of collagen in the skin begins to decrease, leading to dryer, thinning skin,” Hanways shares. Hormonal changes (think: [menopause](https://aedit.com/aedition/cosmetic-procedures-skincare-for-women-in-menopause)) and external forces (i.e. sun exposure, [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), poor diet, etc.) can speed up the degredation process. “Poor diet, environmental factors, and [stress](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness) can all negatively affect the quality and integrity of collagen in the skin,” she says. 

Changes in the quality and quantity of collagen correlate to changes in the skin. “With the loss of collagen, the skin sags and develops the [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles) we associate with age,” Dr. Camp notes. The reason? “Collagen constitutes a large portion of the dermis, one of the layers of skin,” he explains. “Think of it like scaffolding off which other skin structures are supported.” The webbing of collagen, elastin, and [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) found in the dermis that makes the skin supple, sculpted, and supported in our younger years, breaks down as we get older and aging fibroblasts (the makers of collagen and elastin) can’t produce enough to offset the loss.

![Aging Skin vs Younger Skin Cross Section Illustration](//images.ctfassets.net/zw35sfestf1t/73J5weI4xxCbfEVQnowdc5/7eb132f953c98475752ebb2dcd4b0bae/aging-skin-vs-younger-skin-cross-section-illustration.jpg)

It’s not uncommon to first notice these changes on naturally fuller areas of the face, like the [cheeks](https://aedit.com/concern/cheek-volume). Then, you may find that the area around your eyes starts to look a little less plump. As for the rest of your body, the texture of your hair could start to change, your nails might become more brittle, and you may find you begin to experience joint pain or a loss of muscle mass.

To put a finer point on the timing, collagen production peaks in the [twenties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-20s) and starts decreasing at that annual one percent rate by the mid to latter part of the decade. For females, that continues until [menopause](https://aedit.com/aedition/menopause-specific-beauty-skincare-hair-products), at which point collagen levels have a significant falloff. There is an estimated 30 percent drop in collagen during that phase, before stabilizing to a two percent yearly decline thereafter. 

## **Where Does Collagen Come From?**
As we've been talking about, the body makes its own collagen proteins. Fibroblasts are the cells in the connective tissues that produce collagen and elastin. Your body is constantly replenishing its natural supply to counteract the breakdown that occurs. When we are young and healthy, more collagen is created than lost – hence your firm, elastic, and resilient skin that bounces back quickly and efficiently heals itself. But, with age, that scale tips in the other direction as fibroblast activity slows. 

In order for the body to function optimally and produce collagen in the first place, it requires [proper nutrition](https://aedit.com/aedition/how-food-impacts-skin-aging). “All of the foods that we eat are broken down and absorbed through the process of digestion, then used for cellular growth and repair throughout the body,” Hanway explains. “Collagen is formed via multiple processes that need specific amino acids – the building blocks of protein – combined with vitamin and mineral cofactors.”

While Hanways says the nutrients from a diet high in amino acids, vitamins, and minerals promote collagen repair and growth, the opposite is also true. “If a person’s diet is lacking in these foods, then collagen repair and growth will be compromised,” she notes. But it’s not just what you aren’t eating that will negatively impact collagen production. “A diet high in [sugar](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin) and refined carbohydrates can actually damage collagen and elastin fibers in the skin via a process called glycation that can cause premature aging, fine lines, and wrinkles,” she cautions.

And then there is collagen supplementation. You’ve no doubt seen plenty of collagen powders and capsules promising to rejuvenate the skin. Research [shows](https://www.mdpi.com/2072-6643/11/10/2494) that collagen supplements can improve skin hydration, elasticity, texture, and density, but not all products are created equal (more on that below). 

## **How Can You Boost Collagen Levels?**
Just because your body's natural collagen levels decline over time doesn't mean there aren't ways to kickstart production. Eating a well-balanced diet, taking collagen supplements, adopting healthy lifestyle habits, and even trying certain skincare and aesthetic treatments can stimulate collagen production. 

### **1. Diet**
You are what you eat. To build collagen, the body makes procollagen from amino acids (i.e. glycine and proline), vitamin C, and minerals. Consuming a [diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin) that is rich in these nutrients will give the body the fuel it needs to create natural collagen.

### **Eat This**
- **For Amino Acids**: Animal & fish protein
- **For Vitamin C**: Guava, kiwi, citrus, berries, leafy greens
- **For Minerals**: Oysters, cashews, sesame seeds, almonds

“Diets that contain animal and fish proteins can help collagen production, as they contain the specific amino acids that the body uses to form new collagen,” Hanway explains. “Adding protein-rich foods into our diets provides us with the raw materials necessary for collagen production.” She recommends “high quality animal proteins,” such as organic chicken, grass-fed beef, and wild-caught salmon. Bone broth is also “a great source of dietary collagen” that can be used for sipping or added to sauces, she notes. 

As Hanway explains, [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) is an essential cofactor in the formation and stabilization of new collagen, so foods rich in the antioxidant vitamin are essential. “Guava and kiwi are the two fruits that are highest in vitamin C, but other citrus fruits, berries, and leafy greens are also great sources,” she says. Additionally, “copper, manganese, and zinc are the three minerals that play a key factor in collagen production,” she shares. They are, however, “often lacking in our modern-day diets,” she cautions. To up your intake, she suggests adding oysters, cashews, sesame seeds, and almonds to the menu.

While feeding your body what it needs to build collagen is paramount, there are also foods you can add to your diet to fortify your collagen reserves. “Fermented foods such as tempeh, yogurt, sauerkraut, and kombucha contain lactobacillus, a strain of probiotic bacteria that produces superoxide dismutase,” Hanway says. “Superoxide dismutase is a powerful antioxidant that may prevent collagen breakdown by reducing the production of free radicals.” Her advice: “Aim for one serving of fermented foods a day and consider supplementing with a good quality probiotic.” 

### **2. Supplements**
When we talk about [supplements for skin](https://aedit.com/aedition/how-dietary-supplements-can-benefit-the-skin), collagen is almost always part of the conversation. “I’ve supplemented with collagen powder for years and I recommend it to all my clients who want to look after their skin from the inside out,” Hanway shares. Clinical [research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070905/) and [trials](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073484/) have shown that collagen supplements can support skin elasticity, minimize the appearance of fine lines, and boost moisture levels in the skin. “While even I was skeptical at first, there is strong research to support this,” Dr. Lamb says. “It is exciting.”

With that said, the type of supplement matters. “Hydrolyzed collagen is composed of low molecular weight small peptides, which means it is both highly digestible and easily absorbed and distributed in the human body,” Hanway explains. “When taken orally, it is absorbed into the bloodstream in the form of both collagen peptides and free amino acids that are then distributed around the body – especially to the skin – where they can stay for up to 14 days.”

When they reach the skin, Hanways says the collagen peptides and free amino acids have a two-fold benefit:

1. They provide building blocks for the formation of collagen fibers.
2. They stimulate the production of new collagen, elastin, and hyaluronic acid. 

In order to enjoy the benefits of supplementation, it needs to come from the correct source. “I recommend choosing marine collagen from wild caught fish or bovine collagen from grass fed cows,” Hanway says. Collagen only exists in the animal kingdom, which means the concept of ‘vegan collagen’ is a little misleading. “There is no such thing as vegan collagen,” she notes. “Collagen powder is made from the skin or connective tissue of fish and animals.” If a supplement is marketed as vegan, it's probably better classified as a collagen booster and will likely contain ingredients like amino acids, vitamin C, [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare), and other botanicals that protect against collagen degradation. “There are some supplements available that contain the cofactors for collagen formation that may be helpful,” Hanway says.

When it comes to format, Hanway recommends a collagen powder over a collagen capsule because of the clinically significant serving size. “It takes around 10 grams a day to notice changes in the skin, and that amount is hard to get via a capsule,” she says.

As with any type of supplement, not all are created equal. “The conclusions behind research looking at collagen supplements are a mixed bag,” Dr. Camp cautions. “Some data supports the use of supplements, some does not, and some is biased as the makers of supplements produce it.” This is why research into the brand you are purchasing from is key. 

### **3. Lifestyle**
We don’t need to tell you that your lifestyle plays a role in the overall quality of your skin, and collagen is no exception. Unprotected exposure to [damaging ultraviolet (UV) rays](https://aedit.com/aedition/best-skincare-to-treat-sun-damage), poor sleep hygiene, smoking, not eating well, and stress can all cause the premature breakdown of collagen. When you are in your peak collagen-making years, you might not notice the effects of an all-nighter or sweet tooth, but, as natural production slows, the effects will become visible and compound. As such, there are some healthy habits you can adopt to kickstart your body's natural collagen production *and* protect what you already have:

- Get enough sleep
- Limit sun exposure 
- Manage stress
- Quit smoking
- Eat a well-balanced diet
- Avoid sugar & alcohol 
- Use collagen-stimulating skincare 

### **4. Skincare**
You can’t have a conversation about inducing collagen production without talking about aesthetics and skincare. Let’s start with what you can do in-office. On the most non-invasive end of the spectrum, [red light therapy](https://aedit.com/procedure/led-light-therapy) has been [clinically shown](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3926176/) to improve intradermal collagen density. [Sculptra®](https://aedit.com/procedure/sculptra) is a poly-L-lactic acid (PLLA) bio-stimulatory injectable that encourages the body to create new collagen, and Dr. Lamb says [hyaluronic acid-based fillers](https://aedit.com/aedition/hyaluronic-acid-filler-vs-biostimulatory-injectables) can jumpstart production as well. 

### **Aesthetic Treatments**
- Biostimulatory injectables
- Thread lifts
- Microneedling
- Red light therapy
- Resurfacing lasers
- Radiofrequency

[Thread lifts](https://aedit.com/procedure/thread-lift) are also touted for their collagen-boosting abilities, as is [microneedling](https://aedit.com/procedure/microneedling) (a.k.a. collagen induction therapy). Studies [show](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556180/) the tiny needles penetrate the stratum corneum with minimal damage to the epidermis, though it leads to the generation of growth factors that then stimulate the production of collagen and elastin in the papillary layer of the dermis. And then there are energy-based modalities. “Most [resurfacing lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) and [radiofrequency devices](https://aedit.com/aedition/radiofrequency-skin-tighening-fat-reduction) stimulate collagen,” Dr. Lamb says. Consulting with a board certified dermatologist or plastic surgeon can help determine the best treatment plan for your anatomy.

Topical skincare can also play a role in collagen production. As Dr. Lamb shares, [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) are perhaps best known active ingredients for collagen concerns. [Bakuchiol](https://aedit.com/aedition/guide-to-bakuchiol-in-skincare) is often touted as a gentler, plant-based alternative to the vitamin A derivatives, and [research](https://pubmed.ncbi.nlm.nih.gov/24471735/) shows it doesn’t skimp on the collagen upregulating benefits. 

### **Skincare Ingredients**
- Retinol & retinoids 
- Bakuchiol
- Glycolic acid
- Peptides
- Vitamin C
- Sunscreen

A member of the alpha hydroxy acid (AHA) family, [glycolic acid](https://aedit.com/aedition/benefits-of-glycolic-acid-for-body) is [believed](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891644/) to increase collagen production by triggering the body’s natural healing response. [Vitamin C](https://aedit.com/aedition/facts-about-vitamin-c-in-skincare) is instrumental to collagen making and preserving in all forms, but, as a topical, the antioxidant [plays a part](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547010/) in collagen synthesis and stabilization. Additionally, certain types of [peptides](https://aedit.com/aedition/guide-to-topical-peptides-in-skincare) can either slow the breakdown or increase the supply of collagen and elastin.

Finally, a word on [sunscreen](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body). In case you need another reason to double down on your sun care routine, unprotected exposure to UV rays speeds up the degradation of collagen. Wear a broad spectrum sunscreen with a sun protection factor (SPF) of at least 30 every day as a first line of defense.

## **The Takeaway**
Collagen is a protein that plays a crucial role in the body's makeup, including the structure of the skin. With age, natural collagen production slows and levels begin to decline, which leads to fine lines and wrinkles, thinning, dryness, and volume loss. From diet to supplements to at-home and in-office skincare, however, there are steps you can take to stimulate collagen for smoother, stronger, and more supple skin.

Wellness

A deep dive into the structural protein that keeps skin supple, sculpted, and supported.

The Role Of Collagen In The Skin

Everything You Need To Know About Collagen And The Skin

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It goes without saying that looking at a photograph is not the same as seeing something in real life. A two-dimensional snapshot simply cannot capture the nuance of a three-dimensional world, yet selfie and [social media culture](https://aedit.com/aedition/march-2020-study-shows-relationship-between-social-media-cosmetic-surgery) too often fails to respect that important distinction. Whether it’s through makeup, lighting, or face tuning apps, the photos that fill our feeds are not necessarily indicative of reality. But, increasingly, people are turning to cosmetic treatments to recreate a specific aesthetic that might look great in a picture but doesn’t translate to a natural-looking appearance in person because it lacks the movement and expression we expect to see. This is where an additional dimension of beauty – one that accounts for life in 2D *and* 3D – comes into play.

Recently, we hosted an Instagram Live with [Julius Few, MD](https://aedit.com/provider/julius-few-md-15580), a board certified plastic and reconstructive surgeon in Chicago and creator of [Aforé Beauty](https://www.aforebeauty.com/), to learn more about his concept of “four-dimensional beauty” and how it influences his approach to aesthetic medicine to achieve the most natural and holistic results for his patients. Watch the entire conversation below or read on for a breakdown of five key takeaways.

<a href="https://www.youtube.com/watch?v=6QcFwi8ptxQ" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.youtube.com/watch?v=6QcFwi8ptxQ</a>

## **1. Defining Four-Dimensional Beauty**
Dr. Few has been in practice for over two decades. While the original outpost of [The Few Institute](https://www.fewinstitute.com/) is in Chicago, he has a satellite office in Los Angeles where he tends to some very famous faces. As he explains, treating public figures has taught him a lot about our understanding and perception of attractiveness. “One of the things that struck me was how I could see a household-name celebrity, who, in a photograph or in a movie, looked a certain way and by all accounts was attractive,” he shares. “But you saw them in person and they went to even a more dramatic and more appealing level.” 

It’s that dichotomy between what he calls the “in-person encounter” and the “print version” that led him to formalize the idea of four-dimensional beauty. “What that represents is the concept that we deal with the three dimensions we all know – length, width, and distance – and the fourth dimension is time and moments in time,” he explains. “We're not talking about days, hours, minutes – we're talking about microseconds of movement and what is communicated both in terms of verbal and non-verbal communication.” 

While there are extreme examples of people overdoing it, even just a little too much filler or neurotoxin can look off if it impacts the natural movement of the face, he says. “That really is what four-dimensional beauty represents – that transition from moment to moment in interpersonal interaction that can either make or break a moment,” he shares. 

## **2. Photo vs. Video**
Even if your in-person schedule is not quite back to pre-pandemic strength, days spent in Zoom meetings, scrolling through TikTok, or rolling your eyes at Instagram’s ever-conspicuous push for video content are a reminder that we do, in fact, live in a three-dimensional world. The best way to look your best IRL is to consider how the result of whatever you are having done is going to impact your features and expressions. 

Dr. Few says the onus is on the provider to properly assess the patient. “Probably the most important thing that any cosmetic plastic surgeon, dermatologist, or provider of any kind really needs to hone in on is the idea that you have to look at animation during that in-office visit,” he shares. One way to educate the patient and further drive home the point is by supplementing traditional [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) with video. “I've started to incorporate more and more videography into the assessment, so I can show people,” he says. “I do believe that's going to become the norm in many ways.” 

With the ability to put a smartphone with a 4K camera into the palm of anyone’s hand, all providers need to do is standardize their lighting setup and positioning (à la traditional B&A photos). Dr. Few and his team recently [published a study](https://academic.oup.com/asjopenforum/article/doi/10.1093/asjof/ojac002/6515787?login=false) in the *Aesthetic Society Journal* based on the clinical results of using the [Aforé Beauty CR Emulsion](https://www.aforebeauty.com/products/cr-emulsion) – a serum that blends 0.2 percent retinol, [cannabidiol (CBD)](https://aedit.com/aedition/cbd-beauty-skincare-wellness-benefits), peptides, and hyaluronic acid to improve skin tone, texture, and hydration – that included a dynamic video component. “It gave us a platform to develop the videography assessment tool, which is in its infancy,” he says. “We're still working on it in terms of validating and putting it together, but we're well on our way.”

Long term, Dr. Few sees video as “a great equalizer” that will foster transparency. “There will be more and more of a demand for influencers and the like on social media to have videography versus a static picture,” he notes. “What different people got away with just because they had a great 2D picture, that's not going to be good enough.”

## **3. The Rise of Prejuvenation**
It’s usually easier to prevent something than correct it, and that is certainly true of age-related skin and aesthetic concerns. There is a lot to be said about rejuvenating procedures, but, in the last decade, the conversation has expanded to include the idea of ‘[prejuvenation](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend)’ (i.e. preventative treatment). “I kind of came up with that term ‘prejuvenation’ at a multi-specialty meeting probably 10 or 11 years ago,” Dr. Few shares. “The whole concept came up during a panel because, at that time, I was just starting to really kick into taking care of a lot of models and actors, and that group really was keen on the idea of avoiding the knife.” Instead, they were interested in less invasive solutions that they could start earlier in life to potentially delay or eliminate the need for more invasive measures down the line. 

But it’s not just celebrities who want to get ahead. Dr. Few says he has long had patients who are predisposed to deeper frown lines or have a family history of jowling and want to address them as early as possible. “You can preempt that whole phenomenon just by simply targeting that area when it first starts to form, and then you hold it in suspended animation,” he explains, adding that it’s not about stopping the clock or dramatically altering someone’s appearance. “I believe if you try to take that given point where things are transitioning in maybe not the most positive way and hold it, well then that’s mission accomplished,” he says. “You've now made somebody achieve their goal of looking naturally beautiful and aging in the most graceful way, which, in my opinion, is the way to go.” 

Returning to those four dimensions of beauty, it’s all about enhancing what is already there in the most natural way. “It's not about aging ungracefully or in any artificial way or even not aging at all,” Dr. Few explains. “To me, where the artistry of cosmetic medicine and surgery comes through is in creating subtle contrast.” For example, “you have somebody who maybe has gray hair but, at the same time, has a youthful kind of very subtle cuteness that shines through,” he says. “That's their own individual expression.”

## **4. Blending Surgical & Non-Surgical Solutions**
Just because Dr. Few is a plastic surgeon doesn’t mean that every patient of his is going under the knife. “I am somebody who's kind of formed an expertise in both the surgical and non-surgical space – especially for facial rejuvenation and prejuvenation,” he says. In his view, it’s not so much surgical versus non-surgical but rather a continuum. “I try to position things in a way so that if somebody is not sure which direction they want to go, it's easier to do something that's a bit more temporary – that's non-surgical – that then can lead into a surgical option if that's what they want,” he explains.

Generally speaking, prospective patients fall into three categories: 

1. I definitely want surgery.
2. I definitely don’t want surgery – regardless of what I need.
3. I’m undecided and want to know my options.

After determining which bucket someone falls into, there are a trio of factors Dr. Few considers during a consultation to formulate a treatment plan: skin quality, volume loss, and facial laxity. “When you look at those three components, then I get to go into my toolbox and decide what are the options that work for it,” he shares. “For the skin, it may be different forms of resurfacing lasers, peels, etc., and then you look at non-surgical versus surgical lifting.” Seeing as he remembers the days when [Restylane®](https://aedit.com/procedure/restylane) was only one hyaluronic acid-based filler on the market, today’s innovation – especially in the non-surgical space – means there are now “more options than you could even hope to use.” As such, “it becomes much like picking the right paint brush for the component of the canvas you're painting on,” he says.

Finding the right balance between surgical and non-surgical has actually spurred hybrid solutions over the years. Dr. Few cites the evolution of the so-called [Nefertiti neck lift](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) as one such example. While injecting neurotoxin into neck bands can have a dramatic impact on texture and contour, the effect is temporary. For a longer-lasting result, Dr. Few developed a slightly more invasive neck band procedure. “That's where I can use a special needle that's called a no cord needle to actually go in and break up the bands of the muscle – much like the [Xeomin®](https://aedit.com/procedure/xeomin), [Dysport®](https://aedit.com/procedure/dysportr), or [Botox®](https://aedit.com/procedure/botox) would do – but it does it in a more permanent way,” he says. “You can marry these concepts, which is what makes it fun.”

## **5. The Benefit of ‘Stackable’ Treatments**
Long before the pandemic made the idea of [maximizing in-office time](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) with your provider a must, Dr. Few was honing the technique of what he calls “stackable treatments.” “When I first came up with ‘stackable treatments’ as a concept, it was the combination of [Ulthera®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) and lasers and fillers – doing that all in one setting,” he shares. As he explains, the combination approach was, initially, “purely out of necessity.” “When I first started seeing patients in New York, I didn't have the luxury of trying to space it out over six months,” he notes. But then he realized the multimodal nature of the appointment was more than just convenient. “There's synergy in it,” he shares, that actually improves the results that would be possible with each treatment individually. 

But not all stacks need to happen at once. Lately, one of the popular pairings at his practice involves combining Dr. Few’s signature [thread lift](https://aedit.com/aedition/pdo-thread-lift-for-facial-rejuvenation) with [Sofwave™](https://aedit.com/aedition/sofwave-for-skin-tightening-collagen-production), a new non-surgical skin-tightening treatment that uses ultrasound waves to firm the skin, and [Kybella®](https://aedit.com/procedure/kybella) to address an array of age-related concerns in the lower face. “I'll do thread lifting, get a result, and then we can come back and do Sofwave™ to further enhance,” he explains. “It seems to really play on that matrix that has been created by the thread lifting.” But that’s not all. “If they still have a little bit of jowl fat, I can do a bit of off-label Kybella® injection to shrink it down,” he adds. “All of a sudden we're creating this approach that can deliver a progressive result.”  

Perhaps most importantly, this trio is not designed to create a trendy, overly snatched jawline. “Always bearing in mind four-dimensional beauty, we’re not trying to do anything just for the sake of a photograph on social media,” Dr. Few says. Instead, the procedures subtly-yet-substantially sculpt the lower face and neck for a more youthful countenance. The result: You’ll look like a rejuvenated version of yourself.

Board certified plastic and reconstructive surgeon Julius Few, MD, breaks down the concept.

A Guide To Four Dimensional Beauty For Natural-Looking Results

Why You Need A Four-Dimensional Approach To Beauty

cheyenne-doig-djME6Gy-KEs-unsplash

Dematologists and plastic surgeons break down the differences between Morpheus8, Vivace, Infini RF, and more.

Comparing The Best Microneedling With Radiofrequency Treatments

Here’s How The Most Popular RF Microneedling Treatments Measure Up

crystalweed-cannabis-QrK0mgbk2r0-unsplash

Few ingredients go up the trending pipeline from beauty and wellness buzzword to headliner at the rate that [cannabidiol (CBD)](https://aedit.com/aedition/cannabidiol-cbd-in-skincare-products-face-body) has in the last 10 years. From a soothing sidekick to the starring ingredient, CBD has taken over vanities at an impressive rate. Because it remains unregulated by the United States Food and Drug Administration (FDA), however, it can be tricky to suss out fact from fiction. Here, we’re rounding up some of the most underappreciated benefits of the buzzy botanical with the help of some true experts in the field.

## **CBD 101**
As we can all agree, there is still a lot of confusion about CBD and cannabinoids in general. Let’s try to clear some of that up. Cannabinoids, including CBD, are the naturally occurring compounds found in the flowers and stems of the Cannabis sativa plant (a.k.a. hemp). CBD and tetrahydrocannabinol (THC) have the most name recognition, though cannabigerol (CBG), cannabinol (CBN), and cannabichromene (CBC) are just a few of the others that are starting to get attention. You can learn more in our [intro guide to cannabinoids in beauty, health, and wellness](https://aedit.com/aedition/overview-of-cannabinoids-like-cbd-in-beauty-health-wellness).

Cannabinoids work with your endocannabinoid system (ECS) to help the body maintain balance. The ECS is made up of a series of receptors. CB1 receptors are primarily in the brain, whole CB2 receptors are abundant all over the body. Cannabinoids act as messengers to these receptors to help regulate pain, inflammation, muscle control, and more. Evidence suggests cannabinoids can relieve pain, help manage weight, improve sleep, and reduce inflammation, anxiety, and depression. Medicinal uses include controlling nausea caused by chemotherapy, regulating seizures, treating post-traumatic stress disorder, and relieving the symptoms of multiple sclerosis (to name a few). While there is still a lot of research to be done, CBD is perhaps the most studied cannabinoid. 

In skincare, CBD’s superpower is targeting inflammation (i.e. the root of pretty much all skin conditions). According to the American Society for Clinical Investigation, CBD [helps to reduce](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151231/) acne breakouts by calming inflammation and reducing excessive sebum production. Another [study](https://pubmed.ncbi.nlm.nih.gov/30993303/), meanwhile, found that it helps treat psoriasis, atopic dermatitis, and the scars left behind from those skin conditions.

### **Can CBD Make You High?**
When it comes to mass-market cannabinoid products – like skincare and supplements – there are governmental limits on the use of THC, which is the naturally occurring compound that produces the psychoactive effect marijuana is known for. As it relates to industrial hemp, federal law stipulates that products must have below 0.3 percent THC in them. All of this is to say, you won’t get high from reputable CBD products, and there are ways to ensure there are absolutely no traces of THC in what you are purchasing (more on that below).

## **The Top Beauty & Wellness Benefits of CBD**
Now that you understand the basics, let’s dive into why CBD is a standout. From the soothing properties to its youth-preserving powers, here are a few reasons why CBD should be a part of your beauty and wellness regimen. 

### **1. It’s Safe for Sensitive Skin**
Topical CBD is beneficial for all skin types. CBD is one of the few ingredients that is well-tolerated and even welcomed by skin that is prone to [rosacea](https://aedit.com/concern/rosacea), [eczema](https://aedit.com/aedition/comparing-eczema-vs-psoriasis), and other [sensitivities](https://aedit.com/aedition/difference-between-sensitive-vs-sensitized-skin). “It has anti-inflammatory and antioxidant properties that allow it to calm the skin,” explains [Julius Few, MD](https://aedit.com/provider/julius-few-md-15580), a board certified plastic and reconstructive surgeon in Chicago, who recently published [new research](https://academic.oup.com/asjopenforum/article/doi/10.1093/asjof/ojac002/6515787) on the ingredient. 

By targeting the endocannabinoid system, the CB2 receptors understand that the topical products are there to control pain and reduce inflammation. Dr. Few notes that CBD also helps the skin retain moisture – another component of keeping the complexion balanced. From soothing chapped lips (we like the [Vertly Lip Butter](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fvertlybalm.com%2Fproduct%2Flip-butter%2F)) to nourishing the skin (you can't go wrong with the [Woke Rejuvenating Face & Neck Oil](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhouseofgro.com%2Fproducts%2Fwoke-rejuvenating-face-neck-oil) or [Saint Jane Beauty Luxury Beauty Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fluxury-beauty-serum-P444222)), CBD can be a calming presence for all skin types and concerns.  

### **2. It Plays Very Well With Others**
When we say CBD does all that and more, this is what we mean: It can complement even the trickiest ingredients in your skincare regimen. Take, for instance, topical vitamin A derivatives (read: [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)). In his [Aforé Beauty](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.aforebeauty.com%2F) line, Dr. Few set out to create a product that offers all of the benefits of retinol without the irritation. [CR Emulsion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.aforebeauty.com%2Fcollections%2Fcbd-skincare%2Fproducts%2Fcr-emulsion) was soon born. “CBD has a natural anti-inflammatory quality, and, with retinol, the biggest limitation to patients using it has been the potential irritation and drying effect,” he explains. “CBD naturally compensates and counteracts that.” 

But it’s not just soothing the skin. CBD actually makes everything it’s [paired with](https://aedit.com/aedition/best-skincare-ingredient-pairings) work better. “It enhances the efficacy of ingredients,” Dr. Few shares. This is true of retinol. “CBD enhances the uptake of the retinol,” he notes. “It helps decrease inflammation and allows for a higher concentration of penetration of retinol.” And it is also true of other potent actives, like [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare), [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler), [shea butter](https://aedit.com/aedition/guide-to-shea-butter-in-skincare), amino acids, which can all be found in luxury CBD skincare brand [WINNØW](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwinnowskincare.com%2F). “By focusing on ingredients, we pair ones that can work together for all skin types to sink in on contact, lock in moisture, balance skin, alleviate redness, and plump fine lines,” explain co-founders Audrey Kirdar and Tracy Wydra. 

There is technically no oversight into how these terms are used, but products with cannabidiol generally fall into the following categories:

- **CBD Isolate**: Pure CBD with no other cannabinoids or terpenes
- **Broad Spectrum CBD**: Includes trace levels of other cannabinoids and terpenes, but no THC
- **Full Spectrum CBD**: Features trace levels of additional cannabinoids and terpenes, including THC

At WINNØW, the brand uses a broad spectrum CBD. “WINNØW’s broad spectrum CBD has zero percent THC (unlike full spectrum CBD) but contains various beneficial terpenes (unlike CBD isolate) from the cannabis plant that increases its overall efficacy,” they share.    

### **3. It Can Help Your Fitness Routine**  
We don’t need to tell you that working out can do a whole lot of good for the body and soul (hello, endorphins), but it can also leave you achy, fatigued, and red in the face. From pre- to post-workout, CBD can be incorporated to enhance your fitness goals. “It’s a nice agent to reduce [post-workout](https://aedit.com/aedition/post-workout-skincare-makeup) inflammation,” Dr. Few explains. 

How else can CBD be incorporated to help your fitness regimen? For those looking to increase their mental capacity and motivation without the java, the [DOTE Focus](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fdotewellness.com%2Fproducts%2Ffocus) supplement features encapsulated broad spectrum CBD, ginseng, vitamin B-12, [ashwagandha](https://aedit.com/aedition/benefits-of-adaptogens-in-skincare), cordyceps, and l-tyrosine. For those who go hard at the gym or may have slept awkwardly and feel a muscle ache (we’ve all been there), we recommend the [Fitish Perfect Game Sports Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Ffitish.com%2Fproducts%2Fperfect-game-sports-cream) to tackle those knots. 

### **4. It’s Post-Procedure-Friendly** 
Post-op downtime is one of the reasons people may hesitate to get cosmetic surgery or procedure. For Dr. Few, side effect management with topical CBD after certain in-office treatments has become the norm. “I have had a patient who had deep lines, and she had stubborn persistent redness post-[ProFractional™](https://aedit.com/procedure/profractional-laser-therapy) laser treatment,” he explains. “The CR Emulsion helped dramatically cut the redness.” In addition to the calming effect, using retinol after lasers and other resurfacing procedures can enhance the effect, he adds. At his practice, CR Emulsion is often recommended after [radiofrequency skin-tightening treatments](https://aedit.com/aedition/best-nonsurgical-skin-tightening-procedures), too. “When we’re treating or targeting the neck, we love this product to help aid the results,” he notes. The [WINNØW Luxury CBD Face Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwinnowskincare.com%2Fproducts%2Fultra-hydrating-face-cream) has also become a favorite for this purpose. “We have gotten feedback from customers that our cream has been used post-laser treatments to calm the skin, reduce redness, and speed up the healing process,” Kirdar and Wydra say.   

Pain is another big factor to consider. After all, who wants to elect to be anxious or uncomfortable? [As we’ve covered](https://aedit.com/aedition/use-of-cbd-cannabinoids-products-in-wellness-fitness-recovery), some providers are allowing patients to incorporate CBD supplements into their pre- or-post-op routine. “When somebody gets anxious, there’s a strong cortisol release from their adrenal glands, and [CBD] can help calm that down,” Dr. Few explains. “It can provide an anti-inflammatory effect which thereby may reduce post-injection [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery).” The [707 Flora CBD + Turmeric Tincture](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.707flora.com%2Fcollections%2Ftinctures%2Fproducts%2Fturmeric-tincture-bright-citrus-500mg) is an editorial favorite, though you will need to discuss what is best for your circumstances with your provider. 

### **5. It Can Minimize Signs of Aging**  
It feels like every product in the beauty aisle is marketed as ‘youth-preserving’ and discernment is required to avoid falling prey to empty promises. Strategically formulated CBD can be an effective part of a rejuvenation-oriented skincare routine. “CDB, in combination with our other hero ingredients such as niacinamide and hyaluronic acid, helps calm inflammation and reduce redness, boost hydration, and balance the overall texture of the skin,” the WINNØW founders share. 

As Dr. Few sees it, CBD can enhance an entire routine – especially one where stronger, age-defying actives are present. “I have patients add a retinol at 50 percent in their routine with the CR Emulsion,” he explains. “We have patients who want to increase the effects, so we’ll build up as the product helps patients develop a stronger tolerance for it.” 

## ** The Takeaway**  
CBD offers bountiful benefits to the skin and overall wellbeing when it's sourced and formulated properly. “Some people shy away from CBD because it is from the cannabis plant, and there is a lack of information in the marketplace,” Kirdar and Wydra say. “But we want people to be open to seeing how safe and effective it is.” That means doing your research to find a brand you can trust and speaking to your healthcare provider before introducing new products or supplements into your routine.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*


Beauty

Cannabidiol’s (CBD) claim to fame was its calming properties, but it’s becoming a mainstay for more than the chill vibes it provides.

The Benefits Of CBD For Beauty, Skincare, Fitness, Wellness

5 Reasons CBD Should Be Part Of Your Beauty And Wellness Routine

johanne-kristensen-vyhYvCiL3QQ-unsplash

While some makeup mavens swear by starting your look with just a base of [moisturizer](https://aedit.com/aedition/dermatologist-approved-nighttime-moisturizers), [sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors), [foundation](https://aedit.com/aedition/fall-2019-liquid-powder-foundations-makeup-skincare), and concealer, we here at The AEDITION respectfully disagree. Long seen as an (arguably unnecessary) extra step, face primer is an underrated step that can benefit anyone’s routine. Forget what you think you know about the overly drying, mattifying, or mask-like formulas of yesteryear, today’s face primers bridge the gap between skincare and makeup – leaving your skin smooth, hydrated, and ready for whatever you’re planning to put on top. Don’t wear makeup? Primer can still have a purpose, with options formulated with both skin prep *and* protection in mind.

Whether you're a primer newbie or a devotee looking to try something new, this guide will change your skincare and makeup routine forever. Read on for everything you need to know about face primer.

## **What Are the Benefits of Face Primer?**
In a nutshell, face primers prep and smooth the surface of the skin before foundation or other complexion products are applied. They come after skincare but before makeup, essentially functioning as a hybrid step. Depending on your skin type and beauty goals, face primers come in an array of textures and are formulated with an array of both skincare and makeup ingredients that allow them to function in different ways.  

Generally speaking, there are four main categories face primers fall into, says Fiona Co Chan, founder of makeup brand [Youthforia](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fyouthforia.co%2F). She breaks them down in this way: 

1. **Blurring Primers**: Typically made with silicones, their purpose is to fill in pores to create a smoothing, filter-like blur effect.
2. **Putty Primers**: Similar to blurring primers, they also usually have a silicone base that is meant to fill in pores. The difference is that they are usually presented in a cake-like format (which is not always the most sanitary), though you sometimes see them in a tube as well.
3. **Gripping Primers**: These are usually water-based and formulated with denatured alcohol to help makeup stay in place. Think of them as a setting spray in a primer format.
4. **Protective Primers**: This type of primer first rose to prominence in [Asia](https://aedit.com/aedition/best-skincare-brands-products-from-asia) and special effects makeup to shield the skin from potential irritants. It has three distinct benefits: (1) the formula is usually emollient and occlusive to seal in your skincare (think of this as daytime slugging, which helps prevent transepidermal water loss); (2) it helps your makeup last longer by preventing your skin’s sebum from touching your base (oil can oxidize makeup or dissolve it); (3) it creates a barrier between your skin and your makeup. This gives [hard-to-remove makeup](https://aedit.com/aedition/best-makeup-removers-for-every-skin-type) something to bind to. So, not only does it help your makeup last longer, but it allows it to wash off more easily.

## **The Best Candidates for Face Primer**
Similar to [toner](https://aedit.com/aedition/benefits-of-toner-in-skincare) (another under-appreciated beauty product), there is a face primer for every skin type. The most important part of choosing the right one is ensuring that the formula and consistency work for any potential skin concerns (i.e. dryness, oiliness, etc.) you may have. “Primers are great for [oily skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) because they prevent the skin’s sebum from touching your makeup,” Co Chan explains. “And they’re also great for [dry skin](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands) because a lot of ingredients in makeup can be drying – especially formulas that are long-lasting or waterproof.” If you are experiencing breakouts, be mindful of what’s in the formula. “For acne-prone skin or skin prone to [clogged pores](https://aedit.com/aedition/at-home-treatments-for-clogged-pores), I would recommend looking at the specific ingredients per product and avoiding products with comedogenic ingredients or silicone-based primers,” she shares.

With that in mind, below are eight primers to try based on your skin type and concerns:

### **For Everything**: Youthforia Pregame Primer
![AEDIT-Youthforia](//images.ctfassets.net/zw35sfestf1t/3DFD1vCAbzoWHojcbErF33/d25d13a9f3e0234d8cc0484959f95043/AEDIT-Youthforia.jpg)
No matter your skin type, the power of this protective primer lies in the fact that it's both makeup and skincare. The emollient and occlusive formula protects your skin by creating a barrier between your skin and any aggressors (think: pollution, irritating makeup, etc.). It also features the brand’s patented Sebum Control Complex that Co Chan says “helps prevent sebum from dissolving your makeup or oxidizing it” and plant-based elastomers that “flex to the skin’s unique features, which is great when you want your makeup to be flexible and move with you.” If you need further convining, Co Chan slept in the formula throughout the product development process to ensure it truly benefits the complexion. $38, [youthforia.co](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fyouthforia.co%2Fproducts%2Fpregame-primer) 

### **For Mattifying**: Smashbox Photo Finish Control Mattifying Face Primer
![AEDIT-Smashbox](//images.ctfassets.net/zw35sfestf1t/6I8vpCWfOPaXLpncyLYeBL/eba038d6f310afb27f93fa8cefc3bf84/AEDIT-Smashbox.jpg)
Smashbox is a primer favorite for a reason. This mattifying option backs up its name with a mixture of skincare favorites – witch hazel, [salicylic acid](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare), and zinc, to be exact – that mop up excess oil and keep your complexion shine-free all day long. A cocktail of antioxidants, hyaluronic acid, probiotic extract, and algae, meanwhile, helps to defend against environmental stressors like pollution and blue light.  $39, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fsmashbox-photo-finish-control-mattifying-face-primer-P479982) 

### **For Hydrating**: e.l.f. Cosmetics Power Grip Primer
![AEDIT-elf](//images.ctfassets.net/zw35sfestf1t/2aIC0xZNXOx289hGzKu4hP/4d1615a0cef36abf2491803bde1dfe88/AEDIT-elf.jpg)
A popular dupe for [Milk Makeup’s Hydro Grip Primer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fhydro-grip-primer-P441813), this budget-friendly pick offers all of the moisture and staying power for half the price. This [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler)-infused formula has a gel-like texture that instantly plumps and hydrates dry skin, while also offering the ‘grip’ you crave for longer-lasting makeup. $10, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fpower-grip-primer-pimprod2030073%3Fsku%3D2591795)

### **For Color Correcting**: Make Up For Ever Color Correcting Step 1 Primers
![AEDIT-MakeUpForEver](//images.ctfassets.net/zw35sfestf1t/6ao0jhTEI7AVsWE4Dm8lB6/9af746cc45984437bbbcf5c5f4b4d188/AEDIT-MakeUpForEver.jpg)
Combine your color correcting and prep steps into one with this multitasking primer. Available in five different shades, including this redness-reducing green hue, there is an option for evening out every skin tone. And, if you still want a primer to combat any texture or another concern, this formula layers well. $37, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fmake-up-for-ever-step-1-primer-color-corrector-tone-up-perfector-P468186) 

### **For Sensitive Skin**: First Aid Beauty Hello FAB Coconut Skin Smoothie Priming Moisturizer
![AEDIT-FirstAidBeauty](//images.ctfassets.net/zw35sfestf1t/1lP943wyltAckiHqSMXm6k/82dd0dc43c1086fef13f1451e185b529/AEDIT-FirstAidBeauty.jpg)
Part moisturizer, part primer, this dermatologist-tested formula is vegan, non-comedogenic, and gluten-, nut-, nano-, and soy-free, making it gentle enough for [sensitive skin](https://aedit.com/aedition/difference-between-sensitive-vs-sensitized-skin). Coconut water hydrates and revitalizes the complexion, while quinoa protein and a mineral blend support skin repair and health. Finely milled micro-pearls give the lightweight lotion a subtle luminosity that can be worn alone or under makeup. $32, [firstaidbeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.firstaidbeauty.com%2Fskin-care-products%2Fmoisturizers%2Fhello-fab-coconut-skin-smoothie-priming-moisturizer) 

### **For Blurring**: Hourglass Vanish Airbrush Primer
![AEDIT-Hourglass](//images.ctfassets.net/zw35sfestf1t/7w4PP2THuetdwnCRiM79V4/73bffcb7be1aaedcfacd52815b3c50ab/AEDIT-Hourglass.jpg)
This translucent primer will give your skin an airbrushed look, which is especially beneficial for anyone with acne, fine lines, or large pores. The magic comes from microspherical powders set in a weightless gel formula that gives the complexion a filter-like finish. The best part? It boasts a physical SPF 15 for UV protection. $56, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fveil-mineral-primer-P210575)

### **For Smoothing**: Tatcha The Silk Canvas
![AEDIT-Tatcha](//images.ctfassets.net/zw35sfestf1t/WYJr17ik8g9WBl7PSI58f/3388a279d3a96f18ca7afce5a3a20c90/AEDIT-Tatcha.jpg)
Makeup artists swear by this balm-like primer that features [glycerin](https://aedit.com/aedition/guide-to-glycerin-in-skincare), [squalene](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair), and the brand’s signature blend of Japanese superfoods like rice, tea, and [algae](https://aedit.com/aedition/benefits-of-seaweed-for-skin-hair) extracts that lock in moisture to ensure the skin stays supple all day. A little goes a long way – the velvety texture means you’ll be able to cover the entire face with just a rice-sized dollop. $52, [tatcha.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.tatcha.com%2Fproduct%2Fsilk-canvas-filter-finish-protective-primer%2FSILK-CANVAS.html) 

### **For Brightening**: NYX High Glass Primer
![AEIDT-NYX](//images.ctfassets.net/zw35sfestf1t/2JCIDmL7Ep0QEZBu2II1UM/4afd97d3f3a5ff4dce09e553a6ddc800/AEIDT-NYX.jpg)
A great option for those looking for that glass skin effect or a radiance boost, this primer will help you create the perfect base for all-day illumination. Wear it solo, under foundation, or on the highpoints of the face for a dewy (read: not shiny) glow. $17, [nyxcosmetics.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.nyxcosmetics.com%2Fface%2Fprimer%2Fhigh-glass-face-primer%2FNYX_799.html)

## **How to Use Face Primer**
As with many other makeup products, there are a variety of ways to apply primer. Some people slather it on with their fingers, while others prefer to use a [makeup brush or sponge](https://aedit.com/aedition/how-to-choose-a-makeup-brush). Co Chan is a fan of the former and recommends using your hands to warm up the product. “It varies by primer, but, in most cases, apply as you would with a skincare product,” she says. She turns the application process into a self care ritual, giving herself a [facial massage](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha) by “focusing on lymphatic drainage points at the edge of your neck and outward from your brow bones.” “This will help plump your face in the right areas and sculpt in the right places, by increasing blood flow and depuffing where necessary,” she explains.

Timing wise, some experts advise you to apply your primer and then wait a few minutes before continuing with makeup. Others say it's fine to continue to your makeup application right away. By messaging the product into the skin, Co Chan says “you’ll notice that it’s less film-like and sitting on top of the surface skin,” though she still gives it a beat. “It’s important to wait one minute between each skincare or makeup step to allow your skin to soak up the formula and minimize any pilling,” she notes.

As for where [sunscreen](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) fits in, it can go under your primer (after your last skincare step). The exception is if you are using a complexion product with SPF, like a [tinted moisturizer](https://aedit.com/aedition/best-tinted-moisturizers-of-2021) — though we still recommend fortifying your protection by applying a standalone sunscreen as well.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Primers are an important step between skincare and makeup, but many people don't know where to start. Here's what you need to know.

The Best Face Primers For Every Skin Type

wilhelm-gunkel-AthQ50bqul0-unsplash

The [non-surgical aesthetics sector](https://aedit.com/aedition/biggest-non-surgical-aesthetics-trends-of-2022) continues to grow with no signs of slowing down. Patients and providers alike love minimally invasive procedures for their scarless results, in-and-out nature, and often downtime-free convenience. The flipside is the rate at which technology advances. While cosmetic surgery techniques evolve over time, it’s nowhere near as quickly as how fast non-surgical procedures wax and wane. Treatments that were once popular go-tos basically become obsolete as cutting-edge, of-the-moment tech that works faster, better, and more comfortably than before replaces those former favorites.

This can also make it tough to keep up with what’s new and next in non-surgical aesthetic medicine, which is why we’re doing the homework for you. The following up-and-coming non-invasive and minimally invasive procedures for face, skin, and body are headed for star status, and we’ve tapped top experts to learn more about why they are gaining buzz. Perhaps you'll discover a new favorite treatment that you've been waiting years to arrive.

## **1. For Next-Level Skin Tightening & Lifting**
- **The Treatment**: [Emface](https://bodybybtl.com/)
- **The Technology**: Muscle contraction & skin tissue heating
- **Best For**: Non-invasive skin tightening & lifting

**How It Works**: The BTL Aesthetics family of noninvasive technologies — you may recognize the brand by it's award-winning high-intensity focused electromagnetic muscle (HIFEM)-building treatments like [Emsculpt Neo®](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo) and Emsella® — has a new face-focused treatment to add to the group. Enter Emface. Although details about the procedure are still very much under wraps, we know that the device uses proprietary energy to tighten and lift facial muscles. 

Injectables and fillers have their place, but there's also only so much they can do to lift the face. With filler comes the tendency for [over injecting](https://aedit.com/aedition/how-to-correct-overfilled-facial-features), starting them too young, and aesthetic and [medical complications](https://aedit.com/aedition/risk-of-vascular-occlusion-after-dermal-filler), says [Paul Jarrod Frank, MD](https://www.instagram.com/drpauljarrodfrank/?hl=en), a board certified cosmetic dermatologist and founder of [PFRANKMD](https://pfrankmd.com/) in New York City. “The technology will target non-invasive [skin tightening](https://aedit.com/aedition/best-nonsurgical-skin-tightening-procedures) to help people limit the amount of injectables they get,” he shares.

The goal is to create the lift that patients desire without being as dependent on filler or needing it as frequently. “Emface is an answer to the demand that the market is calling for right now and the reason why non-invasive treatments – like [microneedling](https://aedit.com/procedure/microneedling), energy-based devices, and [lasers](https://aedit.com/procedure/nonablative-fractional-lasers) – are increasingly popular,” Dr. Frank explains. “I think Emface will add to that ethos of what technologies have done for the body in terms of being able to affect several aspects of the skin to minimize the need for other types of more invasive procedures.” For now, that’s all we know, so stay tuned for more.

## **2. For More Even Skin Tone**
- **The Treatment**: [Glacial® RX](https://glacialskin.com/)
- **The Technology**: Cryomodulation
- **Best For**: Improving melasma, rosacea, acne, uneven skin tone

**How It Works**: Cold temperatures have been used in body contouring for the past decade (think: [CoolSculpting®](https://aedit.com/procedure/cool-sculpting)), so the concept of harnessing the cold to improve a specific concern or condition is nothing new. However, what is innovative is the idea of cryomodulation – a proprietary cooling technology that normalizes melanin production while reducing inflammation. Glacial® RX is the first device to use the method, which temporarily freezes melanocytes to suspend melanin production and treat pigmented lesions, redness, and inflammation, says Bruce Katz, MD, a board certified dermatologist and the founder of [JUVA Skin and Laser Center](https://www.juvaskin.com/) in NYC. “It is also the first to use a cold probe to treat the skin,” he adds. 

If you are wondering how cryomodulation differs from a procedure like CoolSculpting®, they are targeting different things. CoolSculpting® freezes fat cells to permanently destroy them and reduce stubborn fatty areas like the stomach, thighs, and buttocks. Glacial® Rx, meanwhile “temporarily freezes melanocytes to suspend melanin production,” Dr. Katz shares. “When melanin production pauses, new cells form without new pigment, resulting in a [more evenly toned appearance](https://aedit.com/procedure/even-skin-tone-solutions) on the skin's surface.”

The downtime-free Glacial® Rx treatment takes 10 minutes or less and feels akin to a cooling facial, though it provides a long-term, anti-pigmentation effect that can last upwards of one year (with diligent sun protection). During treatment, a cold plate is manually applied to each area that needs to be addressed. The chill also takes down any puffiness and redness in the skin. Some minor side effects include erythema (redness), micro-crusting, and temporary darkening, all of which resolve independently. However, after two to three treatments over a few months, the full results are seen.

Speaking of results, Dr. Katz says the cooling technology immediately clears up congestion and skin dullness anywhere on the body. Over time, the benefits become more pronounced. “This new technology is the first FDA-approved dermatologic treatment to use cryomodulation to treat [dark spots](https://aedit.com/aedition/guide-to-hyperpigmentation-dark-spots-melasma),” he explains. “According to studies, physicians saw an improvement in 92 percent of patients at one-month follow-up.”

So far, patients receiving Glacial® Rx like the results they see. “The feedback is positive, and the results are pretty quick,” he says. Plus, because there's no downtime, he reports that those who have experienced the treatment like that they don't have to take time off of work or interrupt their lives to recover.

## **3. For Smoothing Out Dimples & Puckers**
- **The Treatment**: [Endosphères® Therapy](https://www.endospheres.com/)
- **The Technology**: Compressive microvibration 
- **Best For**: Tackling cellulite

**How It Works**: With the exception of [Qwo™](https://aedit.com/procedure/qwo) injections, cellulite treatment often calls for the septae bands that fat bulges out of to be severed or cut in some fashion. Now, there is another technology on the scene to offer an alternative. Instead of clipping said bands, the Italian-developed Endosphères® Therapy relies on stimulating blood flow while providing oxygenation and improving lymphatic drainage to smooth [cellulite](https://aedit.com/concern/cellulite).
 
This 100 percent non-invasive procedure tackles the underlying cause of cellulite dimples below the skin (rather than just the surface) via a so-called compressive microvibration method, which involves a roller device containing 55 silicon spheres that generate low-frequency mechanical vibrations. Pressure is a key component of the treatment, which helps to eliminate toxins and activate the lymphatic system. Together, the combination equates to longer-lasting smoothness.
 
But it's not just microvibration that targets cellulite. The technology simultaneously addresses organ function to treat the root cause of the issue. According to the company, a clinical observation of 656 patients improved cellulite by 39 percent – though there is a time commitment involved. One dozen 45-minute treatments are recommended to get smoother, dimple-free skin.

## **4. For a Snatched Jawline**
- **The Treatment**: [MyEllevate®](https://myellevate.com/)
- **The Technology**: ICLED® Surgical Suture System
- **Best For**: Defining & enhancing the jawline

**How It Works**: If a tauter neck and jawline are what you're after, then MyEllevate® – a minimally invasive treatment that targets a poorly defined jaw due to sagging skin and tissue  – may be for you. Created by board certified plastic and reconstructive surgeon [Gregory Mueller, MD](https://drgregmueller.com/), the hour-long procedure is different from other non-surgical under-the-chin solutions because it targets more than fat. Instead, MyEllevate® addresses platysmal banding *and* all of the fat under the chin (not a portion).

Historically, plastic surgeons have to ‘open the neck’ to address the bands surgically, says [Olivia MaDan, MD](https://aedit.com/provider/olivia-madan-md-34660), a board eligible plastic and reconstructive surgeon in Nashville. “With MyEllevate®, these bands can be released or cut without opening the neck since we suspend the skin and muscle as a composite around the mastoid fascia behind the ears,” she explains. While the treatment may sound somewhat similar to a [mini-facelift](https://aedit.com/procedure/minifacelift), it's not. Unlike a mini-facelift or any variation, MyEllevate® – which is best for patients in their forties with visible platysmal banding and skin laxity around the [neck and jawline](https://aedit.com/procedure/neck-and-jawline-definition-solutions) – does not require incisions or cuts on the skin, so there's no scarring. 

A fiber optic illuminated blunt probe is used via a small entry and exit point to pass a permanent suture at the precise depth below the skin to restore a youthful jawline and lower face and improve the profile. “This technology allows for the permanent percutaneous placement of sutures using a light guide to transilluminate beneath the skin,” Dr. MaDan explains. “The color of the light-guide shows the surgeon the plane which the suture passes.” For example, red indicates if the suture is too deep, while amber specifies that the sutures are in the correct placement plane. 

[Local anesthesia](https://aedit.com/aedition/awake-surgeries-without-general-anesthesia) is administered before the treatment to make it as comfortable as possible for the patient. “Eight one-millimeter incisions are made at key points through which the suspension suture passes to address the skin and platysma muscle," Dr. MaDan shares. “However, none of the access incisions require a closure, so there is normal scarring after the procedure just like other minimally invasive procedures like liposuction or skin tightening.” Speaking of lipo, it’s used to remove unwanted fat and facilitate suture placement. “It's much like drawing blood, which requires a small poke but not an incision,” says [Philip J. Miller, MD](https://www.drphilipmiller.com/), a double board certified facial plastic and reconstructive surgeon in NYC.
 
After the procedure, there may be a feeling of tightness around the neck that settles over time. “There is also a [compressive dressing](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) we apply after the procedure, and we request patients to wear a soft cervical collar to dissuade them from looking down,” Dr. Miller says. “The dressing is removed on day three and the collar after 10 days.” Bruising and [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) are also typical.

As far as maintenance goes, it's pretty much the same guidelines as most other rejuvenation procedures: take good care of the skin, stay out of the sun, maintain a healthy weight, and refrain from stretching the skin. “Supplementing the original MyEllevate® procedure with a skin-tightening procedure can also prolong the results,” Dr. Miller shares. The results from MyEllevate® should last about five years. “Of course, no procedure can stop natural aging and effects of gravity, and this procedure does not exclude someone from needing a [facelift](https://aedit.com/procedure/facelift-rhytidectomy) or [neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy) in the future,” Dr. MaDan says. 

## **5. For Breaking Up With Your Breakouts**
- **The Treatment**: [Plason](https://artemis.co/aesthetic-devices/plason)
- **The Technology**: Plasma energy & ultrasound 
- **Best For**: Treating acne-prone & oily skin

**How It Works**: We haven't seen a new in-office device that treats [acne](https://aedit.com/procedure/acne-solutions) in a minute, so this one brings lots of excitement. Plason by Artemis is an FDA-registered device that relies on an advanced version of [plasma technology](https://aedit.com/procedure/plasma-skin-resurfacing) to combat breakouts. 

Plason sterilizes the skin to eliminate acne-causing bacteria and germs while stimulating the skin's collagen-producing capabilities for firmer, clearer skin. It uses two different technologies – one is plasma energy (atmospheric low-temperature plasma) and the other is ultrasound technology, says Delaney Allen-Mills, director of partner training and quality at Artemis Distribution. “The real differentiation is the plasma,” she says. The device harvests plasma and then releases plasma radicals and ions into the skin, which attach to bacteria to kill it and create cleaner skin.
 
The quick five-minute, downtime-free treatment is most effective on [acne-prone skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) and requires a series of treatments. It is also ideal for oily skin types who want less oil production and fewer breakouts. One to two treatments (on average) is all it takes to improve the skin.
 
The treatment also significantly increases skin absorption rate, so you'll absorb 60 to 120 times more transdermal product to the depth of the dermis than you would from topical application alone, Allen-Mills says. Plus, it's safe to use Plason in conjunction with oral medications. While acne is the device's primary target, the treatment is also helpful for [wrinkles](https://aedit.com/concern/fine-lineswrinkles), [scars](https://aedit.com/procedure/acne-scar-solutions), and [pigmentation](https://aedit.com/aedition/guide-to-hyperpigmentation-dark-spots-melasma).
 
## **6. For Removing Loose Skin – Sans Surgery**
- **The Treatment**: [Ellacor™](https://www.ellacor.com/)
- **The Technology**: Micro-coring
- **Best For**: Minor skin laxity in the lower face

**How It Works**: Yes, it is now possible to remove unwanted skin sans surgery. The Ellacor™ procedure uses the proprietary technology of [micro-coring](https://aedit.com/aedition/dermal-micro-coring-benefits) to remove loose skin via hollow needles to improve wrinkles without evidence of scarring and with faster healing time than many energy-based treatments, says [Siamak Agha, MD](https://aedit.com/provider/siamak-agha-md-34668), a board certified plastic and reconstructive surgeon in Newport Beach, CA. 

While micro-coring sounds like it could produce results similar to a facelift, Dr. Agha says that what you'll see afterward is much subtler. “Each session (three in total are needed) removes a small amount of skin – about eight percent,” he explains. “So, even though we are removing less skin than a facelift, that skin removal can be increased substantially without any scars.” Additionally, micro-coring doesn't address the underlying muscles or fat like a surgical facelift. 

To date, the procedure has not been validated on darker skin types. It is currently only FDA cleared for patients who have minimal sagging and are [Fitzpatrick skin types](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types) I to IV. “Ellacor™ is designed for smaller areas of skin removal,” Dr. Agha shares. “But, with more research and development, we may extend this technology to larger areas in the future.”

## **7. For a Brighter, Tighter Face & Body**
- **The Treatment**: [Zaffiro](https://neauvia.com/product/zaffiro/)
- **The Technology**: Hydroexfoliation & near-infrared thermo-lifting
- **Best For**: Improving skin texture & firmness

**How It Works**: Energy-based tightening is nothing new and neither is the widely beloved [HydraFacial®](https://aedit.com/procedure/hydrafacial). But a device that combines the technology of [near-infrared (NIR) energy](https://aedit.com/procedure/infrared-skin-tightening) and hydroexfoliation into a single treatment is one for the books. Enter Zaffiro, which is a the first of its kind to incorporate thermal energy for skin tightening with hydroexfoliation (a.k.a. water peeling). “The hydro technology hydrates and exfoliates to blast the skin and give it a luminosity that improves tone and texture, which my patients love — they say their skin feels more rejuvenated from using it,” says [Jeanine Downie, MD](https://www.imagedermatology.com/), a board certified dermatologist in Montclair, NJ. “And near-infrared technology helps for skin tightening.” Suitable for all skin tones and types, a single session of Zaffiro is relatively comfortable and not too hot.

One of the most effective areas to treat with Zaffiro are the tiny lines around the mouth that appear when smiling and smokers' lines. But providers are already finding additional benefits. “Although I tend to use it more on the face, it can also be used off the face,” Dr. Downie says. This includes on the “soft part of the underarms” and for “tightening on the stomach, thighs, above the knees,” she notes. On the face, a series of four treatments are necessary for optimal results. Six sessions are recommended for the body, with regular maintenance for each.

By delivering a steady dose of gradual heating to the deeper layers of skin, the downtime-free treatment works to thicken collagen fibers, which encourages a tightening and lifting effect while improving skin elasticity and texture. In addition, dead skin cells are instantly removed for better penetration of topical ingredients, providing an immediate improvement in skin texture, clarity, hydration, and glow.

Coming soon to a doctor’s office near you.

Best New Non-Surgical Procedures In Aesthetic Medicine For Face, Body, Skin

7 New Non-Surgical Treatments You Need To Know About

shutterstock 597048095

Whether you call them cold sores or fever blisters, those who have experienced a herpes simplex virus (HSV-1) infection can feel their Spidey senses tingling before the effects even show. Oral herpes can be somewhat painful, though it’s mostly the connotation and aesthetic impact that leads many to cancel plans, feel shame, or turn to makeup as a means of covering up. 

According to the National Institutes of Health (NIH), about 90 percent of people have been [exposed](https://www.hopkinsmedicine.org/health/conditions-and-diseases/herpes-hsv1-and-hsv2/oral-herpes) to the HSV-1 virus by age 50, with 50 percent to 80 percent of adults in the United States believed to have oral herpes. All of this is to say that cold sores are quite common, but that doesn’t make them any less annoying to live with. Fortunately, they can be nipped in the bud if you strike the iron before it’s hot, and that’s what we’re exploring here today. From early treatment to medical care, here’s what the experts have to say about treating, preventing, and managing cold sores.

## **Understanding Cold Sores: Symptoms & Triggers**
Regardless of how you get the virus – be it through accidentally sharing utensils or a kiss – the small, fluid-filled clusters can happen to anyone at any age. More often than not, they are harmless. “It's important to remember that the majority of people have been exposed to herpes simplex, often in childhood,” says [Daniel Belkin, MD](https://www.nydermatologygroup.com/doctors/dr-daniel-belkin/), a board certified dermatologist at New York Dermatology Group in New York City. “So, a breakout may very well be a recurrence and unrelated to the most recent contact.” As he explains, HSV-1 is what typically infects the mouth area, while HSV-2 usually affects the genitals and is not as prevalent.

Cold sores can crop up for a variety of reasons. “Anything that impacts the immune response in the skin or creates injury in the skin can cause a breakout,” Dr. Belkin shares. While that sounds broad, those who’ve experienced a cold sore know how tricky it can be to understand the trigger. “[Sun exposure](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) can reduce the immune response in the skin and cause a breakout,” he explains. “Illness can reduce the immune response in the skin and also cause a breakout, giving us the names ‘fever blister’ and ‘cold sore.’” An outbreak can also be from conditions that impair the skin barrier, such as [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter) (more on that later). Lastly, Dr. Belkin notes that cosmetic facial treatments can play a role, too. “Especially around the mouth, [filler injections](https://aedit.com/procedure/dermal-filler-and-injectable-solutions), [lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing), and [microneedling](https://aedit.com/procedure/microneedling) can cause breakouts,” he adds. 

The symptoms of cold sores evolve over their lifespan. Early on in the process, many feel “redness, pain, swelling, and blistering,” says [Amy Spizuoco, DO](https://aedit.com/provider/amy-spizuoco-19341), a board certified dermatologist and founder of True Dermatology in NYC. An HSV-1 outbreak can last anywhere from three days to a week with no indication of how big it will be. As a result, the earlier you notice the warning signs, the better. Our experts say that as soon as the swelling and tingling appear, the clock is ticking to address it.

## **How to Treat Cold Sores**
There is no cure for HSV-1, but there are some treatment options that can treat symptoms and mitigate flareups. They include: 

### **Prescription Medication**
“The best way to treat a cold sore is to have some oral medication on hand and take it as soon as you have the feeling that a cold sore is coming,” Dr. Belkin shares. “When done this way, all you need is a day of medication, and then you are done.” Dr. Spizuoco says oral acyclovir and valacyclovir are both effective. 

If you don’t have a prescription at home already, we know that squeezing in a trip to the doctor may be difficult – but it’s likely worth the effort. “Unfortunately, I don't think anything over-the-counter is very effective, and I would recommend seeing a physician to get a prescription of oral antivirals to have on hand if you are someone who gets frequent cold sores,” Dr. Belkin explains. While he notes that OTC Abreva (docosanol) “can’t hurt” and may “shorten healing time by half a day or so,” he says it is “not super effective.”

For those who can’t get ahead of the cold sore, Dr. Spizuoco has good news. “In office, the blisters can be lanced or injected with cortisone to speed up the resolution,” she says. 

### **At-Home Remedies**
Dr. Belkin explains that, when it comes to at-home cold sore solutions, “there aren't any.” Many try cold compresses to soothe pain, but you should proceed with caution. “Using irritants to try to clean or dry the area will just lead to further breakdown of the skin and prolong healing time,” he warns. “Once the virus is no longer active, keeping the eroded area moist with Vaseline or Aquaphor can help it to heal.”  

For at-home prevention, leading a healthy lifestyle may seem like a vague task, but [adequate sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products), a [healthy diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin), and taking steps like wearing a [lip balm with sunscreen](https://aedit.com/aedition/best-lip-balms-with-spf) can help reduce the chances of a cold sore from developing in the first place. 

### **Avoid This**
Certain behaviors may be done with the best intentions but are blindly slowing the healing process, while others may be unknowingly triggering infection. Either way, here are doctors’ orders for what not to do: 

1. **Using Too Much Makeup**: “Cold sores are hard to cover up because they are textured, but I don't see a problem with dabbing on some foundation,” Dr. Belkin says. While a little can be great, layering too much (with [dirty brushes](https://aedit.com/aedition/how-to-clean-makeup-brushes-sponges)) can be detrimental. When applying, “wash your hands after, as cold sores are infectious and the virus can be spread to different parts of the face,” he cautions. To minimize its appearance or expedite the healing process, Dr. Spizuoco suggests [hydrocolloid patches](https://aedit.com/aedition/best-pimple-patches-to-treat-acne-breakouts-blemishes) to “conceal a cold sore.” Additionally, if lip gloss or lipstick is applied on the affected area, the product may be contaminated and lead to future breakouts.
2. **Eating That, Not This**: If you’re wondering if [diet](https://aedit.com/aedition/how-food-impacts-skin-aging) can impact the healing process, it absolutely can. Eat as cleanly as possible, and avoid spicy or acidic food and carbonated beverages. 
3. **Getting a Treatment**: This may seem self-evident, but it bears repeating: Aesthetic treatments, including [lip filler](https://aedit.com/procedure/temporary-lip-fillers), should be avoided until the skin is fully healed. “I would hold off on any of these if a patient had an active or healing cold sore,” Dr. Belkin advises. “Once the area is healed, we can proceed with treatment.” Even if you are not experiencing an active outbreak, share your medical history with your provider. “If a patient is prone to cold sores, I might administer some oral medication before the treatment for prophylactic purposes,” he adds.
4. **Sharing Utensils**: Sharing items that come in contact with a cold sore can lead to the other person getting the virus. For those concerned about when to share again, “cold sores are thought to be no longer infectious once the blistered or eroded skin is dried and crusted,” Dr. Belkin explains. But, to be safe, he recommends “waiting until the skin is re-epithelialized or healed over.” At that point, “the area may still be pink, but, if it feels like normal skin, it is fine to start sharing again,” he says.

## **How to Prevent Cold Sores**  
For many, prevention can mean leading a healthy lifestyle, but it's not a guarantee. As mentioned, there is no rhyme or reason as to what can cause an outbreak, but those who have the HSV-1 virus in their system will benefit from [regular exercise](https://aedit.com/aedition/best-fitness-classes-workouts-exercises-to-try-at-home), getting enough sleep, eating well, and taking care of themselves. 

For those with a weakened immune system or [eczema](https://aedit.com/aedition/comparing-eczema-vs-psoriasis), a diagnosis and tailored treatment will be beneficial for prevention, as this population may experience worsened symptoms. “The first breakout of cold sores is typically more severe than a recurrence,” Dr. Belkin explains. “If you think you may be having the first episode due to recent exposure, it would be a good idea to see a doctor to be evaluated and to be prescribed oral medication.” He emphasizes that “the sooner you start, the quicker the breakout will fade.” This, he says, minimizes “both embarrassment and the risk of [scarring](https://aedit.com/aedition/how-to-treat-every-type-of-scar).” 

## **The Takeaway**
Oral herpes might feel like an embarrassing condition that comes with social anxiety and some physical discomfort, but cold sores are common and can be addressed quickly with the right precautions. From medical intervention to rapid action, there are options for those with plans and no desire to cover up an unforeseen breakout. Consulting with a board certified dermatologist can help manage and treat current and future cold sores.

There’s never a good time to get a fever blister, but, when treated early, an outbreak doesn’t have to ruin your plans. 

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