Image Credit: Huha | Unsplash

It’s stuck in your head (oh, oh, oh, Ozempic), it’s all over social media, and it’s all around you. Semaglutide treatments (a.k.a. Ozempic, Wegovy, Rebylsus) have taken the country by storm. [Oprah Winfrey, Amy Schumer, and Tracy Morgan](https://www.today.com/health/celebrities-on-ozempic-rcna129740) are just a few celebrities out of many who have jumped on the weight-loss drug bandwagon, but it’s not just for the rich and famous. Semaglutides are affording patients genuine results says [Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292), Board Certified Head and Neck Surgeon and Facial Plastic Surgeon. It is hard to overstate the positive effects semaglutides will have on the cosmetic as well as medical community with drastic improvemetns in both ones cosmetic appearance as well as cardiopulmonary health.   It seems like just about everyone in NYC is on some form of semaglutide, says [David Shafer, MD,](https://aedit.com/provider/david-shafer-md-153) a double board-certified plastic and reconstructive surgeon and founder of Shafer Clinic in New York City. But, what exactly are semaglutide treatments, and what’s available on the market today? For everything you could ever want to know about the crazed weight-loss drug, read on.

### **What is Semaglutide?**

While frequently used for weight loss, semaglutide is actually an antidiabetic medication commonly used to treat type 2 diabetes. The medication functions as a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 is a naturally occurring hormone that is responsible for several digestive functions, like triggering the release of insulin and sending satiety signals to the brain. When a GLP-1 agonist medication (either a semaglutide or tirzepatide) is taken, it mimics the hormone and triggers the same effects. So, a semaglutide will act the same way as a naturally-occurring GLP-1 hormone, signaling satiety and releasing insulin to signal the body to convert glucose (sugar) into energy. Because of that, semaglutide treatments work effectively to reduce appetite and, subsequently, food intake. 

“We are seeing a number of patients who simply can't shed that extra 10 to 15 pounds despite exercise and proper diet choices. In many cases, this program allows them to jump-start their weight loss and fine-tune the results they already have achieved,” says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board-certified plastic and reconstructive surgeon in Lone Tree, CO. 

### **Risk Factors of Semaglutide**

When it comes to deciding whether or not semaglutide for weight loss is right for you, you’ll want to first look at your medical history. In addition to those with a history of heart disease, [William Bruno, MD,](https://aedit.com/provider/william-bruno-md-625) a board-certified plastic surgeon in Beverly Hill, says semaglutide treatments are not for patients with a history of pancreatitis or thyroid cancer, those who are pregnant, those who have suffered from or are currently managing an eating disorder, or those with a BMI under 27. 

That being said, [Jamie Gabel, PA-C,](https://www.myadvitam.com/provider/jamie-gabel-ms-pa-c) a certified physician assistant at New York’s Advitamin at the Shafer Clinic, says that because there are so many variables, the best way to determine if you would or wouldn't be a good candidate for GLP-1’s is through a consultation. 

“At Advitam, we always perform a comprehensive consultation and dig into our patient's health history and daily routine first. Our assessment also involves blood work, body composition analysis, and physical exam and then from there, we can better determine which medications/peptides would be most advantageous. It's not a cookie-cutter approach at Advitam, it's a customized well thought-out program,” says Jamie Gabel.

### **The Big Three: Ozempic, Wegovy, and Rybelsus**

When it comes to semaglutide treatments, there are three main players on the market. The most well-known are Ozempic and Wegovy. The drug for both is the same (semaglutide), but they are prescribed with different doses and indications. While these two brands are injectables, there is also a semaglutide treatment in tablet form under the name Rybelsus. 

In addition to these three brands, a lot of practitioners will also compound semaglutide to personalize the treatment. “Compounding,” as Dr. Buford explains, effectively means that a specific drug is "compounded" or created by a specialized compounding pharmacy to match the exact formulation of the original drug. In this case, Ozempic and other GLP-1s can be compounded. When they are compounded, then they are referred to not by their trade name (e.g. Ozempic, Wegovy, or Rybelsus) but instead by their generic name (e.g. Semaglutide). From there, Dr. Buford says other additives, like vitamins and salts, can be added to create additional desired effects. 

At Dr. Buford’s practice, he offers a compounded semaglutide called Slim Shot because he finds it to be a more comprehensive approach to weight loss. “We know that our patients are going to lose weight and we also know that there will be changes to not only their overall body appearance but also more specifically to their skin, hair, nails, etc. So we discuss these anticipated changes early on and design a plan to specifically and proactively address these potentially unwanted ancillary changes so that as the weight comes off, our patients still look great. This is a big difference in our program as compared to many others that just focus on weight loss and not the patient's overall appearance,” Dr. Buford says.

### **Considerations of Semaglutide for Weight Loss**

When it comes to weighing the options (see what we did there?), there are a few things to consider. First, is budget and insurance coverage. Technically, Ozempic and [Rybelsus haven’t received FDA clearance for weight management](https://www.fda.gov/news-events/press-announcements/fda-approves-first-oral-glp-1-treatment-type-2-diabetes); the two have only been approved for people with type 2 diabetes. Wegovy, on the other hand, has been [FDA-approved](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) specifically for weight management. The FDA states that Wegovy is indicated for those with a BMI of 30 or greater or a BMI of 27 or greater if there are associated health problems, like high blood pressure, type 2 diabetes, or high cholesterol.

Unless you meet the requirements set by the FDA, your insurance will most likely not cover your semaglutide prescription. When using semaglutide specifically for weight loss, a lot of programs do not go through insurance. Instead, patients will have to pay out of pocket. Dr. Buford says that since many of his patients are not trying to lose a massive amount of weight and are not diabetic, their treatment wouldn’t be covered by insurance.

Another consideration is your lifestyle and preferences for medication. Ozempic and Wegovy are at-home self-injectables that you administer once a week. Rybelsus is available as a tablet to be taken orally, but it needs to be taken daily. Each brand has a different dosage, so some might work better for others.

As with any drug, there can be side effects when taking semaglutide medication. The most common side effects are nausea, diarrhea, vomiting, constipation, abdominal pain, headache, tiredness, upset stomach, dizziness, feeling bloated, belching, gas, stomach flu, and heartburn.

### **How Long Can Semaglutide be Taken?** 

Lastly, it’s important to discuss a long-term plan for your semaglutide treatment. Currently, there are no set guidelines for how long someone should be on a semaglutide, so it really depends on the individual. Dr. Shafer, for instance, shared that he has been on it for about a year and a half and has lost about 30 pounds. And, [Wegovy’s safety and efficacy trial](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) was over a 68-week period.

“From a patient perspective, I have learned new eating habits with smaller meals and avoidance of doughy foods which tend to cause some discomfort. So, no more bread, pasta, french fries, etc. Even if I miss a dose, I have learned to avoid those foods which has helped sustain my weight loss,” Dr. Shafer tells us. 

When stopping semaglutide, [research](https://pubmed.ncbi.nlm.nih.gov/35441470/) has shown that many patients gain the weight back since they often revert to their former lifestyles. So, if starting a semaglutide treatment, be aware that you’ll most likely need to have ongoing treatment for maximized results.

### **Experts Predict Semaglutide Treatments for Weight Loss are Here to Stay**

**Dr. Shafer:** Semaglutides and related treatments are definitely a game changer in the weight loss and plastic surgery world. As more understanding and protocols are developed we will see expanded uses and safety profiles. We have seen tremendous growth in our metabolic center, Advitam, at Shafer Clinic. Patients are becoming more sophisticated and understand that beauty and health start at the metabolic level so treating from the inside out is just as important as the external treatments we are performing for them. 

**Dr. Buford:** The GLP-1s are here to stay and we have only seen the tip of the iceberg in terms of their benefits. My prediction is that this sector is going to be the next BOTOX. What started as a drug for diabetics and more massive weight loss is now being used by many centers like mine for not only isolated weight loss but also before and after body contouring surgeries to effectively get at fat that surgery just can't reach. In doing so, we are seeing even better results with this combinative approach and I foresee that the entire category of GLP-1's are going to grow in popularity over time and become a more common part of our approach to total body rejuvenation. 

**Dr. Bruno:** I do believe that this class of injections for weight loss, as well as other peptides, is here to stay and more options will be available to patients over the course of the next few years. There will also be more clinical data available to support their use.

**Dr. Kennedy:** The remarkable weight loss resulting from Semaglutides use has resulted in drastic improvements in people's appearance as well as in their overall health. Exciting adoption of the drugs happens seemingly daily with most recently the Centers for Medicare approving coverage of the drug for patients with elevated cardiac risk factors. Semaglutides are the real deal and are certainly here to stay.

### **The Bottom Line**

GLP-1’s, specifically semaglutide, have completely transformed the weight loss industry. With a daily tablet or a weekly injectable, patients have experienced life-changing results. Just keep in mind that even though these treatments are miracle workers, you’ll still have to maintain a similar lifestyle to keep the weight off! 


Expert Opinion

A Comprehensive Guide to Medical Weight Loss Drugs

 The Current Skinny on Semaglutides

A Comprehensive Guide to Semaglutide: The Current Skinny on the World's Favorite Weight Loss Drug 

Unsplash/Manny Moreno  - Bye Bye Cellulite, Hello Avéli 

Being a woman has a lot of benefits; on average, we [live longer](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7829786/) and have a [higher pain threshold](https://nypost.com/2019/01/11/women-have-a-higher-pain-threshold-than-men-study/) (sorry, boys). But, there are plenty of negatives associated with being female. There’s the obvious: childbirth; the unjust: the gender pay gap; and then there’s the ugly… cellulite. And, while we hate to even mention the C word, [nearly 90%](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324940/) of us women experience it.

Even though cellulite is omnipresent, it’s been hidden and hushed about for years. But lately, celebs like [Demi Lovato, Olivia Munn, and Ashley Graham](https://people.com/health/celebrities-who-celebrate-stretch-marks-cellulite/) are showing off their natural bodies, cellulite and all. And, brands are also joining the body positivity movement to promote inclusion and acceptance of all body types and appearances. The topic has been so heavily discussed that sometimes the media makes us feel guilty if we don’t fully embrace our natural selves. But, even if we know cellulite is ubiquitous and a normal part of being a postpubertal woman, sometimes we just can’t (or don’t want to) accept it. That’s why doctors are excited about [Avéli®](https://aedit.com/procedure/avelir), one of the newest innovations in cellulite treatment, as a way to help restore their patients’ confidence. 

## **What is Cellulite?**
Cellulite is the dimpling or puckering that occurs around the thighs, buttocks, and hips. While it mostly affects women, about 10% of men suffer from cellulite too. While many find it unattractive, cellulite is completely harmless. It forms when fibrous bands of connective tissue (aka as the septa) contract, tethering the skin to the muscle and pushing the fat upward. Researchers are still trying to determine what causes cellulite, but it is commonly believed that hormones, skin elasticity, genetics, and weight distribution play a substantial role. 

## **There Hasn’t Been a Good Cellulite Treatment…Until Now** 
At times, it seems like plastic surgeons and dermatologists can do the impossible; they can smooth away fine lines and wrinkles, tighten trouble areas, or add volume when we need a little oomph. But, when it comes to cellulite, [professionals have been stumped](https://www.plasticsurgery.org/news/articles/why-is-cellulite-so-hard-to-address-and-what-are-my-options) for decades.

Doctors have approached cellulite correction a number of different ways over the years: microneedling (Cellfina), radiofrequency (VelaShape and Emtone), laser (Cellulaze), and injectables (QWO). But, none of these treatments come without flaws. Some have intense bruising, others require multiple sessions, and, overall, aren’t the most efficacious. 

“Previous strategies were riddled with incomplete releases or not targeting the root cause,” Dr. Hustak adds. “This coupled with bruising and downtime without results, left patients dissatisfied.” 

Enter Avéli®, a recently FDA-cleared cellulite treatment that doctors are saying is a total game changer. 

## **The Technology has Advanced by Leaps and Bounds** 

With so much trial and error over the years, Avéli® seems to be the long-awaited answer for an effective cellulite treatment. Or, as [Kristi Hustak, MD, board-certified Plastic Surgeon, says](https://www.kristihustakmd.com/meet-dr-hustak/), “it’s a revolutionary piece to the puzzle as we look at cellulite.” 

According to [Mary-Margaret Kober, MD, FAAD, board-certified Cosmetic Surgeon and Dermatologist](https://www.jackzamoramd.com/dr-mary-margaret-kober), and Dr. Hustak, the two main advantages of Avéli® are its advanced precision and ability to verify the release of the dimple during the procedure. Furthermore, Avéli® minimizes downtime, provides proven results in a single treatment, and, so far, has shown significantly greater efficacy. 

“The ability to target specific fibrous bands causing cellulite and verify their removal sets Avéli® apart from the competition and offers a promising leap forward in the treatment of cellulite,” Dr. Kober tells us. “Having used multiple cellulite treatments in the past, I can confidently say that Avéli® is the first treatment for cellulite that truly works.” 

“Aveli® is unique among cellulite treatments in that it allows targeted incision and release of each individual septa causing a dimple,” says board certified Head & Neck Surgeon and fellowship trained Facial Plastic Surgeon, [Dr. William Kennedy, MD, board-certified Head & Neck Surgeon and Facial Plastic Surgeon](https://aedit.com/provider/william-kennedy-md-26292), and Founder of AEDIT MedSpa™. “Although, unlike other techniques that use single-use thermal mechanism of septa release such as Cellulaze, Avéli® does not promote collagen production and is a simple release of tethering causing a dimple.”

So, how does Avéli® work? It’s a minimally-invasive hand-held device that has a light blade to cut the complex fibrous networks that are responsible for causing cellulite dimples. When a patient comes to the office for the Avéli® treatment, Dr. Kober says she marks the cellulite dimples and applies a numbing solution (tumescent anesthesia) to the targeted areas. From there, the Avéli® device is advanced under the skin and methodically releases the fibrous bands that cause each dimple. The unique thing about Avéli® is that physicians are able to confirm whether or not all of the offending fibrous bands have been cleared. This is what Dr. Kober and Dr. Hustak say really sets Avéli® apart and truly contributes to its exceptional results.

## **Most patients need a multimodal approach for smoother skin**

When it comes to treating cellulite with Avéli®, Dr. Hustak says that the ideal candidate has dimpled cellulite over the buttocks, back of thighs, or outer thighs even at their leanest. Unfortunately, this is the type of cellulite that isn’t going away with exercise or fat loss. 

More often than not, Dr. Hustak says patients are experiencing cellulite along with low skin elasticity, volume and muscle loss, and increasing fat pockets. “These aspects need to be addressed to improve results and that requires a multimodal approach,” Dr. Hustak tells The AEDITION. “Skin tightening devices, liposuction, biostimulatory fillers, and fat can all be used to improve results, and often at the same time.”

In Dr. Kober’s practice, the team often uses a combination of Avéli® for cellulite and [Attiva](https://www.attivarf.com/) for skin tightening, as a way to address skin laxity concerns. “Depending on the patient and her needs, we also employ liposuction to address fat pockets or fillers, such as [Sculptra](https://www.sculptrausa.com/?utm_campaign=2023paidsearch&utm_source=google&utm_medium=cpc&utm_content=Exact-CONS&utm_term=sculpta&utm_id=SCUL2023JVEPDZ99YO&c3apidt=p77177680451&gad_source=1&gclid=CjwKCAjw7-SvBhB6EiwAwYdCAcjEwDqiDoLqQ_m64VbZyEVQeqJ8F3s6G2PaBYfs3PsDn2v5q7gOexoCY5MQAvD_BwE&gclsrc=aw.ds), to increase volume. We are able to combine multiple modalities in a single treatment,” Dr. Kober shares.

Because Avéli® solely targets cellulite, not skin laxity or volume, results will vary from person to person. Dr. Hustak says that the more severe and deep the dimples, the less dramatic the results overall. This is because some of the deeper dimples might have volume missing under them, which would benefit from a touch of filler. That being said, Dr. Hustak and Dr. Kober both report that their patients have been happy with the improvements and feel more confident in their skin.

## **Conclusion**

For those of us who have been wanting to say farewell to cellulite for years, Avéli® might be the final piece to the puzzle. While we support the media's messaging around loving our bodies "as-is," we also acknowledge that approach doesn't work for everyone and are firm believers that the pathway to becoming your most confident self should be solely up to you. Regardless of if plastic surgery is involved, we believe in empowering people in their desire to enhance their natural beauty. At the end of the day, shouldn’t we all feel happy and comfortable in our skin? 








Expert perspective on the distinctive qualities of Avéli® and its departure from conventional cellulite treatment approaches.

Understanding What Sets Avéli® Apart Fom Other Cellulite Treatments

Bye Bye Cellulite, Hello Avéli®

shutterstock 1412178767

*Feel like you need a dictionary every time you look at the ingredient list of a beauty product? Still unsure of the difference between retinol and retinoids? What about the unique benefits of vitamins B, C, and E? Are alpha and beta hydroxy acids the same thing? The skincare aisle can be overwhelming, but you don’t need a PhD in cosmetic chemistry to navigate it. With expert help, The AEDITION is demystifying and simplifying the beauty industry — [one label at a time](https://aedit.com/aedition/category/read-the-label).*

When you think of treating [dry skin](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), what skincare ingredients come to mind? If shea butter is at the top of your list, there's a good reason for it. The gentle yet deeply nourishing ingredient is found in many [moisturizing creams](https://aedit.com/aedition/best-body-creams-lotions-balms-for-every-skin-concern) and products thanks to its ability to tackle everything from skin conditions (think: [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter)) to aesthetic concerns (i.e. [uneven skin texture](https://aedit.com/concern/uneven-skin-texture)). Thanks to its versatility, shea butter is likely already in your vanity – but do you know just how beneficial the botanical really is? In order to learn more about the wonder ingredient, we’re asking skincare experts for their take.

## **What Is Shea Butter?**
Shea butter is a fat that is extracted from the nut of the vitellaria paradoxa (a.k.a. karite or shea tree), which is found in many countries across the African continent, including Ghana, Benin, Mali, Nigeria, Ethiopia, and Uganda. It’s [extracted](https://www.worldagroforestry.org/news/huge-potential-shea-nigeria) from the nut of the tree through crushing, roasting, and grinding and then separated from the resulting paste by kneading and mixing with water.

Shea butter has been used for centuries as a medicine, lotion, cooking oil, [decongestant](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1429586/), waterproofing wax, and wood treatment (to name a few). In today’s beauty and personal care, the butter is used in its natural state or as part of a larger formula. Finding the right shea butter product will depend on your preferences and skincare routine. Shea butter on its own takes the form of a rich, balm-like moisturizer. When formulated with other ingredients – often oils and butters like coconut, avocado, and cocoa – it can be found in creams, lotions, soaps, conditioners, and more.

## **The Benefits of Shea Butter in Skincare**
Shea butter is so valuable to the skin because it’s “rich in triglycerides with multiple fatty acids, including oleic, stearic, linoleic, and palmitic fatty acids,” says Krupa Koestline, clean cosmetic chemist and founder of [KKT Consultants](https://www.kktconsultants.com/). It’s also packed with vitamins (specifically, [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [vitamin D](https://aedit.com/aedition/guide-to-vitamin-d-in-skincare-wellness), and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)) and skin barrier-boosting allantoin.

![Shea Butter Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/2cKnc32KRn6lkKYGy9ZOly/fe38613980159d4bd0f021f446f43bab/Shea-Butter-Skincare-Benefits-Infographic.jpg)

If you’re wondering why shea butter works so well as a moisturizer, Koestline points out that it is an emollient due to its high lipid content. “It helps add lipids back into your skin barrier, it has good water-binding properties, and it also absorbs rapidly into the skin,” she explains. “It helps keep the skin moisturized for a long time.” And, while you wouldn’t consider shea butter an ‘anti-aging’ ingredient, per say, the hydrating benefits can have a smoothing and plumping effect on crepey or wrinkled complexions. The antioxidant-rich butter can also improve skin tone and texture.

## **The Best Candidates for Shea Butter**
Shea butter is a good idea for pretty much anyone who is looking for lasting moisture, but people with dry skin will benefit the most from the hydrator. Because of its [anti-inflammatory properties](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796020/), Koestline says that shea butter can be used to treat or soothe certain skin conditions. “It’s shown to help improve eczema and help speed up wound healing — but only when it’s been refined,” she notes. [During pregnancy](https://aedit.com/aedition/most-common-skin-hair-conditions-during-pregnancy), shea butter can be used to hydrate and relieve the itchiness that accompanies expanding skin, which, in turn, can [help prevent stretch marks](https://aedit.com/aedition/how-to-minimize-stretch-marks) from forming. 

Who isn’t a candidate for shea butter? People with [oily skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) may want to avoid using the botanical on the face and instead focus on the body. Furthermore, it is possible that those with tree nut allergies may have a reaction to products with shea butter. In such cases, be sure to talk to your healthcare provider before introducing the ingredient. A patch test may also be helpful.

## **How to Add Shea Butter To Your Skincare Routine**
Shea butter isn’t known to negatively interact with any other ingredients, and it doesn’t affect sun sensitivity (although you should be wearing [sunscreen](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) regardless!). This means that you can slide shea butter into any part of your skincare or body care routine.

If you choose to try shea butter in its natural form, it should be used as your final moisturizing step. [RA Cosmetics](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fshop.racosmetics.com%2F100-Pure-Shea-Butter-16oz-0148.htm) has a 100 percent natural, unrefined shea product from Ghana that I personally vouch for, while [Bulk Apothecary](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.bulkapothecary.com%2Fraw-ingredients%2Fwaxes-and-butters%2Fpure-shea-butter-bulk%2F) offers refined versions. Shea butter is also found in moisturizers like the [SheaMoisture Raw Shea Butter Body Lotion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fraw-shea-butter-body-lotion-xlsImpprod6390709), [Karité Hand Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mykarite.com%2Fproducts%2Fhand-cream-3-4-fl-oz), [Nessa Body Saviour](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fnessas-body-saviour), and [Paula’s Choice Skin Restoring Moisturizer with SPF 50](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.paulaschoice.com%2Fresist-skin-restoring-moisturizer-with-spf-50%2F797-7970.html). 

You can also look to products like the [Kopari Super Suds Soap Bar](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fkoparibeauty.com%2Fproducts%2Fsuper-suds-moisturizing-soap-bar%3F) for your shea butter fix, as it works especially well for those who deal with dryness from head to toe and want to cleanse without further stripping their skin. [Tata Harper’s Bio-Barrier Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fbio-barrier-serum), meanwhile, uses shea butter, evening primrose oil, and [squalane](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair) to smooth skin and minimize the appearance of fine lines and wrinkles. There are also a number of lip balms (hi, [Public Goods](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.publicgoods.com%2Fproducts%2Fcopy-of-lip-balm-0-05oz%3Fvariant%3D34054579028106)) and even deodorants (here’s looking at you, [Hello](https://www.hello-products.com/product/sage-eucalyptus-deodorant/)) that contain shea butter. 

The world is really your oyster here!

## **The Takeaway**
Whether you use it alone or as part of a larger formula, shea butter is one of the most nourishing ingredients around. It has many historical uses that are still in practice today (think: treating wood, protecting cuts, and as a cooking oil), but it’s most commonly used as a moisturizer thanks to its high lipid and fatty acid content. Shea butter plays well with others, which means it can be added to any part of your routine during which you wish to banish dry skin.

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

Beauty

Looking for an all-natural way to keep your skin hydrated all day long? Here’s what you need to know about shea butter – skincare’s most underrated ingredient.

Guide To Shea Butter In Skincare For Dry Skin, Eczema, Moisturizing

Read The Label: All Of Your Shea Butter Questions Answered

A noninvasive procedure that stimulates new collagen production resulting in more youthful appearing skin.

Microneedling

Infini™ RF

Microneedling with PRP and Stem Cells

Microneedling with Radiofrequency (RF)

Trifecta Therapy

Fine Lines & Wrinkles

Acne Scars

Large Pores

Facial Skin Laxity

- <a href="#overview">Overview</a>
- <a href="#cost-recovery">Cost & Recovery</a>
- <a href="#before-after">Before & After</a>
- <a href="#candidate">Candidates</a>
- <a href="#care">Before & After Care</a>

## Summary
Microneedling is a noninvasive procedure that utilizes microneedles to address minor skin concerns such as skin laxity, fine lines, wrinkles, scarring, acne scarring, stretch marks, and skin discolorations. 

It creates a more youthful, refreshed complexion by making tiny punctures, or micro-injuries, in the skin that stimulates the body’s natural healing properties to begin generating an increased amount of collagen and elastin. 

The release of these properties aid in repairing the texture and resiliency of the skin. A microneedling treatment may also be referred to as “percutaneous collagen induction” or “collagen induction therapy” for its reliance on new collagen production. 

Several methods expound upon this technology, varying the procedure types, and giving you a greater selection of procedures that can best meet your specific skin concerns.

<h2 id="overview">Overview</h2>

Microneedling + PRP (Platelet-Rich Plasma) utilizes a combination of microneedling and a platelet concentration derived from the patient’s blood. 

This type of microneedling may also be referred to as a “vampire facial” or “collagen induction therapy”. Microneedling + RF (Radiofrequency) focuses on encouraging collagen growth and tissue tightening via heat energy. 

While there are many combinations of Microneedling + Serum Therapies available, this article specifically discusses a popular variation that incorporates Stem Cell Growth Factor Serum. A Microneedling + PRP + Stem Cells procedure follows a similar format as Microneedling + PRP but adds the step of applying Stem Cell Growth Factor Serum on top of the treated skin. 

Each of the procedures is performed using a microneedling device that either rolls across the skin or utilizes a pen-like system to create the micro-injuries necessary for stimulating new collagen production. 

A DermaRoller®, or similar rolling treatment device, is equipped with several microneedles that are approximately 0.1-0.25mm in diameter. This device gently rolls over the area being treated and penetrates approximately 2mm deep into the outer layers of the skin (epidermis). 

A DermaPen® is a pen-like device in which the microneedles are positioned on the tip of the device and the micro-injuries are delivered in a pinprick fashion. The needles of this device and all microneedling device variations are also approximately 0.1-0.25 in diameter. 

The micro injuries left behind from each device variation lead to a release of growth factors, trigger the wound healing cascade and aid in mechanically breaking down scar tissue. The neovascularization (development of new blood cells) and neocollagenesis (production of new collagen) result in aesthetically pleasing results without significant recovery time, as the epidermis is not destroyed by this process. 

With the popularity of microneedling on the rise, more and more companies have been releasing at-home devices. You should use extreme caution in this approach as improper use could lead to damaging results. Unlike professional microneedling devices, at-home variations are much less invasive, utilize smaller needles and will leave you with less noticeable results. Because the devices are less invasive, at-home users may try to use a more aggressive approach and cause damage in the areas they are trying to treat. 

For example, you might press too hard, resulting in blood draw and potential scarring. Also, unless you are hypervigilant about sterilizing your at-home device, you might inadvertently use an unsanitary device and transmit harmful bacteria into the areas you are attempting to treat. 

If you do choose to look into an at-home microneedling device, make sure that you have done your homework on the devices available. You will want to purchase a high-quality device that repeatedly receives good reviews. 

Before making any purchases, though, it is highly recommended that you consult with a professional medical provider who can advise you the best approach for your specific and unique skin. Despite the growing number of treatments available, you only have one skin in your lifetime, and it is always better to protect it than risk injury. 

<h2 id="cost-recovery">Cost & Recovery Overview</h2>

One of the biggest factors concerning cost usually revolves around the provider you choose to perform your procedure. Microneedling offers you the ability to choose from several different, highly-trained medical professionals, meaning that you have greater say in the total cost of your treatments. 

Although it varies from state-to-state, microneedling can be performed by plastic surgeons, dermatologists, nurse practitioners (NPs), and in some states, aestheticians who operate under the supervision of a physician. This list is not necessarily all-encompassing, however, the providers in your geographical location will be able to give you the most accurate information according to your specific state laws. 

Microneedling procedures use topical anesthesia and cost anywhere from $100-$1,100 per session with minimum recovery lasting 1 day to 1 week, making it is a powerful way to achieve skin cell rejuvenation with minimal downtime. The results of a microneedling procedure are long-lasting and can continue for up to 5 years, however, they are not permanent. 

Maintenance treatments are typically necessary about once a month. You should be prepared to experience minor redness, shedding (peeling), and dry skin associated with your microneedling treatment. These are all a normal part of the skin’s healing process and will resolve quickly. 

<h2 id="before-after">Before & After Overview</h2>

Before your microneedling session, you will need to avoid anything that exacerbates the issue of dry skin. This includes medication such as Accutane®, which will need to be avoided for 6 months before your microneedling procedure, and any topical drying agents (retinol, benzoyl peroxide 3, etc.). You will also want to avoid any laser procedures or anything that removes hair from the treatment area, including shaving, for 5-7 days before treatment. 

You are unable to have active cold sores at the time of your treatment and will most likely need to reschedule your session after the sore heals and your provider has prescribed an antiviral medication to combat any further flare-ups in the treatment area. Sunburns, excessively sensitive skin, and dermatitis are not compatible with microneedling as they will affect the quality of the procedure. 

Inflammatory rosacea is also not compatible as skin types with this condition may not be able to tolerate the microneedling procedure. For any of these concerns, you will want to let your provider check your skin to determine the best course of action. 

<h2 id="candidate">Would I be an Ideal Candidate?</h2>

Microneedling is ideal for those wishing to improve the appearance of superficial acne scars, minor burn scars, and other post-traumatic scars, or for those wanting to improve minor skin imperfections including fine lines, wrinkles, skin laxity, scarring or uneven skin tone/texture. It is safe for most skin types and tones and, unlike other skin rejuvenation techniques, is safe and effective for darker skin types as well. 

This technique is not recommended for those who have used Accutane® within 6 months, have open wounds or skin infections in the area, have had radiation treatment within 1 year, or for those who are pregnant, breastfeeding, or have a history of keloid scars. It is also not recommended for those with extremely sensitive skin. 

<h2 id="benefits">Microneedling Procedure Types and Benefits</h2>

The goal of a microneedling procedure is to target minor imperfections of the skin with tiny pinpricks made by fine, microneedles that create micro-injuries in the skin and trigger the release of growth factors, activating the wound healing process.

This cycle stimulates the production of new collagen and elastin, your skin’s skin healing properties, which work to create younger looking, tightened, more rejuvenated skin. Through a rolling (DermaRoller®) or pen-like (DermaPen®) device, a provider can use the microneedling technique by itself or combine it with platelet-rich plasma, radiofrequency, stem cells or other serums specifically designed to enhance your results. The specific procedure types are outlined below: 

__Microneedling__ ($100-$550 per session)
Microneedling utilizes microneedles that are approximately 0.1-0.25 in diameter to create micro-injuries in the outer layer of your skin (epidermis). These micro-injuries initiate the body’s natural healing properties to repair the micro-injuries, resulting in visible improvements in the texture and resiliency of your skin. Y

ou will sometimes hear this procedure referred to as “collagen induction therapy” or “percutaneous collagen induction” due to its reliance on new collagen to deliver results. 

The entire process lasts about 20-45 minutes and only requires the use of a topical anesthetic, applied after your skin has been thoroughly cleansed. Although it can be done on its own, microneedling is now often combined with other therapeutic medications or serums to further enhance your results.

__Microneedling + PRP__ ($350-$1,100 per session)
This type of procedure combines microneedling with platelet-rich plasma (PRP) and is sometimes referred to as a “vampire facial” or as “collagen induction therapy”. PRP, platelet-rich plasma, is a formula derived from your blood. 

Your provider or a medical assistant will withdraw a vial of between 5-15ml of blood from a vein in your arm that is placed into a centrifuge, where the formula is created in about 15 minutes. The centrifuge spins to isolate the platelets and activate the release of growth factors that stimulate healing in your tissues. 

While waiting for your PRP formula to be created, a practitioner will use either the rolling or pinprick technique to penetrate about 2mm deep into the dermis of the treatment area. Performing the microneedling before applying the PRP prepares your skin to absorb the serum. 

It is normal to experience some tightness after your treatment, but this will quickly resolve as your skin adjusts and rebuilds. Activating the build-up of collagen in this way quickly improves fine lines, skin texture and scars, allowing you to experience softer skin and immediately noticeable results.

__Microneedling + RF__ ($250-$1,000 per session)
This microneedling procedure adds radiofrequency to the microneedling process through the use of a flow needle technology which allows radiofrequency energy to reach multiple layers below the skin’s surface during the time the microneedling device is moving across your skin. This heat energy reaches into the dermis, the second layer of your skin that houses collagen, which is effective in stimulating the body’s natural healing processes. 

__Microneedling + PRP + Stem Cells__ ($600-$700 per session)
Microneedling with platelet-rich plasma and stem cells is a powerful way of targeting minor skin concerns such as pore reduction, scars, acne, mild wrinkles and skin discoloration (hyperpigmentation and melasma). Like microneedling + PRP, your microneedling + PRP + stem cells session will utilize a platelet-rich plasma created from your blood. 

After an initial blood draw, your blood sample will be siphoned through a centrifuge to create a growth factor stimulating formula. Once the treatment area has been numbed, your provider will pass a microneedling pen over the skin to create microchannels over which the PRP will be applied. The final step will be the application of Stem Cell Growth Factor Serum, which will take place after the microneedling and PRP are complete. Both the PRP and the Stem Cell Growth Factor Serum are clear and should stay on the skin for the remainder of the day. 

<h2 id="care">Before and After Care</h2>

Before your microneedling session, you will want to take care to avoid over drying your skin and may need to refrain from using skin care products that might be a part of your routine, such as topical drying agents. These include such things as exfoliants, topical antibiotics, retinoids, benzoyl peroxide, and hydroquinone and should be avoided beginning 3 days before your procedure. 

You will also need to avoid taking Accutane for at least 6 months before your microneedling appointment and notify your provider if you have a history of cold sores as you will need to begin taking an antiviral agent 2 days before treatment to avoid any potential flare-ups. You are not able to have a microneedling procedure with active cold sores, warts, sunburns, excessively sensitive skin, dermatitis or inflammatory rosacea within the application area.

The day after your microneedling treatment, you can resume cleansing your face and can apply lotions, topical products, and makeup as usual, although you will want to refrain from exfoliants or glycolic acids as these excessively dry out the skin. You will notice skin dryness, flaking, and shedding for 2-7 days following your procedure. This is normal and is due to an increased turnover of skin cells. You may still apply your regular skin moisturizer, though, and will begin noticing smoother, more radiant skin within a week after the procedure. 

The only variance from these instructions is for those who have had a microneedling + PRP. For microneedling + PRP, you will need to avoid washing your face for 5-24 hours post-treatment. After that period, you will need to wash the treatment area with tepid water as this will remove all serums and dried blood. 

Also, refrain from using sunscreen or makeup for 12 hours. After the initial 48-72 hours, you can resume your regular skin care regimen. Retinol products are strongly suggested to use for optimal results but avoid alcohol-based toners for 10-14 days and refrain from any excessive sun exposure for 10 days.

microneedling treatment

Microneedling Treatment

Skin

Microneedling, also known as collagen induction therapy (CIT) and skin needling, is a noninvasive procedure that stimulates new collagen production. Using microneedles, tiny punctures induce collagen and elastin production, resulting in more youthful appearing skin. The release of these properties aid in repairing the texture and resiliency of the skin. Microneedling addresses minor skin concerns such as skin laxity, fine lines, wrinkles, acne scarring, stretch marks, and skin discolorations.

I'm really excited to see my results from my treatment because I've been struggling for a long time with this older kind of chickenpox scars. I also have some active acne breakouts like what's going on here on my forehead. And I've heard really great things about the treatment and I'm hoping I could see some results that way. In terms of preparation for the treatment, I didn't really change my routine at all. Just doing my basic daily skin care. Topical products like cleanser and moisturizer at night in the daytime and also some skin. So, John, you have anything on your skin that moment, or is it really clean?  No. Okay great, so what I'm gonna do is I'm gonna take some topical numbing. Going to numb your skin. We're going to leave it on there for about 30 minutes. Now you sit for about 30 minutes. Feels Okay? All right. Perfect. How's that feel? I don't really feel anything. Ok. Just the pressure. So what this is doing is creating micro injuries into the skin around all those micro injuries. It's stimulating the collagen, but it's also helping to introduce that serum deeper into the skin. I'm really excited to try out this treatment because I'm a huge skin care fan, so I'm always open to trying out new and exciting treatments. And I've heard really good things about this, not only from my doctor, my dermatologist, but also my friends who have tried it in the past. Still feeling pretty comfortable? Mhm. A little more sensitive around the boarders other than the eyes and the hair it's really not bad. I would recommend for somebody who maybe is doing it for the first time and isn't sure how they're skin would respond to try and do it on a day where you don't have to have any commitments the next day early. That way, if there's any chance of reaction or anything unusual for someone with sensitive skin, they have a little bit of buffer time. For about three days, it felt kind of rough like sandpapery, while it was healing. And then all of that skin kind of exfoliated off. And then I had a fresh layer of new skin that felt a little bit more luminous and smooth, and I definitely noticed a difference after even just one treatment. The technician who performed treatment recommended about one treatment every four weeks in a series of three, so I plan to have one again any day now. 

AEDIT

AEDIT

John shares his journey to clear up his acne scarring with a microneedling procedure.

August 01, 2023

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From The AEDITION

John shares his journey to clear up his acne scarring with a microneedling procedure.

August 01, 2023

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Video Transcript

From The AEDITION