Expert Roundtable on Skin Care Integration After Aesthetic Procedures: Consensus Recommendations
January 2025 | Volume 24 | Issue 1 | 47 | Copyright © January 2025
Published online December 16, 2024
Sabrina Fabi MDa, Monica Boen MDb, Mara Weinstein Velez MDc, Julie Ann Woodward MDd, Andrea Hui Austin MDe, Steven Dayan MD FACSf
aUniversity of California San Diego Medical Center, San Diego, CA
bCosmetic Laser Dermatology, San Diego, CA
cUniversity of Rochester Medical Center, Rochester, NY
dDuke University School of Medicine, Durham, NC
eBay Area Cosmetic Dermatology, San Francisco, CA
fUniversity of Illinois, Chicago, IL
Abstract
Currently, available technologies and procedures enable aesthetic dermatologists to provide their patients with beneficial treatment outcomes for a wide variety of skin conditions. These treatments range from laser resurfacing and radiofrequency procedures to chemical peels and microneedling. The concept of integrated skincare is based on the application of adjunct therapies before, during, or after cosmetic medical procedures to promote healing, minimize discomfort, shorten down-time, and enhance overall aesthetic outcomes. Numerous peer-reviewed studies have demonstrated the benefit of combining a variety of adjunct treatments with cosmetic procedures. The concurrent application of integrated skincare can improve these skin-related issues and provide patients with greater global outcomes. The primary objective of the following consensus roundtable was to discuss best practices for aesthetic providers with or without dermatological training when treating patients with aging skin complaints and review considerations for evaluating patients interested in cosmetic procedures with concomitant skin issues, such as skin dyschromias, lines, and wrinkles. A roundtable discussion was held by several notable experts in their field during a special addition to the Thriving in Diversity webinar series on Saturday, July 8, 2023. The discussion included four leading dermatologists, one oculoplastic surgeon, and one facial plastic surgeon who provided their clinical experience and consensus recommendations for applying integrated skincare in the aesthetic medical practice.
J Drugs Dermatol. 2025;24(1):47-53. doi:10.36849/JDD.7999
INTRODUCTION
Integrated Skincare
Numerous technologies and procedures are currently available to aesthetic dermatologists, enabling them to provide beneficial outcomes to their patients for a wide variety of conditions. Existing noninvasive treatments range from laser resurfacing and radiofrequency procedures to microneedling and chemical peels. Many patients presenting for aesthetic treatments may have concomitant skin disorders, such as acne vulgaris, rosacea, or melasma. In one study, the prevalence of acne among women was 50.9% for those aged 20 to 29 years, 35.2% for those aged 30 to 39 years, 26.3% for those aged 40 to 49 years, and 15.3% for those aged 50 years or older.1
The concept of integrated skincare is the application of adjunct therapies to promote healing, minimize discomfort, shorten down-time, and enhance overall aesthetic outcomes. Numerous peer-reviewed studies have demonstrated the benefit of combining a variety of agents before, during, and after cosmetic procedures. The concurrent application of integrated skincare can improve these skin-related issues to provide patients with greater global outcomes.
The primary objective of this consensus roundtable was to discuss best practices for aesthetic providers with or without dermatological training when treating patients with common aging skin complaints in an aesthetic clinic and review considerations for evaluating patients interested in cosmetic procedures with concomitant skin issues, such as acne, skin dyschromias, lines, and wrinkles.
MATERIALS AND METHODS
A roundtable discussion was held by six notable experts in their field during a special addition to the Thriving in Diversity webinar series on Saturday, July 8, 2023.2 Four expert dermatologists, one oculoplastic surgeon, and one facial plastic
