Dr. Amanda Holden continues the Five Pillars of Aging series with Pillar Four: skin quality. Many people think they are seeing wrinkles when what they are actually noticing is a change in the way the skin reflects light, holds texture, shows pigmentation, and maintains brightness.

She breaks down what skin quality really means, including sun damage, brown spots, redness, pore size, texture, crepey skin, acne scars, fine lines, and overall radiance. With so many treatment options available, from microneedling and RF microneedling to IPL, chemical peels, fractional lasers, and CO2 resurfacing, it is easy for patients to feel overwhelmed by choices they do not fully understand.

Dr. Holden explains why patients do not need to become experts in every device or technology. The goal is to work with a provider who understands skin type, goals, lifestyle, downtime tolerance, and where someone is in the aging process. Aging intentionally means choosing the treatment that is right for your skin, not simply chasing the newest or most powerful option.

 

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