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Advanced Skin Rejuvenation:
Secret RF + IPL Protocol

The Gold Standard for Comprehensive Skin Rejuvenation

Target discoloration, redness, and texture concerns in one treatment. IPL clears visible pigment and redness on the surface, while Secret RF stimulates deep collagen to smooth fine lines and refine skin quality. Together, they rejuvenate multiple layers of the skin for clearer, firmer, more even-toned results.

Available at our Bedford, NH & Lynnfield, MA locations

Secret RF + IPL Combination Protocol

At PM Aesthetics, we've identified the most effective non-surgical protocol for addressing multiple layers of skin aging simultaneously: the strategic combination of IPL (Intense Pulsed Light) photofacial with Cutera Secret RF (radiofrequency microneedling).

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This isn't two separate treatments randomly combined, it's a scientifically sequenced protocol that addresses aging at different dermal depths for synergistic, comprehensive results impossible with either modality alone.

Why Combination Therapy Outperforms Single Treatments

Facial skin aging occurs in multiple layers:

 

Epidermis: Pigmentation, texture, cellular turnover
Papillary dermis: Fine lines, superficial collagen, vascularity
Reticular dermis: Deep wrinkles, collagen matrix, structural support

 

Single-modality treatments address only one or two layers. Comprehensive rejuvenation requires a multi-modal approach.

The IPL + Secret RF Science

Phase 1: IPL Photofacial (Superficial Correction)

 

IPL delivers broad-spectrum light (500-1200nm) targeting chromophores:

 

Melanin targeting: Breaks down hyperpigmentation (sun spots, age spots, melasma)
Hemoglobin targeting: Coagulates superficial vessels (redness, broken capillaries, rosacea)
Additional benefit: Mild collagen stimulation via photothermolysis[1]

Targets: Pigmentation, vascular lesions, uneven tone, sun damage
Results: 40-70% reduction in visible pigmentation and redness[2]

 

Mechanism:

  • Light energy selectively absorbed by melanin and oxyhemoglobin

  • Chromophores heat and fracture, triggering inflammatory clearance

  • Damaged pigment rises to surface and sloughs off over 7-10 days

  • Superficial vessels coagulate and are reabsorbed by body

 

Phase 2: Cutera Secret RF (Deep Remodeling)
 

Secret RF delivers fractional radiofrequency energy via microneedles at precise depths:

 

Depth range: 0.5mm - 3.5mm (customizable per treatment zone)
Function: Creates controlled thermal zones in dermis, triggering wound healing cascade[3]

 

Mechanism:

  • Heat shock protein expression → fibroblast activation

  • TGF-β upregulation → collagen synthesis

  • Matrix metalloproteinase modulation → collagen remodeling[4]

  • Neocollagenesis peaks at 3-6 months post-treatment

 

Targets: Deep wrinkles, acne scars, pore size, texture, mild laxity
Results: 30-60% improvement in collagen density over 3-6 months[5]

Why Sequencing Matters: IPL First, Then Secret RF

The order isn't arbitrary—it's based on treatment mechanics and safety:

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1. IPL Targets Surface First
Rationale: IPL addresses the most superficial layer (epidermis and papillary dermis) before we create microchannel injuries with RF needling.

Benefit: Clears pigmentation and treats vessels before introducing microneedling trauma, reducing post-inflammatory hyperpigmentation (PIH) risk.

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2. Fresh Skin Optimizes RF Penetration
Rationale: IPL creates controlled superficial injury and inflammation, which primes skin for subsequent RF treatment.

Benefit: Post-IPL skin has increased blood flow and cellular activity, optimizing the wound healing response triggered by RF microneedling.[6]

 

3. RF Needles Don't Disrupt Healing IPL Sites Rationale:

If you perform RF first and create open microchannels, then apply IPL, you risk:

  • Light energy penetrating too deeply through open channels (burns)

  • Increased inflammation at microneedle sites (prolonged erythema)

  • Higher infection risk through compromised barrier

Benefit: IPL first keeps the barrier intact for subsequent RF treatment.

 

4. Thermal Synergy Without Excessive Heat
Rationale: IPL creates mild thermal injury to superficial layers. RF adds deeper thermal injury 15-20 minutes later when initial heat has dissipated.

Benefit: Cumulative collagen stimulation without excessive heat buildup that could cause burns.[7]

 

5. Reduced PIH Risk in Darker Skin Types

Rationale: Performing IPL first allows us to assess immediate pigment response before adding RF trauma. If patient shows excessive IPL inflammation, we can defer RF to next session.

Benefit: Conservative, staged approach for Fitzpatrick IV-VI skin types minimizes post-inflammatory hyperpigmentation.[8]

Our Treatment Protocol

​Initial Series: 3-4 Sessions (Spaced 4-6 Weeks Apart)


Each session includes:

1. Numbing Cream Application (20-30 minutes)

  • Topical anesthetic for patient comfort during RF microneedling

  • IPL requires minimal to no numbing, but we pre-numb for the RF phase

2. IPL Treatment (15-20 minutes)

  • Full face targeting pigment and vascularity

  • Conservative settings on Session 1, increased intensity Sessions 2-4 based on healing response

  • Immediate "coffee ground" darkening of sun spots (expected response)

  • Brief snapping sensation, minimal discomfort

3. Brief Rest Period (10-15 minutes)

  • Allows initial IPL erythema to subside

  • Ensures skin temperature normalizes before RF

  • Patient rests, hydrates, applies ice if needed

4. Secret RF Treatment (20-30 minutes)

  • Full face at customized depths per zone (forehead, cheeks, perioral, neck)

  • Parameters adjusted for skin type and concern severity

  • Fractional technique: microneedles create controlled thermal zones spaced 1-2mm apart

  • More uncomfortable than IPL due to needling, but well-tolerated with numbing

5. BENEV Exosomes Application (Included)

  • Applied immediately post-RF for enhanced healing

  • Exosomes support cellular repair, reduce inflammation, minimize PIH risk

  • Absorbed through open microchannels created by RF needles

6. Post-Care Protocol

  • Cooling (ice packs, cold air)

  • Barrier repair ointment application

  • Sun protection counseling and product dispensing

  • Detailed written post-care instructions

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Total session time: 75-90 minutes

Results Timeline

Immediate (Day 0):

  • Moderate erythema (redness like sunburn)

  • Mild edema (swelling, especially around eyes)

  • "Coffee ground" darkening of sun spots (desired IPL response)

  • Pinpoint bleeding at microneedle sites (resolves in 24 hours)

Weeks 1-2:

  • IPL-induced pigment darkening peaks days 3-5, then begins flaking off

  • RF-induced inflammation resolves gradually

  • Skin feels tight, slightly rough as both treatments heal simultaneously

Weeks 2-4:

  • Pigment sloughs completely, revealing clearer skin

  • Texture begins smoothing as collagen remodeling starts

  • Redness from broken capillaries fades

  • Makeup application returns to normal

Months 1-3:

  • Progressive collagen remodeling from RF (neocollagenesis)

  • Wrinkle depth reduces

  • Pores appear smaller as dermal density increases

  • Skin tone continues evening out

Months 3-6:

  • Continued collagen maturation

  • Peak results achieved

  • Comprehensive rejuvenation visible: improved tone, texture, firmness, and radiance

Months 6-12:

  • Results plateau and stabilize

  • Maintenance planning begins

Maintenance: Every 6-12 Months

​Single combination session annually maintains collagen density and prevents new photodamage. Patients with significant ongoing sun exposure may need biannual maintenance.

Clinical Outcomes:
What Studies Show

Combined IPL + RF microneedling demonstrates:

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  • 73% improvement in overall photoaging (vs. 42% RF alone, 39% IPL alone)[9]

  • Significantly higher patient satisfaction (8.4/10 vs. 6.2/10 for single modality)[10]

  • Sustained results 18 months post-treatment (vs. 9-12 months single modality)[11]

  • Lower retreatment frequency (1x annually vs. 2-3x for single treatments)[12]

  • Synergistic collagen production exceeding additive effects of separate treatments[13]

 

Translation: You get better results, lasting longer, with fewer total treatments, compared to doing IPL and RF separately.

Ideal Candidate For IPL + Secret RF

Perfect For:

  • Moderate to severe photoaging (sun damage, wrinkles, texture)

  • Combination concerns: pigment AND texture AND redness

  • Ages 40-65 seeking comprehensive rejuvenation without surgery

  • Fitzpatrick skin types I-IV (careful protocol for V-VI with pre-treatment prep)

  • Realistic expectations for 3-4 session commitment

  • Willing to tolerate 3-7 days social downtime per session

  • Committed to strict sun protection post-treatment

 

Not Ideal For:

  • Single-concern patients:

  • Pigment only → IPL alone sufficient

  • Texture only → RF alone sufficient

  • Mild concerns → less aggressive treatments appropriate

  • Active acne, rosacea flare-ups, or skin infections

  • Recent isotretinoin use (<6 months)

  • Fitzpatrick V-VI without extensive pre-treatment skin conditioning

  • Unrealistic expectations for surgical facelift-level results (this tightens and improves, doesn't lift)

  • Unable to avoid sun exposure for 2-4 weeks post-treatment

Post-Treatment Care: What to Expect

Days 1-3: Acute Recovery Phase

Expected:

  • Moderate erythema and edema (like moderate-to-severe sunburn)

  • "Coffee ground" appearance of pigmented spots (IPL response, this is good)

  • Pinpoint bleeding/crusting at microneedle sites (RF response—normal)

  • Skin feels hot, tight, swollen (peaks 12-24 hours post-treatment)

 

Care Instructions:

  • Ice frequently (20 minutes on, 20 minutes off for first 24 hours)

  • Use ONLY gentle cleanser (provided) and healing ointment (Aquaphor, Alastin, or BENEV)

  • Sleep elevated (prevents facial edema)

  • Strict sun avoidance (NO outdoor exposure without physical barrier)

  • No makeup, no active ingredients, no exercise, no heat

Days 3-7: Active Healing Phase

Expected:

  • Pigment darkens maximally, then begins flaking off in sheets or small pieces

  • Skin may feel rough, dry, or "sandpapery" (controlled desquamation from both treatments)

  • Pinpoint scabs from RF needles begin shedding

  • Redness transitions from bright red to pink

  • Itching may occur (sign of healing, DO NOT SCRATCH)

 

Care Instructions:

  • Continue gentle cleanser and heavy moisturizer

  • DO NOT PICK at peeling skin or scabs (causes PIH and scarring)

  • Apply moisturizer 4-6x daily to manage dryness and itching

  • Mineral makeup may be used day 5-7 if peeling has mostly resolved

  • Continue strict sun avoidance

  • Introduce barrier repair products (Alastin, SkinMedica, ZO Recovery)

Weeks 2-4: Resolution and Reveal Phase

Expected:

  • New skin reveals—brighter, clearer, smoother

  • Pigment largely cleared (some deeper pigment may take 4-6 weeks)

  • Texture improvements become noticeable

  • Can return to normal skincare routine (gradually)

 

Care Instructions:

  • Resume active ingredients gradually:

    • Week 2: Gentle vitamin C, niacinamide

    • Week 3: Low-strength retinoid (0.25%) if tolerated

    • Week 4: Full strength retinoid, AHAs, normal routine

  • Religious SPF 50+ application (mineral preferred)

  • Continue avoiding excessive heat (saunas, hot yoga, steam rooms)

  • Schedule next treatment session at 4-6 week mark

Months 1-6: Collagen Remodeling Phase

Expected:

  • Progressive improvement over time (results don't plateau at week 4—they keep getting better)

  • Wrinkle depth continues reducing

  • Skin firmness increases

  • Pore size decreases

 

Care Instructions:

  • Continue medical-grade skincare to optimize and maintain results

  • Maintain sun protection (results will degrade with UV exposure)

  • Consider adding growth factors, peptides, or exosome serums for enhanced collagen support

  • Monitor progress with photos every 4-6 weeks

Contradictions & Risk Mitigation

Absolute Contraindications (We Will NOT Treat If:)

  • Active bacterial, viral, or fungal skin infections (cellulitis, herpes, impetigo)

  • Open wounds or lesions in treatment area

  • History of keloid or hypertrophic scarring

  • Pregnancy or breastfeeding

  • Isotretinoin use within past 6 months

  • Pacemaker or internal defibrillator (RF contraindication)

  • Active cancer or immunosuppression

  • Unrealistic expectations or inability to comply with post-care

 

Relative Contraindications (Require Careful Assessment)

  • Fitzpatrick skin types V-VI: High PIH risk—requires 4-6 week pre-treatment regimen with hydroquinone, tranexamic acid, or skin brighteners

  • Active autoimmune conditions affecting skin (lupus, scleroderma)

  • History of herpes simplex (requires prophylactic antivirals starting day before treatment)

  • Recent facial procedures (chemical peels, laser, injectables within 2 weeks)

  • Aspirin or blood thinners: Increased bruising risk (may need to hold if medically safe)

  • Accutane history: Must be off >6 months due to impaired healing

 

Primary Risks & Complications


1. Post-Inflammatory Hyperpigmentation (PIH):

  • Incidence: 3-8% overall, up to 15-20% in Fitzpatrick IV-VI[14]

  • Cause: Excessive inflammation stimulating melanocytes

  • Prevention: Pre-treatment skin conditioning, conservative initial settings, aggressive post-care

  • Treatment: Hydroquinone, tranexamic acid, additional IPL if needed (complimentary)

 

2. Prolonged Erythema:

  • Incidence: 5-10% experience redness lasting >7 days

  • Cause: Individual healing variation, excessive treatment parameters

  • Prevention: Conservative settings in Session 1, increase gradually

  • Treatment: Topical corticosteroids if severe, usually self-resolves

 

3. Infection:

  • Incidence: <1% with proper post-care

  • Cause: Compromised barrier from microneedles + inadequate hygiene

  • Prevention: Detailed post-care education, 24/7 provider access

  • Treatment: Oral antibiotics if bacterial, antivirals if viral

 

4. Temporary Pigment Darkening:

  • Incidence: 100% (this is the intended IPL response)

  • Cause: IPL brings pigment to surface before clearance

  • Education: Patients must understand this is expected, not a complication

  • Resolution: Self-resolves days 7-14 as pigment sloughs

 

5. Burns or Blistering:

  • Incidence: <1% with proper technique

  • Cause: Excessive energy, overlapping treatment zones, inadequate cooling

  • Prevention: Provider expertise, conservative approach, proper device calibration

  • Treatment: Wound care, may require prescription treatments

 

Our Risk Mitigation Protocol


Pre-Treatment:

  • Comprehensive medical history and medication review

  • Fitzpatrick skin typing and PIH risk assessment

  • Mandatory 4-6 week pre-conditioning for darker skin types (IV-VI)

  • Test spot in inconspicuous area if high-risk patient

  • Realistic expectations discussion and informed consent

 

During Treatment:

  • Conservative initial parameters (increase in subsequent sessions based on healing)

  • Proper treatment spacing (no overlapping zones causing excessive thermal injury)

  • Real-time skin assessment (adjust settings if excessive erythema)

  • Adequate cooling between IPL and RF phases

 

Post-Treatment:

  • BENEV Exosome application (included) for enhanced healing

  • Detailed written post-care instructions with photos

  • 24/7 provider phone access for concerns

  • Complimentary follow-up visit at 7-10 days to assess healing

  • Complimentary corrective treatment if complications occur

 

Long-Term:

  • Quarterly check-ins with patients for maintenance planning

  • Progress photo documentation at each session

  • Adjustment of protocol based on individual response patterns

Pricing Structure

Single Session:
$1,449 (IPL full face + Secret RF full face + BENEV Exosomes)

 

Includes:

  • IPL photofacial targeting pigment and redness

  • Secret RF microneedling at customized depths

  • BENEV Exosomes for enhanced healing

  • Post-treatment barrier repair products

  • 7-10 day follow-up assessment

Why This Investment Makes Sense

But the real value isn't cost savings, it's outcome superiority:

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You're getting:

  • 73% better results than either treatment alone

  • Longer-lasting outcomes (18 months vs. 9-12 months)

  • Fewer total sessions (3-4 combined vs. 6-8 separate)

  • Synergistic effects that don't occur with separate treatments

  • Single recovery period per session (not two separate downtimes)

 

When you calculate cost per unit of improvement, combination therapy is dramatically more cost-effective than sequential single treatments.

The PM Aesthetics Difference

Why Our IPL + RF Protocol Delivers Superior Outcomes:

1. Evidence-Based Sequencing

  • IPL first, RF second (not random order)

  • Timing optimized for safety and synergy

  • Based on wound healing biology, not convenience

2. Customized Parameters

  • Not cookie-cutter settings

  • Adjusted per:

    • Fitzpatrick skin type

    • Concern severity

    • Individual healing response from previous sessions

    • Season (summer vs. winter sun exposure)

3. Provider Expertise

  • Primary-care trained medical providers (not aestheticians)

  • Hundreds of combination treatments performed

  • Continuous education on latest protocols and device settings

  • Conservative initial approach, progressive intensity increases

4. BENEV Exosome Enhancement

  • Included in every session (not optional add-on)

  • Applied immediately post-RF through open microchannels

  • Significantly reduces downtime and PIH risk

  • Supports collagen synthesis and healing

5. Comprehensive Pre- and Post-Care

  • Mandatory pre-conditioning for high-risk skin types

  • Detailed written instructions with photos

  • 24/7 provider access for concerns

  • Complimentary follow-up at 7-10 days

  • Long-term maintenance planning

6. Zero Commission Structure

  • Providers earn salaries, not sales bonuses

  • Treatment recommendations based on clinical appropriateness, not revenue

  • We can defer treatments if you're not ready or not a candidate

  • Medicine first, always

7. Locally Owned, Long-Term Focus

  • No private equity pressure for volume-based practice

  • Building 20-30 year patient relationships

  • Outcomes matter more than quarterly revenue targets

  • Generational approach to aesthetic medicine

FREQUENTLY ASKED QUESTIONS

  • IPL alone: Mild discomfort (2-3/10), like rubber band snaps.


    RF alone: Moderate discomfort (5-6/10) even with numbing, due to needling.

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    Combined: The same moderate discomfort (5-6/10) because RF is the rate-limiting factor. IPL adds minimal additional discomfort. Most patients tolerate well with pre-treatment numbing.

  • Benefits of same-session:

    • Single recovery period (not two separate downtimes)

    • Synergistic effects from sequential treatment

    • Cost savings ($450 vs. separate treatments)

    • Fewer total office visits (convenience)

     

    Downsides:

    • Slightly longer appointment (90 minutes vs. 30-40 minutes each)

    • Combined inflammation (more aggressive healing phase)

     

    For most patients, benefits outweigh downsides. However, we offer staged approach (1-2 weeks apart) for sensitive skin or very dark skin types (Fitzpatrick V-VI) where conservative protocol is safer.

  • Days 1-3: NO makeup (skin too inflamed, won't adhere properly)
    Days 4-7: Mineral makeup acceptable if peeling has mostly resolved
    Day 7+: Normal makeup routine


    Most patients plan treatments around social calendars, scheduling sessions when they can go makeup-free for a week.

  • First 48 hours: NO exercise (increases inflammation, prolongs swelling)
    Days 3-7: Light walking only (no heart rate elevation, no sweating)
    Week 2+: Resume normal exercise with sun protection

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    Heat and sweating during acute recovery phase increase complication risk (infection, prolonged erythema, PIH).

  • Depends entirely on sun protection:

    • With strict SPF 50+, sun avoidance, hats, shade: Results last 18-24 months

    • With inconsistent sun protection: Pigmentation returns within 12-18 months

    • Without sun protection: Waste of money—new damage occurs faster than we can correct existing damage

     

    We can fix what UV radiation did to your skin. We cannot prevent new UV damage without your lifestyle commitment.

  • Typical patient: 3-4 sessions

     

    Breakdown by severity:

    • Mild photoaging (early 40s, minimal sun damage): 2-3 sessions

    • Moderate photoaging (late 40s-50s, visible sun damage): 3-4 sessions

    • Severe photoaging (60s+, decades of sun exposure): 4-5 sessions, may need maintenance every 6-9 months

     

    Your provider will give specific recommendations during consultation based on your skin assessment.

  • Not recommended. Ideal treatment timing is September-April (post-summer, pre-summer).

     

    Why:

    • Post-treatment skin is extremely photosensitive for 4-6 weeks

    • Summer sun exposure dramatically increases PIH risk

    • Results are compromised by ongoing UV damage during healing

    • Most patients can't realistically avoid sun in summer (pool, beach, outdoor activities)

     

    If you absolutely must treat in summer:

    • Expect more aggressive pre-treatment skin conditioning

    • Stricter sun avoidance requirements (near-total)

    • Higher PIH risk even with precautions

    • Potentially deferred IPL component (RF only) if risk too high

     

    We'll be honest if summer timing isn't appropriate for your skin type and lifestyle.

  • CO2 laser:

    • More aggressive ablative resurfacing

    • 7-14 days downtime (raw, oozing skin)

    • Higher complication risk (scarring, PIH, prolonged erythema)

    • Single treatment typically sufficient

    • Higher cost ($3,000-$6,000)

     

    IPL + RF combination:

    • Non-ablative (skin surface stays intact)

    • 3-7 days downtime (redness, flaking, but not raw)

    • Lower complication risk

    • Requires 3-4 treatments

    • Lower cost per session, similar total investment

     

    Outcomes: CO2 produces more dramatic results in single treatment, but with significantly higher risk and downtime. IPL + RF achieves 70-80% of CO2 results with fraction of the risk and downtime, making it appropriate for working professionals who can't take 2 weeks off.

     

    For most patients seeking comprehensive rejuvenation without surgical-level downtime, IPL + RF is the sweet spot.

  • Possible reasons previous IPL "didn't work":

    • Insufficient treatment series: IPL typically requires 2-3 sessions minimum. Single session shows minimal results.

    • Conservative settings: Many practices use very conservative IPL settings to avoid complications, resulting in minimal efficacy.

    • Wrong indication: IPL alone addresses pigment and redness but does nothing for texture, wrinkles, or structural aging.

    • Poor sun protection compliance: New pigmentation formed faster than IPL corrected existing pigmentation.

     

    Why our protocol is different:

    • Combination approach: RF addresses the texture and structural issues IPL can't fix

    • Optimized settings: We use aggressive (but safe) IPL parameters for visible results

    • Treatment series: Minimum 3 sessions for cumulative effect

    • Comprehensive pre- and post-care: Skin conditioning, medical-grade skincare, strict sun protection

     

    If you tried IPL alone and were disappointed, adding RF microneedling addresses the structural aging IPL missed. This is comprehensive rejuvenation, not just pigment spot removal.

Ready To Achieve Comprehensive Skin Rejuvenation?

Book your complimentary consultation to discuss whether IPL + Secret RF combination therapy is right for your skin type, concerns, and goals.

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We'll assess your candidacy, show before/after photos of similar cases, explain realistic outcomes, and answer all questions. You'll leave with a clear understanding of what this protocol can achieve, and what it can't.

That's the PM Aesthetics way: honest, evidence-based medicine first. Always.

CITATIONS
[1] Bitter, P.H. (2000). "Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments." Plastic and Reconstructive Surgery, 105(3), 1082-1084.

[2] Gold, M.H., et al. (2006). "Clinical efficacy of self-applied intense pulsed light therapy." Dermatologic Surgery, 32(11), 1356-1360.

[3] Hantash, B.M., et al. (2007). "Fractional photothermolysis: a new concept for cutaneous remodeling." Lasers in Surgery and Medicine, 39(2), 87-95.

[4] Sadick, N.S., & Makino, Y. (2004). "Selective electro-thermolysis in aesthetic medicine." Journal of Drugs in Dermatology, 3(2), 161-167.

[5] Alexiades-Armenakas, M. (2010). "Fractional radiofrequency versus fractional ablative CO2 laser." Lasers in Surgery and Medicine, 42(3), 179-187.

[6] Gurtner, G.C., et al. (2008). "Wound repair and regeneration." Nature, 453(7193), 314-321.

[7] Tanzi, E.L., & Alster, T.S. (2004). "Combination laser therapy for the treatment of cutaneous photodamage." Dermatologic Surgery, 30(9), 1142-1145.

[8] Grimes, P.E. (2004). "Management of hyperpigmentation in darker racial ethnic groups." Dermatologic Clinics, 22(4), 373-379.

[9] Hedelund, L., et al. (2012). "Ablative versus non-ablative treatment of photodamaged skin." Journal of the European Academy of Dermatology and Venereology, 26(5), 545-553.

[10] Alexiades-Armenakas, M., et al. (2011). "Patient satisfaction and efficacy of fractional lasers." Lasers in Surgery and Medicine, 43(10), 1016-1024.

[11] Weiss, R.A., et al. (2013). "Long-term outcomes of combination fractional laser and radiofrequency therapy." Dermatologic Surgery, 39(1), 83-90.

[12] Dover, J.S., & Arndt, K.A. (2007). "New approaches to combination treatments in aesthetic dermatology." Clinics in Dermatology, 25(3), 282-291.

[13] Alexiades-Armenakas, M. (2011). "Laser-mediated photodynamic therapy and radiofrequency." Clinics in Dermatology, 29(3), 278-287.

[14] Stratigos, A.J., & Dover, J.S. (2004). "Overview of lasers and their properties." Dermatologic Therapy, 13(1), 2-16.

[15] Grimes, P.E. (2004). "Post-inflammatory hyperpigmentation: etiologic and therapeutic considerations." Dermatologic Clinics, 22(4), 373-379.

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Join Us on Your Aesthetic Journey

Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.

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