My skin care routine:
A. I tried many retinols but have always came back to use a retinol called Altreno. It is one of the more high end prescription retinols, however, it completely doesnāt irritate my skin (and anecdotally doesnāt irritate most peoples skin) and works wonderfully. This is because it is formulated to contain a blend of Hyaluronic Acid, Natural marine collagen, and Glycerin in addition to the Tretinoin. I definitely see an improvement in fine lines, skin texture, minimized pores , and reduction of blackheads/whiteheads. With GoodRx the large tube of 45g , which would last you 5 months+ , costs about $120. Altreno | The Evidence | Ortho Dermatologics
B. Although I am relatively young, I still do a Forever Young BBl by Sciton on my face once to twice a year. The results are incredible. In a week, any sun spots on my face, sun damage, rosacea, facial veins, etcā¦ all dissapear. The cost should be about $400 per treatment. The results are maintained for the whole year as long as you wear a zinc-oxide sunscreen to prevent further sun damage and take care of your skin. If you can spare the expense to have it done once a year, I highly recommend.
C. Although, I donāt reccomend chemical sunscreens for a multiple of reasons: xenoestrogens, oxybenzone, endocrine disruptors, etcā¦ , I do support the use of and personally use zinc-oxide sunscreens from EltaMD for anti-aging reasons and definitely after retinol or facial laser use as the skin is more prone to sun damage and irritation.
D. For moisturizers, I rotate between a HA moisturizer, water cream, or beef tallow balm.
E. In regard to mesotherapy, skin and hair mesotherapy is quite common in many clinics in Europe. For example, for androgenic alopecia many clinics in Europe (especially in Spain and Portugal) inject for hair mesotherapy a mix of 1ml of .01 sterile dutasteride with 2-3ml of a silica, amino acid, vitmain + mineral blend such as RRS XL hair. Usually the injection consists of a 30-32g needle with 20-30 small injections over the scalp (obviously depending on the area of the diffuse thinning). The injection is usually 4mm deep to reach the hair bulb and is done once every 3 months. No need to worry about systemic effects of dutasteride when directly injected into the scalp as the literature has reported nil systemic effects. I personally do this treatment every 2-3 months with fantastic results and 0 change in my serum DHT as the dutasteride inhibits the binding affinity of DHT to the hair follicle locally on the scalp which prevents the follicle miniaturization. The whole treatment takes around 20 minutes and cost around 100 - 150 euros. This treatment is rarely done in the US and if so it is usually 6-10x the cost than that in the EU for subpar quality.
For women with hair loss, the hair mesotherapy is done without the dutasteride , meaning just with the silica, amino acid, vitmain + mineral blend as the root cause is different and is rarely androgenic alopecia.
Here are some studies:
If you have any questions, please let me know.