Treatments for the Maintenance of Healthy Skin and Aging Prevention

Whether you are a “virgin” to medical grade skincare and in-office treatments or you have already dipped your toes in the water, this blog is designed to help point you in the right direction when it comes to where to start in regards to keeping your skin youthful and healthy! 

Let me paint the picture…You are finally ready to start taking care of your skin. You are finally ready to invest in YOU! You would like to start with a few great preventative treatments. You are open to botox and filler but you want to look natural and not “overdone.” You are nervous, but ready to learn! You just want to age gracefully and do what you can to take care of your skin so that you don’t have regrets when you are older for not taking action sooner. Am I right!? I may or may not have heard this a time or two (or two thousand) over the last decade as a nurse injector!! 

So where do you start!? Here are my top 5 recommendations:

1. Medical Grade Skincare 

Let’s start easy. Medical grade skincare is the least invasive or manipulative. In medical grade skincare, the formulation of the products are scientifically designed to penetrate into the skin and to be able to yield real results. Medical grade is often very different from the drug store brands. There are no random filler ingredients – just high quality, active products that WORK. These products contain the perfectly crafted and tested mix of active products in a formulation that can be delivered with minimal to no irritation. That is what you are paying for. 

I wholeheartedly believe that you will get better results by buying 1 pricier product than you would by buying 5 bottles of the drug store version. Once you invest once you’ll know it’s worth it! Skincare is the perfect way to prep your skin for in office treatments as well as maintain results from those same treatments. This is the one thing you can do at home that makes a HUGE difference! 

“Okay but where do I get Medical Grade Skincare?! How do I know what to get?”

Whether you’re looking for anti-aging, acne treatment, or even pregnancy-safe regiments let me help! I offer complimentary consulting virtually and ship all over the USA! Fill out the skincare form on my blog. 

2. Botox  For Treating Expression Lines & Wrinkles

Racquel Frisella administering botox

Yes, what you heard was true, Botox is a muscle relaxer. But it isn’t permanent. Botox is used to prevent muscles from contracting because when the muscles contract they cause creases in the skin which turn into fine lines and wrinkles. Botox can be used to both prevent and reverse wrinkles in places like your forehead, crows feet and the ‘11s’ lines between your eyebrows. 

A Botox appointment generally starts with a discussion with the practitioner about what you need and what is best for you. The injections themselves will take around 5 minutes and then you’ll be on your way! Immediately after the procedure you may see a small red bumps at the injection site but it will likely be gone by the time you get to your car. 

You’ll notice the full effect of the relaxed muscles at the 7-10 day mark and then you will notice fine lines and wrinkles begin to slowly fade since the skin is not long being creased over and over and over. On average, the treatments last about 3-4 months. 

3. Fillers For Replacing Volume Loss

Racquel Frisella administering filler

Simply put fillers are an injectable hyaluronic acid gel that is used to replace this volume loss, fill in facial wrinkles and help restore a smoother appearance.

Fillers are commonly used in the lips, under eyes, cheeks, beside the nose or mouth, temples, jawline, acne scars, sleep lines and even ear lobes! I’m betting there are a few in that list you didn’t know about and that’s because more often than not we can’t tell when someone has had these treatments done. The biggest fear I see in my patients is looking ‘plastic’ or ‘overdone’. But hyaluronic acid is a naturally occurring carbohydrate in the body not only is it very safe but it’s also completely reversible! So when you see those people who look ‘overdone’ they chose that, and they have the option to reverse it!

There are quite a few brands of fillers and your practitioner will chose what is right for you based on the area they are treating and the consistency and longevity of the product. 

For more on Fillers read here. 

4. Intense Pulsed Light Therapy For Evening Skin Tone

Intense Pulsed Light therapy before and after

Intense pulsed light therapy is mainly used with the intent to reverse sun damage which, everyone has to some degree, it’s just more prominent on some people’s skin than others. IPL is a laser treatment but it does not cause any shedding or peeling of the skin. It is great for reducing rosacea or hyperpigmentation as well as stimulating collagen production.

You can feel the pulsed light and because of that a practitioner will apply a numbing cream. The sensation is similar to someone flicking your face. Not painful but slightly annoying. The treatment generally lasts about 10 minutes. After your treatment, the pigment will start to rise to the surface of your skin and flake off over the course of 5-7 days. One week post treatment you will be shocked at how clear and plump skin your skin will be!

More on IPL in this Everything You Need to Know blog. 

5. Microneedling with PRP For Improving Skin Texture


Whether you’re looking to treat large pores, scarring, or just wanting to have even and glowing skin texture, microneedling can drastically help. Microneedling involves making teeny tiny punctures to the skin to stimulate the growth of new cells and collagen production. The treatment requires taking a sample of your blood and applying it back into your skin. I know it sounds crazy but it works wonders. 

The reason we take the blood sample is to extract Platelet Rich Plasma (PRP) which is a miracle substance that your body is already creating. PRP is incredible for wound healing so by pairing the small micro-injuries with a healing plasma you are getting quite literally a new face of skin. Before this procedure the skin is numbed with a cream and most patients feel very little irritation during the microneedling. 

Skin will be red and a bit swollen after a microneedling treatment but healing time is minimal. 

If you’re serious about it read more about microneedling here

6. Dermaplaning + Hydrafacial For Exfoliation & Hydration

Hydrafacial technique

Both of these treatments are completely noninvasive with no down time. Like I said the treatments in this blog are more introductory and less intense 🙂 

Dermaplaning involves gently scraping your skin with a blade to remove the hair and dead skin. Nope, you won’t get cut and the hair won’t come back thicker don’t worry! You’ll be left with a clear surface for applying your skin care products! The treatment takes about half an hour and can be combined with a facial for added results!

A HydraFacial is a totally customizable medical grade facial. It’s so much more than just getting your face washed and exfoliated spa style. Hydrafacials are definitely relaxing but the techniques behind them are next level. A hydrafacial will extract, cleanse, detoxify and hydrate to improve skin quality, fine lines and wrinkles, pore size, and hyperpigmentation.

PS. If you’re getting a ‘hydra-facial ‘ or a ‘hydrating facial’ it’s likely not the same! The true HydraFacial treatment is administered with the trademark HydraFacial machine which includes a vacuum system, multiple suction and serum application heads and a monitor.

I have a few more details about dermaplaning and hydrafacials in this blog

Where to Begin with Clinical Skin Care Treatments 

You do not have to jump into everything at once! I always tell my patients the best thing you can do is pick a treatment or two that would fit your needs and goals and just get started. By starting maintenance treatments and just slowly mixing them all in over time you will continue to see drastic changes in your skin. Your skin will not completely change over night. It takes effort, patience, and compliance slowly over time to achieve skin goals. I always compare it to working out. You don’t get fit overnight, and if you completely stop working out you will slowly return to baseline. It is maintenance, but it is SO worth it to feel confident in your skin for the long haul.

Skincare is not one size fits all when it comes to products or treatments. Message me through the contact form on my website and tell me about your skin and your unique needs and I’ll give you some complimentary suggestions. 

Here for you!!


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Racquel Frisella

Board Certified Nurse Practitioner & Aesthetic Specialist based in Saint Louis, Missouri

I work as a cosmetic injector and skincare specialist with 12 years of experience in the Aesthetic Industry. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. I focus heavily on preventative and corrective injections, treatments, and skincare.  My career is my passion and I love to help people feel like the very best version of themselves. I am a wife and a mother of 3 beautiful children under the age of 3. I love all things beauty, fashion, and fitness. I am creating this site as a place to share my expertise on beauty, anti-aging, and skin while also giving a glimpse into my lifestyle as a mom, wife and lover of fitness!  


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