This is a case of a 73-year-old, Fitzpatrick skin type IV female of Indian origin who presented with visible signs of ageing. Her main concerns were uneven skin tone and hyperpigmentation, as well as an overall tired appearance. The hyperpigmentation was moderate in severity, consistent with her Fitzpatrick type and a significant history of unprotected sun exposure in her younger years. On examination with a Wood’s Light, the pigmentation was predominantly epidermal with some dermal patches. The patient had previous history of cosmeceutical use, but no history of aesthetic injectables or chemical peels and no past medical history or allergies to note. Her main aim was to improve her skin quality with non-invasive treatments, minimal downtime and no obvious skin shedding.
The skin barrier is inevitably weakened with increased age due to intrinsic factors1 including slower cell turnover, reduced type I collagen production, hormonal changes, and reduced oil production…
