There has long been common ground between medical and aesthetic dermatology, especially for the treatment of inflammation, texture, and aging skin. Recent evaluations of chronic, age-related inflammation as a key driver of wrinkles, collagen depletion, and other features of progressive skin aging suggest that an integrated approach may offer solutions that address both immediate skin concerns and long-term aesthetic goals.
Chronic Inflammation and Skin Aging
The parallels between the molecular processes involved in aging skin and inflammatory skin diseases have led to suggestions that medical dermatologic therapies may have broader applications in aesthetic dermatology. This is particularly relevant in the context of “inflammaging,” the chronic, low-grade inflammation associated with aging.
“The overlap between inflammaging and inflammatory skin diseases raises the question of whether conditions such as atopic dermatitis could serve as a therapeutic model for slowing skin senescence,” said Helen He, MD, assistant professor in the Department of Dermatology at the Icahn School of Medicine at Mount Sinai in New York City. “Can some of the immunomodulatory interventions that have been so successful over the past several years in inflammatory skin diseases be applicable to skin aging?”
It’s a question that opens the door to new opportunities for integrating medical and aesthetic dermatology, particularly as anti-inflammatory therapies evolve to help prevent age-related skin changes while also improving appearance.
Combining Therapeutic and Aesthetic Approaches Responsibly
While topical products and treatments can address visible signs of skin aging, comprehensive antiaging regimens must also address internal processes such as chronic inflammation and cell senescence. Combination therapies addressing both internal and external issues — antibiotics to fight inflammation paired with non-invasive aesthetic resurfacing treatments, for example — bring together therapeutic and aesthetic science for improved patient outcomes.
Calming inflammation may be key to managing inflammaging, but diagnosing the underlying cause of inflammation — the body’s complex biological response to harmful stimuli, including pathogens, damaged cells, or irritants — is a critical first step. Delving into the cause of inflammation, whether it’s traced to diet, lifestyle, or an undiagnosed chronic disease, can provide the foundation for an integrated treatment plan that addresses the problem at its source. From there, traditional and cutting-edge treatments can be used to rejuvenate the skin and correct signs of aging.
Patient Selection and Expectation Management
Practicing at the intersection of medical and aesthetic dermatology allows clinicians to fully evaluate patients and determine the potential effectiveness of anti-aging treatments. Ideally, patients should have a stable health profile and be free from chronic diseases before being treated for noticeable signs of aging, such as fine lines, wrinkles, or changes in skin texture.
Patients should have clear objectives for their anti-aging treatment, whether it’s to improve skin appearance, reduce specific signs of aging, or enhance overall well-being. Establishing open lines for patient communication is crucial, especially as the demand for cosmetic consultations rises in the new year.
Clinicians who stay current with the latest scientific research, medical advances, and dermatologic technology are best positioned to tailor treatment plans based on skin type, Fitzpatrick classification, and individual clinical considerations.
Concluding Thoughts
Now more than ever, advances in science, technology, and medicine are shining a spotlight on dermatology as one of medicine’s most dynamic and interdisciplinary fields. Beyond treating visible diseases, dermatologists are being called upon to address inflammation, internal systemic issues, and overall well-being, while integrating innovation and artistry into patient care.
An integrated approach to medical and aesthetic dermatology enables clinicians to meet the challenges — and enjoy the rewards — of modern dermatology.
