Cosmetic Treatments and Skincare Advice for Every Age

by Rosy Sandhu, MD | Wellness

I think that most people will agree with me that when you look good you feel good and you do good. In my case I’ve devoted my career to helping patients love the skin they’re in. I believe the ideal way to accomplish this goal is with a combination of at-home skincare and office-based aesthetic procedures, as the two work hand-in-hand to rejuvenate the skin and keep it functioning optimally.  

However, everyone’s skin is different, and there’s no one-size-fits-all approach to preventing and improving visible signs of aging. Although I always prefer creating a customized ongoing treatment plan through regular one-on-one visits, I do have some general suggestions for anti-aging or as I like to call it “youthful-aging” steps you may want to take in your 20s, 30s, 40s, 50s and beyond. So, let’s dive in!

The 20s

At this age, you might not even be thinking about an anti-aging approach for your plump, smooth and line-free skin. But remember, it’s easier to maintain a fresh, youthful-looking complexion than it is to correct visible signs of aging, which is why you can get a leg up by starting early.

Skincare-wise, your 20s are the ideal time to incorporate vitamin C and retinol into your routine. And if you’re not already using sunscreen daily, this is the number-one way to prevent visible skin aging.

What I recommend:

Vitamin C, these are some of the gentler versions of stabilized vitamin C products

I like to recommend for younger skin Retinol:


In terms of aesthetic procedures, did you know twice-yearly Botox® or Dysport® injections can help prevent wrinkles from becoming etched into the skin? If you see lines between your eyebrows or across your forehead when you make certain facial expressions now, these treatments can stop them from becoming visible when your face is at rest later.

A downtime-free microdermabrasion treatment or Hydrafacial every few months can keep your skin’s youthful radiance at its peak, while microneedling can help improve the appearance of acne scars and enhance your natural glow.

The 30s 

In addition to my suggestions for patients in their 20s, I suggest working hyaluronic acid and peptides into your daily skincare regimen to maximize moisture and combat the natural skin-aging process.

What I recommend:

Hyaluronic acid:


Many of my 30-something patients also benefit from increasing the frequency of neurotoxin injections to three or four times a year. Since this is the decade that unwanted pigment usually starts to make its presence known, light laser-based treatments like Sciton’s Moxi®, BBL (broad-band light) or Clear + Brilliant® (in addition to microneedling) are quick, easy ways to keep your skin’s tone and youthful appearance on track.

The 40s 

My suggestions for the 20s and 30s apply to the 40s as well, but this is the time I often like to kick it up a notch in the office. Dermal fillers are a great way to improve any volume loss in the mid-face or around the mouth that’s contributing to deeper lines and the appearance of sagging skin. Now’s also the time to focus on building collagen and skin tightening with treatments such as Ultherapy® or SofWave or a combination of radiofrequency and microneedling with Morpheus8 or Profound®.

What I recommend:

Hyaluronic acid:


The 50s and beyond 

Hormonal changes can lead to drier skin and collagen loss, which makes vitamin C, retinoids and peptide-infused moisturizers essential at this stage.

What I recommend:  

Vitamin C:


Moisturizer with peptides:

Mature skin requires a comprehensive anti-aging approach, which is why I often recommend a combination of aesthetic procedures, such as Fraxel® or Halo® treatments plus IPL or BBL to address surface texture and discoloration while promoting collagen production deeper within the skin. Of course, dermal fillers to improve visible volume loss are key as well. It’s also worth exploring hormone replacement therapy if you’re a candidate, as it can help improve menopause symptoms along with age-related skin changes.  

Remember, your beauty transcends the number on your driver’s license, but if you want to look your best at any age the right combination of at-home skincare and office-based professional treatments for your unique skin can be a game changer.

Rosy Sandhu, MD
Founder & Medical Director at Neem Medical Spa

Rosy Sandhu, M.D. is a board-certified internal medicine specialist and founding director of Neem Medical Spa, Boston’s premier wellness destination. With more than a decade of experience treating patients, Dr. Rosy integrates the roles of physician, scientist and sculptor. Her unique approach combines compassion, analytics and artistry to tap into the inner beauty of each unique patient—and help them achieve their wellness and cosmetic goals. In her day-to-day practice, Dr. Rosy focuses on inner health as well as outward appearance. As a leading expert in her field, she was named one of Boston’s 100 Most Influential Women of Color in 2018 and was awarded Editor’s Choice Award in Northshore magazine’s 2021 and 2023 Best of Awards.

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