"The Layers Beneath: Why True Facial Rejuvenation Starts Deeper Than You Think"

In my last post, I opened up about navigating the early signs of perimenopause and the importance of understanding what’s happening beneath the surface—both in our bodies and in the way we approach health decisions. That same theme followed me into my recent experience at the Merz Aesthetics Summit, where a single metaphor reshaped how I think about the face. Just like hormones quietly shift the function of so many internal systems, the deeper structures of our skin quietly determine the way we age—and how we treat those layers matters more than I realized.

A brilliant speaker invited us to look at facial anatomy differently—not just as skin and structure, but as a living landscape. One with terrain, microenvironments, and deep root systems beneath the surface. And just like any thriving environment, surface beauty relies on what’s happening underneath.

Subconsciously, I had already been practicing that way by preaching skincare and collagen induction therapy first, but it gets even better.

As injectors and providers, we often treat what we can see: wrinkles, dullness, sagging. But what if the most effective approach isn’t just about erasing those signs, but supporting the foundation that holds it all together?

This is where Ultherapy stands apart and there is emerging evidence that this should be a first-line treatment before introducing fillers.

After just one Ultherapy session, researchers saw:

• 243% increase in fibroblasts

• 49% increase in collagen

• 37% increase in elastin

…at only 90 days post-treatment.

How is this possible? It’s the only non-invasive device that reaches the SMAS layer—the same layer surgeons target during a facelift. This allows us to create real lift—without surgery or downtime.

If you’ve ever wondered why your skincare plateaued or why your results aren’t lasting as long as you hoped, it might be time to look deeper.

Literally.