
What You See in the Mirror Has a Fix
Maybe it's the lines that didn't used to stay, a softer jawline, sun spots or skin that looks tired no matter how much you sleep. Jennifer looks at what's changing and why, then builds a plan that looks natural and fits your life.
Not ready to book? Start with a free 15-minute call
What Causes Skin Aging, and What Helps?
At the Osteopathic Center for Healing in Rockville, MD, Jennifer Gularson, PA-C, IFMCP treats signs of skin aging, including fine lines, wrinkles, volume loss, sagging, sun spots, uneven texture and crepey skin. Treatments include wrinkle relaxers, dermal fillers, Sculptra, PDO threads, microneedling, Tixel, PRX-T33, PRP and medical-grade skincare. Because she's also a functional medicine practitioner, she looks at how hormones, nutrition and gut health affect your skin.
Why Does Skin Change as We Age?
Collagen Loss
Your skin makes less collagen and elastin every year, so it gets thinner and less springy.
Hormones
Estrogen helps keep skin thick and hydrated. Skin can change fast in the first years after menopause. Menopause care
Sun
UV exposure causes most of the spots, uneven tone and leathery texture people call aging.
Volume Shifts
Fat pads in the face shrink and slide, and bone changes too, so cheeks flatten and folds deepen.
What's Your Main Skin Concern?
Pick what bothers you most and see the treatments that help.
Fine Lines and Wrinkles
Volume Loss and Hollows
Sagging Jawline and Neck
Rough Texture and Large Pores
Crepey Skin and Under-Eyes
Thinner Lips
Spider Veins
Thinning Hair
Not sure what you need? That's what the consult is for.
How Much Downtime Does Each Treatment Need?
| Treatment | Downtime | Results Show |
|---|---|---|
| Wrinkle relaxers | None | 3 to 14 days |
| Fillers | 1 to 3 days of possible swelling | Right away |
| Sculptra | A few days | Gradually over months |
| PDO threads | A few days | Right away, improving over months |
| Microneedling | 1 to 2 days of redness | Over weeks |
| Tixel | A few days | Over weeks |
| PRX-T33 | Little to none | About a week |
| Plasma Pen | About a week | Over weeks |
Typical ranges. Your recovery depends on your skin and the treatment plan.
How Does Healthy Skin Start on the Inside?
Collagen needs protein, vitamin C and good sleep. Hormone drops show up in your skin. Gut problems and inflammation can show up as dullness, breakouts or rashes. Jennifer can check the things that affect your skin from the inside while she treats the outside.
Jennifer can recommend medical-grade skincare that fits your skin.
How Does Skin Change Through the Decades?
Prevention
Sunscreen, a retinoid, maybe a little wrinkle relaxer.
Collagen Support
Microneedling, Tixel and a little filler where volume is fading.
Hormone Shifts
Sculptra, threads and a look at hormones from the inside.
Layering
Combining treatments for natural lift, tone and texture.
Everyone's different, so think of this as a starting point.
Your Consult
Talk through what bothers you
Skin and face assessment
A plan with options, timing and cost
Treatment and follow-up
Who Is Jennifer Gularson?
Jennifer Gularson, PA-C, IFMCP has been injecting for over 20 years and is a certified functional medicine practitioner. She treats skin with a natural approach, enhancing what you have so you still look like you.

What Do People Ask About Skin Aging?
What's the Best Treatment for Wrinkles?
It depends on the type. Lines from movement respond best to wrinkle relaxers. Lines at rest often need filler, microneedling or Tixel.
At What Age Should I Start?
Whenever it bothers you. Prevention works best when you start with sunscreen and a good skincare routine early.
Does Menopause Affect My Skin?
Yes. Skin often gets thinner and drier as estrogen drops. Treating hormones can help, and Jennifer can look at both.
Can I Combine Treatments?
Yes. Most people get the best results from a mix, timed so recovery doesn't overlap.
How Many Sessions Will I Need?
Wrinkle relaxers and filler usually take one visit. Microneedling, Tixel and PRX-T33 usually take a series.
Do You Treat Men?
Yes. Men are welcome, and the goal is the same: natural results.
Request an Appointment
Tell us what you'd like to change about your skin, and our team will reach out to schedule your consult with Jennifer.
Let's Talk About Your Skin
Book a consult with Jennifer in Rockville, MD.
Not ready to book? Start with a free 15-minute call
