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Woman with healthy, glowing skin after skin aging treatment in Rockville, MD
Skin Aging | Rockville, MD

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.

At a Glance

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.

The Causes

Why Does Skin Change as We Age?

i.

Collagen Loss

Your skin makes less collagen and elastin every year, so it gets thinner and less springy.

ii.

Hormones

Estrogen helps keep skin thick and hydrated. Skin can change fast in the first years after menopause. Menopause care

iii.

Sun

UV exposure causes most of the spots, uneven tone and leathery texture people call aging.

iv.

Volume Shifts

Fat pads in the face shrink and slide, and bone changes too, so cheeks flatten and folds deepen.

Start Here

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

Sun Spots and Uneven Tone

TixelPRX-T33Medical-grade skincare

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.

Recovery At a Glance

How Much Downtime Does Each Treatment Need?

TreatmentDowntimeResults Show
Wrinkle relaxersNone3 to 14 days
Fillers1 to 3 days of possible swellingRight away
SculptraA few daysGradually over months
PDO threadsA few daysRight away, improving over months
Microneedling1 to 2 days of rednessOver weeks
TixelA few daysOver weeks
PRX-T33Little to noneAbout a week
Plasma PenAbout a weekOver weeks

Typical ranges. Your recovery depends on your skin and the treatment plan.

Inside Out

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.

Daily Habits That Do the Most
Every DaySunscreen
At NightA retinoid
In the MorningVitamin C
Every MealProtein
Every Night7 to 8 hours of sleep
AlwaysNo smoking

Jennifer can recommend medical-grade skincare that fits your skin.

By Age

How Does Skin Change Through the Decades?

30s

Prevention

Sunscreen, a retinoid, maybe a little wrinkle relaxer.

40s

Collagen Support

Microneedling, Tixel and a little filler where volume is fading.

50s

Hormone Shifts

Sculptra, threads and a look at hormones from the inside.

60s+

Layering

Combining treatments for natural lift, tone and texture.

Everyone's different, so think of this as a starting point.

Your Consult

1

Talk through what bothers you

2

Skin and face assessment

3

A plan with options, timing and cost

4

Treatment and follow-up

Your Provider

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.

Jennifer Gularson, PA-C, IFMCP, aesthetics and skin aging provider in Rockville, MD
Questions

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.

Get Started

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.