Tina Frizner

Aging skin is still capable of remarkable change.

This beautiful patient had never had aesthetic treatments before and had never really been guided on how to care for her skin. Instead of jumping straight to aggressive procedures, we focused on rebuilding skin health first.

Her customized treatment plan included:
• Curated medical-grade skincare
• Two microneedling sessions with Ariessence PDGF to support skin rejuvenation and repair

No injectables.
No lasers.

Just thoughtful, consistent treatment focused on improving skin quality, texture, fine lines, and deeper etched lines over time.

One of the most important things I explain to patients is that rejuvenation is not one-size-fits-all. The best outcomes happen when we create a plan based on your skin, goals, age, lifestyle, and comfort level.

Healthy, supported skin can improve at any age.

If you’re in your 40s, 50s, 60s, or beyond and wondering where to start, this is your reminder that subtle, meaningful change is possible.

Serving patients in Sacramento and surrounding areas.
Book a consultation to create a personalized treatment plan for your skin goals.

MedicalGradeSkincare NaturalResults FineLinesAndWrinkles SkinHealth PerimenopauseSkin MatureSkin AestheticNP CollagenStimulation MicroneedlingResults SacramentoInjector

I’m officially entering my late 40s next week, and it felt like the right time to share some of the things that have genuinely helped me navigate perimenopause along the way.

One of the greatest privileges of my work is connecting with so many women moving through this same season of life. I hear every day from women who feel dismissed, unsupported, or left struggling to find relief from symptoms that can deeply affect how they feel physically, mentally, and emotionally.

You aren’t alone. Here’s what has been helping me:

1. Hormone replacement therapy— Hot flashes started at 44 for me. I went to my gynecologist to discuss HRT and she suggested I start an oral contraceptive. I suggested an estrodial patch and oral progesterone. Her response was “this treatment is a placebo”. That is when I sought the help of a functional medicine provider who has helped me to manage my symptoms for the past few years. If you are looking for an excellent provider who is currently accepting new patients, I highly recommend Jocelyn, PA-C

2. Resistance training— to combat the rapid, hormone-driven loss of muscle mass, bone density, and metabolic rate. Those who know me well know I love to play in the dirt. I have run dozens of ultramarathons, I love to hike, and explore by bike. The last place I want to be is in a gym. I discovered Caroline Girvan on YouTube when I first implemented strength training. She has since launched the CGX app, and I’m hooked. I do my workouts at home (3-4x/wk) and have amassed a collection of heavier weights as I have progressed along. My other favorite is Instaphysique. I am quickily approaching my 1000th class! This lagree reformer workout is challenging, and is a great full body workout. Come join me for a class .

3. Boosting collagen— by age 40, most people have lost up to 20% of their collagen which contributes to fine lines, wrinkles, and sagging skin. Treatments such as Sculptra, microneedling (with my favorite, Ariessence PGDF), and energy-based treatments such as BBL/Moxi, help to boost collagen production to delay and reverse visible signs of aging.

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Moxi is here! This gentle, non-ablative, fractional laser “prejuvenation” enhances skin texture and tone with minimal downtime. Moxi is safe for all skin types and can be used year round!

For added benefit, it can be combined with BBL to reverse sun damage, improve pigmentation, rosacea, and redness. This powerhouse combination delivers beautiful results.