Aging Skin & Wrinkles
Your skin tells the story of your life. Medical-grade treatments can rewrite the chapter on visible aging without surgery or downtime.
Why does skin age?
Skin aging is driven by two processes working simultaneously. Intrinsic aging is genetically programmed: collagen production decreases by roughly 1% per year after age 20, elastin fibers degrade, and cellular turnover slows. By age 50, you have lost approximately 30% of your dermal collagen, leading to thinner skin, fine lines, and reduced elasticity. Extrinsic aging, primarily from UV exposure but also from pollution, smoking, and oxidative stress, accelerates this process by damaging DNA, breaking down collagen fibers, and creating the hyperpigmentation and deep wrinkles associated with photoaging.
The visible signs of aging, wrinkles, sagging, uneven tone, dullness, and loss of volume, reflect structural changes happening at the cellular level. Fibroblasts, the cells responsible for producing collagen and elastin, become less active. Glycosaminoglycans that hold moisture in the dermal matrix decline. The skin barrier weakens, leading to increased transepidermal water loss and sensitivity. These are not cosmetic concerns alone. They represent measurable biological changes.
Over-the-counter serums and moisturizers can improve surface hydration and provide mild antioxidant protection, but they cannot reverse structural collagen loss or increase cellular turnover rate. That requires prescription-grade active ingredients that penetrate the epidermis and influence the behavior of dermal cells directly.
What accelerates skin aging
Collagen breakdown
UV radiation and oxidative stress activate matrix metalloproteinases (MMPs) that actively break down existing collagen fibers faster than your body can replace them.
Oxidative damage
Free radicals from sun exposure, pollution, and metabolic stress damage cell membranes, DNA, and proteins, accelerating the aging process at the molecular level.
Hormonal decline
Estrogen loss during menopause accelerates collagen degradation. Women can lose up to 30% of dermal collagen in the first five years after menopause.
Reduced cellular turnover
Epidermal cell turnover slows from roughly 28 days in your 20s to 45-60 days by age 50, leading to dull, uneven skin tone and slower healing.
How we treat skin aging
INA's skin aging protocols combine prescription-grade topicals with injectable therapies for comprehensive treatment. Tretinoin, the gold standard of anti-aging dermatology, increases collagen production, accelerates cellular turnover, and reduces fine lines with decades of clinical evidence behind it. Our custom anti-aging compound pairs active ingredients for a targeted approach to your specific concerns. Collagen peptide injections and NAD+ therapy work from within to support the structural proteins and cellular energy that keep skin resilient.
Glutathione injections address oxidative damage and improve skin luminosity from the inside out, while our Skin Radiance Kit provides a complete system for patients who want a comprehensive approach. Your INA physician will evaluate your skin concerns, medical history, and current routine to prescribe the combination that addresses your specific aging pattern, whether that is fine lines, loss of firmness, hyperpigmentation, or overall dullness.
Recommended treatments
NAD+ Injection
Sharper focus and cellular renewal
Glutathione Injection
Deep cellular detox and repair
Tretinoin Cream
Reduce wrinkles and clear acne
Custom Anti-Aging Compound
Smoother, brighter, younger skin
Collagen Peptide Injection
Restore skin elasticity from within
Skin Radiance Kit
Complete skin renewal system
Frequently asked questions
How is prescription tretinoin different from retinol?
How long does it take to see results from tretinoin?
Can I use tretinoin if I have sensitive skin?
What do collagen peptide injections do?
How does NAD+ help with skin aging?
Is it too late to start anti-aging treatment in my 50s or 60s?
Ready to address your aging skin & wrinkles?
Take our 5-minute health assessment. A board-certified physician will review your symptoms and customize a treatment protocol designed specifically for you.
Restore your skinMedical disclaimer
The information provided on this page is for educational purposes only and does not constitute medical advice. All treatments require a physician consultation and prescription. Individual results vary. Treatment eligibility is determined by a licensed healthcare provider based on your medical history and current health status. Do not start, stop, or change any medication without consulting your physician.
Warning: Compounded GLP-1s (Tirzepatide & Semaglutide)
Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:
- Severe nausea and/or vomiting resulting in dehydration - it is important to stay well hydrated and drink plenty of fluids while on this medication. Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis.
- Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning below).
- Pancreatitis: Severe pain in your abdomen or back that will not go away.
- Acute gallbladder disease: Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
- Hepatitis: Elevated liver enzymes/Jaundice.
- Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy.
- Severe gastrointestinal disease: may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease.