Looking at photos from five years ago, you might notice that your skin looked different, but you can’t pinpoint exactly why. Those subtle changes are early signs of aging that most people ignore until they become obvious problems.
At The Rawal Institute for Hair Restoration and Aesthetic Medicine in Madison, Wisconsin, Shamila Gupta Rawal, MD, helps patients recognize these early warning signs and address them before they progress into deeper wrinkles and volume loss.
Fine lines around your eyes appear first because the skin there is thinnest and gets the most movement. You might notice slight creases when you smile that used to disappear completely when your face relaxed.
Other early changes include:
These changes happen gradually, which is why many people miss them until they’ve progressed.
Your skin produces collagen and creates new cells at its fastest rate when you’re young. As you age, collagen production slows down, and your skin takes longer to replace old cells with fresh ones. Once this decline starts accelerating, treatments have to work against these slowed processes instead of supporting them when they’re still running smoothly.
Most people think Botox is only for existing wrinkles, but it also prevents them. Small doses in areas prone to lines can stop repetitive muscle movements from creating permanent creases.
Dr. Rawal often recommends preventive Botox for patients who notice the first hint of lines around their eyes or between their brows. The treatment uses lower doses than corrective Botox and helps to maintain natural expressions while preventing deeper wrinkles.
SkinPen microneedling stimulates your skin’s natural healing response while those processes still work efficiently. The controlled micro-injuries trigger collagen production and cellular renewal, strengthening your skin before age-related decline begins.
Most patients notice improved texture, smaller pores, and better overall skin quality after a series of treatments. Dr. Rawal typically recommends three to four sessions spaced about a month apart.
Clear + Brilliant laser therapy addresses sun damage, early pigmentation changes, and texture issues before they become visible. This gentle fractional laser creates microscopic treatment zones that replace damaged cells while your skin's natural healing capacity remains strong.
Recovery is faster and results develop more predictably than with corrective laser treatments because you’re working with healthy tissue.
Platelet-rich plasma (PRP) therapy uses healing compounds from your own blood to support your skin’s repair processes. The growth factors maintain optimal cellular function and enhance your skin's ability to resist future damage.
Dr. Rawal often combines PRP with microneedling for enhanced results, as the growth factors penetrate deeper through the microchannels.
Dr. Rawal launched her signature tR(x)i skincare line after recognizing that patients needed natural, medical-grade products that were simple to use. She partnered with a highly recognized US pharmaceutical company to create formulations with three specific goals:
All products are manufactured in the US using the highest quality medical-grade ingredients.
The best time to start prejuvenation is before you think you need it. Dr. Rawal evaluates your current skin condition, family history, and lifestyle factors to determine which preventive treatments will benefit your specific situation.
If you’re starting to notice subtle changes in your skin, schedule a consultation at The Rawal Institute for Hair Restoration and Aesthetic Medicine. Call our Madison office at 608-721-6132 or book online to learn how preventive treatments can help you maintain your natural appearance.
