In 1981, the FDA approved bovine collagen for cosmetic injection. Since its approval, dozens of injectable fillers have been developed and approved for cosmetic use. 
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Not all skin is the same and not every product is universal. Aestheticians see clients with a variety of concerns, including acne, hyperpigmentation, dryness, wrinkles, and sensitivity. Which exfoliators are a must in the treatment room and how can professionals determine the most effective treatment protocol for clients?
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As an aesthetician, I see a multitude of different clients with varying skin types, but my rosacea clients get the gentlest treatment. This skin condition can manifest in different forms and be different from one client to the other. According to the National Rosacea Society, over 16 million Americans are affected by the skin disorder, and as many as 415 million worldwide according to new research in the British Journal of Dermatology. 
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Many women tend to over-exfoliate the skin, in hopes of sloughing off dead skin, and thus achieving a fresh and renewed complexion. This is a misconception, since our skin is a very efficient organ, and doesn’t require exfoliation more than 2-3 times per week. 
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Currently, more than 20 million women are affected by uterine prolapse, birthing injuries, and incontinence. According to the American College of Obstetricians and Gynecologists 40% of women have psychological distress from female sexual dysfunction, but only 14% consult a physician about sex during their lifetime.
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The face, neck and décolleté are exposed to the sun, wind and cold weather, and must be all cared for in the same way as the face during the professional treatment and at home. The delicate neck and décolleté area is often ignored when it comes to application of moisturizers and sunscreen, and is easily susceptible to dehydration and sun damage. 
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With modern consumers using the internet to research everything, it’s no surprise that our clients are savvy when it comes to the latest skincare ingredients and trends. As a practicing esthetician, I constantly hear clients ask for a treatment they saw on Instagram or ask about a product with a specific ingredient they heard about from a friend. 
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