The popularity of esthetic procedures is soaring with no slowdown in sight. According to NBC Washington, 70 billion was spent globally on non-surgical esthetic treatments in 2023. To say the opportunity for professional and financial success in the industry is huge, would be an understatement. However, the competition is fierce and will continue to expand as more professionals enter the market. Standing out is and will remain essential for estheticians, practitioners, and spa owners to build a loyal client base and solidify their reputation as trusted experts. Offering comprehensive treatment plans that target four key factors for age management: volume, laxity, tone, and texture (VLTT) – ensures results that will keep your services in demand. While certain products and modalities can address multiple elements of aging, each key factor requires special considerations when crafting a treatment program. Many of the best clinical outcomes are achieved through a progressive approach incorporating advanced modalities used over time.

March 2025 L+A Report
5 Must Have Modalities In Modern Medical Aesthetics
Aesthetic device technology in the medical + spa skincare industry is evolving rapidly, with cutting-edge technologies transforming how professionals approach skin and body treatments. From LED light therapy and microneedling to microcurrent, laser treatments, and infrared saunas, these advanced modalities are now essential in aesthetic practices.
Clients connect with estheticians at various points in their self-care journey, often having limited information learned from social media sites. The consultation serves as not only the first impression for a client but also the foundation for the relationship. The consult can be stressful for all involved especially when handling high hopes and unrealistic goals. Actively listening, providing a thorough assessment, and educating with honesty and enthusiasm will build trust and confidence. Explain that significant improvements are absolutely possible but can take time, especially when damage was formed over years or even decades. Describe options for addressing each of their concerns and how they will achieve incremental improvements that build to a beautiful, long-lasting result through a progressive program.

Contribution by Kelly Conlan
With over 17 years of experience, Kelly Conlan is the heart behind Retrograde Skin. A licensed esthetician and skincare educator, she’s all about combining real results with a touch of luxury. Kelly has trained estheticians across the U.S. and loves creating treatments that leave clients glowing, confident, and feeling their best. At Retrograde Skin, her goal is simple: to help you love the skin you’re in
6 Steps To Developing Advanced Medical Aesthetic Series Treatment Plans
1. Developing the Treatment Plan
The consultation informs the treatment plan. Administrative items such as time, budget, and availability are discussed as well as contraindications and ability to receive specific procedures. Contributing factors to texture issues, uneven skin tone, volume loss, and poor elasticity are also determined. Once all the necessary information has been collected estheticians can begin to build the framework for the suggested treatment path. First, isolate each key factor of aging (VLTT) as well as the origins of any issues and list available products and modalities that will create the greatest improvement. Remove any that are contraindicated or outside of the set budget and timeline.
2. Texture
Skin’s surface can appear and feel rough, weathered, and scarred. Discovering the root cause is vital for selecting the appropriate treatment method. For example, if the source of wrinkled texture is over-expressiveness and repeated muscle contractions, recommending a visit with a physician or nurse injector about neurotoxins as a compliment to the overall program will lead to a longer-lasting outcome. Conversely, if UV exposure, dehydration, and other lifestyle factors produced the lines neurotoxins might not be necessary as exfoliation, hydration, and home care will more adequately resolve the core complications. Other treatments such a microneedling and medium-depth chemical peels will help with scarred and leathery textures while a gentler approach focusing on soothing inflammation will be needed for a client with rough and bumpy skin from a compromised barrier.
3. Tone
Sun damage, hormones, pregnancy, vascular conditions, trauma, and medications can all wreak havoc on skin and create an uneven look. Pigmentation concerns usually require a combination of corrective services and home care to resolve and prevent reoccurrence. Personal regimens are a must to calm and suppress melanin production. Recommending a robust routine of actives such as tranexamic acid, niacinamide, kojic acid, arbutin, licorice, and more will slow pigment production and reduce any additional formation that could develop from future treatments. A customized plan could begin with chemical peels that increase in depth and invasiveness as well as nanotechnology for increased absorption of topical melanin suppressants. Stubborn discoloration may require intervention with technologies such as Intense Pulsed Light, Broad Band Light, or laser therapies.
4. Volume
Collagen decreases beginning in the mid to late twenties. Furthermore, the overall balance of fat changes within the body in older ages with noticeable reductions in facial fat. Muscle and bone mass also diminish contributing to a shallow and hollow look. Lifestyle factors can have significant impacts on volume including dramatic weight fluctuations. The recent increase in GLP-1 and weight management drugs has led to an uptake in facial fat loss and accelerated aging. Dermal fillers can plump areas suffering from fat loss whereas microneedling, RF microneedling, and certain laser therapies provide controlled injuries to skin stimulating collagen and elastin production.
5. Laxity
Lax skin is caused by the breakdown of the connective tissue elastin. This breakdown can be due to the natural aging process and exacerbated by stress, smoking, sun damage, and weight loss. Typically, if volume is lost in the skin, the loss of elasticity or a saggy appearance is expected. RF microneedling is a great choice because it addresses laxity and volume by boosting collagen as well as tightening skin. Severe cases may have limited non-surgical options, networking with a physician gives the client more choices that may better resolve their concerns. Additionally, the client will need to return to estheticians’ service to maintain the results of their surgical investment and continue to correct tone, texture, and volume. More youthful skin can begin with gentle chemical peels and microcurrent. Microcurrent is a cumulative option that fuels skin cells as well as firms and tones facial muscles. Anyone with an adversity to needles or injectables worried about wrinkles or laxity should investigate microcurrent.
6. Getting Started
Starting slow and building upon a stable foundation is the nature of progressive treatments. Depending on the severity of clients’ needs deeper more impactful services may be required. Gradually increasing invasiveness ensures the skin is properly prepped, minimizing risks, and avoiding adverse reactions. Preparation is key especially in the case where controlled injuries are being delivered. Begin by evaluating barrier health while assessing the skin’s response to the initial treatment. The first service should focus on tone and texture with exfoliation and hydration. This session helps estheticians better understand what will be beneficial, well tolerated, and in what timeframe. Microdermabrasion, hydrodermabrasion, and dermaplaning are useful exfoliation tools and can be administered immediately unless contraindicated. They will refresh skin and provide understanding for next steps. Nanotechnology, microcurrent, LED, and ultrasonic facial devices can also be incorporated early in treatment program for targeted ingredient delivery and enhanced rejuvenation.
At the end of the initial appointment, the esthetician will have knowledge of all the variables from treatment tolerance to funding. If a collaboration with a physician or nurse practitioner will provide the best outcome for the client, involve them early in the process. This way injectables and invasive procedures can be woven into the overall esthetic plan thoughtfully. Otherwise, proceed with a structured approach, ensuring that home care supports the treatment path and helps suppress melanin production. Prioritizing the four key factors of age management: volume, laxity, texture, and tone in a progressive manner will yield impressive, long-term results that showcase the provider as an expert.
Otherwise proceed with a structured, tiered approach starting with home care and non-invasive treatments before gradually advancing to more intensive procedures. This method not only allows the skin to adapt but also maximizes the cumulative benefits of each service. By prioritizing volume, laxity, texture, and tone in a progressive manner, estheticians can deliver impressive, long-term results that reinforce their expertise and establish them as trusted professionals in the field.