The Case:  Lori is 42 and has an autoimmune disease She works in the media and is concerned about her aging skin and wrinkles She’s worked hard to improve her health naturally and doesn’t want to do anything that will trigger her autoimmunity. Lori and I had been working together for months to get her health back on track due to her autoimmune condition. She asked me about how her condition might be affected by potential anti-aging therapies. I’m glad she asked because many doctors or aestheticians who provide anti-aging therapies don’t even think to ask a patient about other health issues. Dr. Raheleh Sarbaziha (aka Dr. Rahi) is not one of those doctors. In her practice, she makes sure to take a full health history before she will recommend potential therapies for skin rejuvenation and wrinkle reduction.  Aging is a natural process and part of that is the degradation of collagen which shows up most visibly as wrinkled or sagging skin.    Better Skin Through Diet Dr. Rahi believes that great skins starts within. You have to take care of the inside before you can expect great results from any external treatment. Dr. Rahi recommends a mostly plant-based diet. She says it’s important to understand how to read a label and to eat whole food.     Supplements for Better Skin Here are the top supplements Dr. Rahi recommends for healthy looking skin: 1. Collagen Since collagen is such an important part of healthy, young looking skin, collagen supplements can help.  2. Magnesium This is one of her top recommendations because it improves the quality of skin but it’s also so important on a cellular level. Most of us are deficient in magnesium so supplementing is valuable inside and out. Magnesium Citrate is a good option. 3. Turmeric This supplement helps decrease inflammation in the body and many skin disorders are a result of inflammation.  4. Fish Oil or Omega-3 A good, clean fish oil can help with healthy looking skin. For anyone who is vega, a good Omega 3 is an option.  5. Prenatal DHA This is something Dr. Rahi takes even though she is not pregnant. Look for brands like Designs for Health or Vibrant Beginning that have 90% triglycerides.   6. Vitamin C Vitamin C is super important in collagen production and it also helps keep your immune balanced. You can take it as a supplement or get it through diet (but likely both).    Micro-needling Micro-needling is a process of making many micro-punctures in the skin using a special tool. This brings the blood to the surface which stimulates your immune system and regenerates collagen production. It’s considered a minimally invasive, very safe treatment that generates amazing results.  It can be uncomfortable or even painful depending on your pain tolerance and the quality of the numbing cream used. Dr. Rahi also says that patients may be more sensitive during menstruation or if you are tired or stressed.  There are a variety of options for increasing the efficacy of the treatment including coating the skin with hyaluronic acid (so that it is injected with each micro-puncture). Other options include adding vitamin C, B Complex or glutathione.  Another popular option is the PRP or Platelet-rich Plasma. This is extracted from your own blood using a centrifuge. Using PRP during microneedling increases collagen regeneration and gives the practitioner the option to localize treatment (for example on deep lines or scars).    PDO Threads PDO threads are small sutures that are injected under the skin to pull the skin back and make the skin appear tighter. The threads themselves degrade over time and are absorbed by the body. There are many different types of threads (smooth, twisted, and barbed) that serve different ‘lifting’ purposes. As a foreign object under the skin, they also trigger an immune response and stimulate collagen production. This treatment is generally not recommended for those above the age of 65 if they have thinner skin.  Dr. Rahi says that it could trigger a response fo