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How We Build
Treatment Plans

Every patient is different. That means every treatment plan should be different, too.

The best treatment is rarely determined by a single laser, injectable, or procedure. It begins by understanding what concerns you most, identifying what is actually causing those concerns, and deciding which treatment, or combination of treatments, makes the most sense for your skin, anatomy, goals, recovery preferences, and long-term plan.

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Dr. Scott Gerrish discussing facial anatomy with a patient using a mirror at Gerrish MedEsthetics Scottsdale

Clinical Assessment

What We Assess

A useful plan connects what you notice with the clinical factors that may be contributing to it and the practical realities of treatment.

Primary concern and priorities

Anatomy and structural change

Skin quality

Facial movement, when relevant

Pigment or vascular factors, when relevant

Health and medical considerations

Recovery tolerance and timing

Long-term goals

Diagnosis Before Treatment

Every Concern Has More Than One Cause

Because the causes differ, treatment recommendations differ. Two patients with the same concern may leave with very different plans.

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Fine Lines

May involve

Muscle movement
Collagen loss
Sun damage
Skin thinning
Dehydration

Skin Laxity

May involve

Collagen decline
Dermal thinning
Volume loss
Skin quality
Genetics

Pigmentation

May involve

Sun exposure
Inflammation
Hormones
Genetics

The Process

How We Build Treatment Plans

1
Understand the concern.
What bothers you most? Before any discussion of treatments, we start with what you are actually noticing and how it affects you.
2
Identify what is actually changing.
Surface texture? Collagen? Volume? Muscle movement? Hormones? Inflammation? The visible concern is often the result of several changes happening at once.
3
Prioritize.
What should be treated first? What can wait? Sequencing matters, and some steps create a better foundation for the ones that follow.
4
Select the appropriate treatment.
Sometimes one treatment. Sometimes several, staged over time. Sometimes no treatment at all. The plan follows the diagnosis, not the other way around.
5
Adjust over time.
Skin changes. Goals change. As they do, treatment plans evolve with you rather than staying fixed.

Learning to Think in Plans

Examples of Treatment Strategies

These are ways of thinking about related concerns, not packages. The treatments listed are possibilities that may be considered when appropriate; every plan is individualized, and results vary.

Learn More About Sequencing and Combining Treatments