Dull, tired-looking skin
Buildup of dead cells and dehydration, often with no structural problem underneath. Responds quickly to facials, light peels and hydration-focused treatments.
Smoother, clearer, brighter, at the pace your skin can take.
Rough texture, enlarged-looking pores and dull skin are treated at Wise Aesthetics in Carmel, Indiana with a ladder of options matched to how much change you want and how much recovery you can take. Clinical facials such as HydraFacial and DiamondGlow® clear congestion and brighten with no visible recovery; chemical peels and the Tox Facial refine texture and oil over a short recovery; microneedling, VirtueRF and resurfacing lasers such as CoolPeel® and Moxi™ rebuild texture more deeply over a series. Most clients start low on the ladder and step up if they want more. Individual results vary.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
These three concerns share a cause: the surface of the skin is not renewing itself well. Skin sheds and replaces its outer layer continuously, and when that slows with age, sun damage or dehydration, dead cells build up, light scatters off the uneven surface, and the skin looks dull and feels rough. Pores add a second mechanism. Their size is set by genetics and oil production, but they look larger when they are stretched by oil and debris, or when the collagen around them has thinned so the opening slackens.
That is why the treatments work at different depths. Facials and peels clear the buildup and speed renewal, which brightens skin and makes pores look smaller almost at once. Microneedling, radiofrequency and resurfacing lasers go deeper, stimulating collagen so the skin itself becomes smoother and firmer over months. The Tox Facial addresses oil directly, which is what matters for shine and congested pores.
Breakouts and the marks they leave are a related but separate concern, covered on our Acne & Acne Scarring page.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
What you are noticing points to which level of treatment fits.
Buildup of dead cells and dehydration, often with no structural problem underneath. Responds quickly to facials, light peels and hydration-focused treatments.
Oil and debris stretching the pores, usually on the nose, chin and inner cheeks. Addressed by extraction-based facials, salicylic peels and oil control.
A bumpy or coarse surface from slow turnover, sun damage or old breakouts. Peels help; microneedling and resurfacing lasers do more over a series.
Pores that look open because the collagen around them has thinned with age. Needs collagen-stimulating treatments such as VirtueRF or CoolPeel® rather than cleansing.
Think of these as a ladder. Each step does more and asks more of you in recovery; most plans use one rung regularly and a higher rung occasionally.
A retinoid, a gentle exfoliating acid and daily sunscreen keep turnover going between treatments; without them, dullness and congestion return. Essentials and Journey members receive 10% off skin care.
Your provider will:
Facials show immediately: brighter, smoother skin the same day, lasting a few weeks. Peels show once peeling finishes, within about a week. The Tox Facial takes effect over a few days and lasts 2 to 3 months. Collagen treatments (microneedling, VirtueRF, CoolPeel®) improve over the weeks after each treatment and keep building through a series. Individual results vary.
Almost every adult is a candidate for some level of treatment, because the ladder starts with facials that suit all skin types. Stronger options may not be appropriate, or may need to wait, with active breakouts or infection in the area, recent sun exposure, isotretinoin in the past year, pregnancy or breastfeeding, a history of keloid scarring, or skin types for which particular lasers are not used. Each treatment page lists its own considerations, and your provider will review your medical history at consultation. This page is general information and is not medical advice.
Persistent roughness with redness, scaling or itching may be a skin condition such as eczema or keratosis pilaris rather than a texture concern. We will suggest a dermatologist's assessment if that seems likely.
Pore size is set by genetics and cannot be changed permanently, but pores can be made to look markedly smaller. Clearing the oil and debris that stretch them, reducing oil with the Tox Facial, and firming the collagen around them with VirtueRF or CoolPeel® all reduce how visible they are. Individual results vary.
HydraFacial, DiamondGlow®, Glo2Facial and Laser Genesis have no visible recovery; you can go back to your day. The Illuminize SkinMedica® Peel usually has no visible peeling. Everything stronger involves a few days of flaking or redness, which your provider will describe.
For upkeep, a facial every 4 to 6 weeks. Peels are typically a series of 3 to 6, then seasonally. Collagen treatments are a series of 3 to 4 spaced 4 to 6 weeks apart, then a maintenance treatment every 6 to 12 months. Your provider will set a cadence for your skin.
For most clients, a facial that exfoliates and hydrates, such as HydraFacial or DiamondGlow®, makes the quickest difference, paired with a retinoid and sunscreen at home. If dullness comes with rough texture, a peel or resurfacing treatment does more. Individual results vary.
Yes. Facials with extraction and salicylic peels clear congestion, and the Tox Facial reduces oil production itself for 2 to 3 months, which is why clients with oily, shine-prone skin often choose it.
The facials, SkinMedica® Peels, microneedling and Laser Genesis suit all skin types, including sensitive skin. Resurfacing lasers are chosen more carefully for deeper skin tones. Your provider assesses before recommending.
Cost depends on where on the ladder you start and how many treatments are in your plan. Each treatment page describes what a typical client pays (a series of three CoolPeel® treatments, for example, is $2,400 for non-members), and your provider will give you a written cost at consultation. Journey membership includes CoolPeel® and microneedling; Essentials and Journey members receive 10% off other treatments and skin care.
More questions? Read our full FAQs, or call or text 317-569-6448.
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| Tuesday to Thursday | 9am to 6pm |
| Friday | 9am to 5pm |
| Saturday and Sunday | Closed |
Carmel, Fishers, Westfield, Zionsville and the greater Indianapolis area.
Individual results vary. This page is general information and is not medical advice. Treatment suitability is determined at consultation. Treatments are provided under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.