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Objectives: Help the viewer understand the present and future landscape of regenerative medicine and surgery

Introduction: Regenerative medicine and surgery as well as overall progress in the understanding and management of cellular aging has put this field at the forefront of the public. Radical changes in the way we perform our procedures and anticipate our outcomes is bringing science to aesthetic care in ways never achieved. We are making our cells and tissues healthier, more beautiful and younger.

Materials / method: The author will review current implementation of regenerative approaches in practice.

Results: Current regenerative approaches include multilayer, anatomic and regenerative fat grafting to replace and regenerate facial tissues, the use of Nanofat and SVF and SVT in conjunction with lasers and compounded with topical agents to deliver bio-intelligent signals to our cells and reverse photodamage and skin aging. Exosomes are being used successfully with RF microneedling, fractional lasers and micro-coring devices as well as for wound healing and flap ischemia. Ground breaking cosmeceuticals have been developed and have extensive independent validation that they outperform current agents.

Conclusion: A new paradigm is occurring in medicine in general and aesthetics specifically where regenerative approaches will be used to reduce aging, accelerate repair, re-establish blood flow and reduce inflammation. In concordance with better understanding of the human genetics, cell biology and epigenetic reprogramming, we are at a point where we can begin to slow the aging process. The future is very bright.

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