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PBCM Blog

The PBCM Blog

Physician-led insights from Dr. Anna Frisch, MD, PhD on skin health, laser treatments, PRP hair restoration, collagen support, hormones, thyroid health, medical-grade skincare, VitellaMD wellness support, and aesthetic medicine in Wellington, Florida.

The PBCM Blog was created to help patients understand the connection between skin, hair, hormones, collagen, metabolism, nutrition, and aesthetic care. Written from the perspective of Dr. Anna Frisch, board-certified endocrinologist, Emory University School of Medicine-trained physician-scientist, and founder of VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine, the blog reflects PBCM's physician-led approach to cosmetic medicine: thoughtful, personalized, medically grounded, and focused on natural-looking results.

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Thyroid and hair health evaluation for autoimmune hair thinning at Palm Beach Cosmetic Medicine in Wellington, Florida
Thyroid and Hair Health

Hashimoto's Hair Loss: The Endocrine Work-Up That Belongs Before PRP

Diffuse thinning, a widening part, sometimes the outer third of the eyebrows. In autoimmune thyroid disease the scalp is often where the problem becomes visible first. Here is the work-up that belongs before any injection, and where PRP fits.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Sep 2, 20268 min read
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Physician-supervised regenerative treatment preparation at Palm Beach Cosmetic Medicine in Wellington, Florida
PRP and Regenerative Aesthetics

PRF Bio-Filler and EZ Gel: What It Is, and What It Is Not

Patients started asking us about EZ Gel before we had anything to say about it. It is worth explaining properly, including the parts the marketing pages skip.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20267 min read
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Physician-led consultation at Palm Beach Cosmetic Medicine in Wellington, Florida
PRP and Regenerative Aesthetics

Is PRF FDA-Approved? The Answer Most Practices Get Wrong

There is no FDA-approved indication for platelet-rich fibrin in aesthetic treatment. That is not a problem with the treatment. It is a problem with how the treatment gets described.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20266 min read
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EmCyte PurePRP Sapphire Series centrifuge used to prepare platelet concentrates at the point of care
PRP and Regenerative Aesthetics

Does the Centrifuge Matter? What Nobody Tells You About How PRF Is Made

PRF is not a standardised product. What ends up in the syringe depends on the machine that made it and the settings it was run at. Here is the version we would want to read.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20267 min read
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Physician-led consultation room at Palm Beach Cosmetic Medicine in Wellington, Florida
PRP and Regenerative Aesthetics

Your Own Blood Is Not Automatically Safe

Autologous means the material came from you. It says nothing about what happens to your blood between the draw and the treatment, and that is where the actual risk lives.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20266 min read
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Platelet-rich plasma hair restoration treatment prepared at Palm Beach Cosmetic Medicine in Wellington, Florida
PRP and Regenerative Aesthetics

PRP or PRF for Hair Loss? What a 2026 Trial Actually Found

A 2026 multicentre randomised trial compared PRP, injectable PRF and concentrated growth factors in female pattern hair loss. Here is a careful read of what it found and what it does not settle.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20267 min read
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Physician-led regenerative treatment planning at Palm Beach Cosmetic Medicine in Wellington, Florida
PRP and Regenerative Aesthetics

How Long Does PRF Actually Last? An Honest Answer

Almost every page says PRF lasts twelve to eighteen months, and almost none of them cite anything. We traced the number to its source and looked at what the human studies actually report.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 31, 20266 min read
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EmCyte PurePRP SupraPhysiologic 30mL concentrating system, the kit used to prepare platelet-rich plasma for skin protocols at Palm Beach Cosmetic Medicine
PRP and Regenerative Aesthetics

PRP for Skin: What It Actually Does (And Why Your Hormones Are Part of the Story)

PRP for skin is a tool, not a product. How well it works depends on what is actually driving the skin's changes, which is where the evaluation comes in.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 17, 20267 min read
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EmCyte PurePRP Sapphire Series centrifuge, the closed-system device used to concentrate platelet-rich plasma for hair restoration protocols at Palm Beach Cosmetic Medicine
Hair Restoration

PRP Hair Restoration: Why We Ask "Why" Before We Treat

Most PRP for hair loss begins with a syringe. The Root Cause Hair Restoration Protocol begins with a question: why is the hair thinning in the first place?

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 17, 20267 min read
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Gloved hands preparing a platelet-rich plasma sample beside a centrifuge in a physician-led clinic
PRP and Regenerative Aesthetics

Why PRP Fails (And How a Protocol Fixes It)

PRP rarely fails because the biology is wrong. It fails because of how it was prepared, what was never evaluated, and the absence of a schedule.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 16, 20268 min read
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Mature woman applying skincare at her vanity during her evening routine
Hormones and Skin

Collagen and Menopause: Why Skin Changes and What Helps

Patients describe menopausal skin change as sudden, and they are not imagining it. The collagen loss in the first postmenopausal years is unlike any other period in adult life.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 9, 20268 min read
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Gloved clinician holding a microneedling roller applicator above a relaxed patient's face during a collagen induction treatment
Collagen Support

Does Microneedling Really Rebuild Collagen? The Evidence

Microneedling is one of the few aesthetic treatments with histologic evidence behind the collagen claim. The evidence is real, and it is narrower than the marketing.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 9, 20268 min read
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Woman in her 30s applying a preventative skincare serum in front of a mirror
Collagen Support

Collagen Banking in Your 30s and 40s: What Actually Works

Collagen banking is a marketing term wrapped around a real idea. The idea holds up. The term oversells what any single treatment can do.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 9, 20268 min read
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Flatlay of collagen-supporting foods and supplements on a marble surface
Collagen Support

How to Rebuild Collagen Naturally: An Endocrinologist's Guide

Most advice about rebuilding collagen naturally skips the part that decides the outcome: whether your body is currently in a state that permits collagen synthesis at all.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Aug 9, 20268 min read
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Confident middle-aged man in a gym setting, reflecting strength and energy
Hormones and Skin

Testosterone Replacement Therapy in Wellington, FL: A Physician's Guide for Men Over 40

A board-certified endocrinologist's guide to testosterone replacement therapy and andropause care: how we evaluate, treat, and monitor men over 40 at our Wellington practice.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jul 23, 20269 min read
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Candela GentleMax Pro laser hair removal system used at Palm Beach Cosmetic Medicine in Wellington, FL
Laser Hair Removal

Candela GentleMax Pro vs. IPL for Hair Removal in Wellington, FL

IPL and the Candela GentleMax Pro are often marketed as interchangeable: they are not. Here is how a physician-led team compares them for permanent hair reduction, skin-type safety, and comfort.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jul 8, 20268 min read
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Woman shading her face with a wide-brimmed sun hat to protect against pigmentation
Skin Rejuvenation

Melasma Treatment in Wellington, FL: A Patient, Physician-Led 2026 Approach

Melasma is a chronic, sun- and hormone-sensitive pigmentation pattern. The treatments that actually help are patient, layered, and chosen carefully, not aggressive.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jul 7, 20267 min read
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Adult woman with clear skin in consultation with a clinician about acne care
Skin Rejuvenation

Hormonal Acne Treatment in Wellington, FL: Corrective Facials + an Endocrine Lens

Jawline and chin breakouts that flare with cycles, stress or PCOS rarely respond to a generic facial. A corrective facial paired with an endocrine lens does more.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jul 4, 20267 min read
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Close-up portrait of a mature woman with natural facial volume and soft skin
Skin Rejuvenation

Ozempic Face Treatment in Wellington, FL: Volume Loss, Skin Tightening, and a Realistic Plan

Rapid weight loss on Ozempic, Wegovy or Mounjaro can leave the face looking deflated. An endocrinologist-led plan in Wellington addresses both volume and skin quality.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 30, 20268 min read
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Laser hair removal treatment being performed on a man's back by a clinician
Laser Hair Removal

Men's Laser Hair Removal in Wellington, FL: Back, Chest, and Beard Line

Men's hair on the back, chest, shoulders and beard line is coarser and deeper than most women's hair; a dual-wavelength laser and a physician-led plan handle it predictably.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 29, 20267 min read
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Woman in protective eyewear receiving a facial laser hair removal treatment
Laser Hair Removal

Laser Hair Removal for PCOS and Hormonal Hair Growth in Wellington, FL

PCOS and hormonal hair growth need more than a generic laser package. An endocrinologist-led plan addresses the hormones driving the hair, and uses the right laser settings for resistant follicles.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 25, 20268 min read
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Physician examining a patient's skin closely during a medical skin evaluation
Treatment Planning

Dermatologist or Cosmetic Medicine Practice in Wellington, FL?

Dermatology and cosmetic medicine are different specialties with different focuses. Choosing the right setting for the right concern leads to better outcomes.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 21, 20266 min read
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Clinician treating a patient in a physician-supervised aesthetic treatment room
Treatment Planning

Med Spa vs. Physician-Led Cosmetic Medicine in Wellington: A Patient's Guide

Not all Wellington aesthetic practices are the same. Here is how a traditional med spa compares to a physician-led cosmetic medicine practice, and why the difference matters for safety and results.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 20, 20267 min read
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Clean, modern treatment room in an upscale aesthetic practice
Treatment Planning

Cosmetic Medicine vs. Med Spa in Wellington, FL: How to Choose

All med spas are not the same, and a cosmetic medicine practice is not a med spa. Knowing the difference helps you choose a setting that matches what you need.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 16, 20266 min read
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Clinician preparing a platelet-rich plasma injection at the scalp for hair restoration
Hair Restoration

PRP Hair Restoration in Wellington, FL: What Patients Should Know

PRP hair restoration uses your own platelets to support the scalp environment. Results vary, candidacy matters, and a hair-loss workup comes first.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 12, 20267 min read
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Woman preparing fresh vegetables as part of a medically supervised weight loss plan
Weight Loss and Skin Quality

Semaglutide and Weight Loss in Wellington, FL: Protecting Skin Quality

Medical weight loss can be life-changing, and it changes the skin. A thoughtful plan considers both the weight goal and what the skin will need along the way.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 11, 20268 min read
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Mature woman standing outdoors by the water, relaxed and energetic
Hormones and Skin

Hormone Therapy in Wellington, FL: A Physician-Led Guide

Hormone therapy is medical care, not a quick fix. A physician-led plan considers your symptoms, labs, history, and goals before recommending anything.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 7, 20268 min read
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Chemical peel solution being applied to a patient's face with a treatment brush
Skin Rejuvenation

Chemical Peels in Wellington, FL: Levels, Downtime, and Skin Prep

Chemical peels range from light refreshers to deeper resurfacing treatments. The right depth depends on your skin type, goals, and timeline.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 3, 20266 min read
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Body contouring applicator being used on a patient's thigh during a non-surgical fat reduction session
Weight Loss and Skin Quality

CoolSculpting in Wellington, FL: Non-Surgical Fat Reduction

CoolSculpting is a non-surgical body-contouring treatment for targeted, pinchable areas of fat. Candidacy and realistic expectations matter as much as the device.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Jun 2, 20267 min read
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Microneedling pen treatment being performed on a patient's face in a clinical setting
Skin Rejuvenation

Microneedling in Wellington, FL: Skin Texture, Tone, and Recovery

Microneedling uses controlled micro-injury to support collagen and skin texture. A physician-led plan keeps depth, cadence, and aftercare appropriate for your skin.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 29, 20267 min read
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HydraFacial hydradermabrasion treatment in progress on a patient's face
Skin Rejuvenation

HydraFacial in Wellington, FL: What to Expect at PBCM

HydraFacial is a no-downtime, medically supervised facial that cleanses, exfoliates, extracts, and hydrates the skin in a single visit.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 25, 20266 min read
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Candela GentleMax Pro laser hair removal system used at Palm Beach Cosmetic Medicine in Wellington, FL
Laser Hair Removal

Candela vs. Diode Lasers for Hair Removal: A Wellington Physician's Comparison

Many Wellington and Palm Beach County clinics use Diode lasers. PBCM uses the Candela GentleMax Pro Plus. Here is the physician-level comparison: wavelengths, skin types, cooling, and clinical control.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 24, 20269 min read
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Candela GentleMax Pro laser hair removal system used at Palm Beach Cosmetic Medicine in Wellington, FL
Laser Hair Removal

Candela GentleMax Pro Plus vs. Competitors: A Technical Comparison

Not all laser hair removal devices are equal. A technical breakdown of why PBCM chose the Candela GentleMax Pro Plus, and how it compares to Soprano Ice, IPL, and other common platforms.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 20, 20268 min read
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Portrait of a woman with glowing, well-hydrated skin in natural light
Collagen Support

Glow, Collagen, and Skin Quality: Why Aesthetic Wellness Is More Than One Treatment

Healthy-looking skin is influenced by collagen, hydration, sun exposure, hormones, skincare consistency, and internal wellness.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 17, 20267 min read
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Woman with healthy, full hair in a calm wellness setting
Thyroid and Hair Health

Thyroid Health, Hair Thinning, and Aesthetic Wellness

Hair thinning can be connected to many factors, including thyroid health, hormones, stress, nutrition, age, and overall wellness.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 16, 20267 min read
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Clinician performing a laser treatment on a patient with a deeper skin tone
Laser Hair Removal

Laser Hair Removal for Dark Skin Tones: A Fitzpatrick IV–VI Guide to Nd:YAG 1064nm

Dark skin tones (Fitzpatrick IV–VI) need a specific wavelength, pulse duration, and cooling strategy. Here is how the Nd:YAG 1064nm on the Candela GentleMax Pro Plus is selected, set, and delivered safely at PBCM.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 12, 20269 min read
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Elegant, welcoming clinic interior with warm lighting and comfortable seating
Treatment Planning

What Makes Palm Beach Cosmetic Medicine Different?

PBCM was created for patients who want modern aesthetic care in a refined, medically guided setting.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 8, 20268 min read
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Esthetician reviewing a combination treatment plan on a chart with a patient
Skin Rejuvenation

Facials, Lasers, PRP, and Skincare: Why Combination Plans Often Make Sense

A single treatment can be helpful, but skin health often improves through a thoughtful, layered plan.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 7, 20267 min read
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Woman cleansing and prepping her skin before an in-office treatment
Skin Rejuvenation

Why Skin Health Starts Before the Procedure

Your skin's condition before a procedure can influence comfort, recovery, and satisfaction with the treatment plan.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
May 3, 20266 min read
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Clinician completing a patient intake form on a clipboard before a consultation
Treatment Planning

How to Prepare for Your First PBCM Consultation

Your consultation is where safety, goals, skin history, medical history, and treatment planning come together.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 29, 20266 min read
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Groomed man in consultation with a clinician about men's aesthetic treatment options
Men's Aesthetics

Men's Aesthetics in Palm Beach County: Natural, Discreet, and Physician-Led

Men often want simple, discreet treatments that help them look cleaner, healthier, and more confident without looking overdone.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 28, 20266 min read
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Still life of medical-grade skincare bottles and tubes on a clean neutral surface
Medical-Grade Skincare

Medical-Grade Skincare and VitellaMD: Supporting Skin From the Outside and Inside

Healthy skin is built through daily consistency. PBCM connects professional treatments, home skincare, and internal support when appropriate.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 24, 20267 min read
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Woman applying a skincare serum to her cheek as part of a collagen support routine
Collagen Support

The PBCM Collagen Rebuild Protocol: What It Means and Who It May Help

Collagen support is not one treatment. It is a plan that may include procedures, skincare, sun protection, and internal wellness support.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 20, 20267 min read
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Healthy mature woman with natural, well-cared-for skin
Weight Loss and Skin Quality

Skin Rejuvenation After Weight Loss: Supporting Skin Quality, Tone, and Confidence

Weight loss can be a meaningful achievement. Sometimes the skin needs extra support as the face and body change.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 19, 20267 min read
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Gloved clinician handling a blood tube beside a centrifuge used to prepare platelet-rich plasma
Hair Restoration

PRP for Hair Restoration: A Physician-Led Approach to Thinning Hair

Hair thinning is personal, emotional, and often complex. PRP may be one part of a thoughtful, medically guided hair restoration plan.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 15, 20268 min read
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Close-up of a woman's jawline and neck, the area most affected by hormonal hair growth
Hormones and Skin

Laser Hair Removal for PCOS: An Endocrinologist-Led Guide

PCOS-related hair growth is hormonally driven, which is why a one-size-fits-all laser package rarely works. Here is how an endocrinologist plans treatment with the Candela GentleMax Pro.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 11, 20268 min read
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Woman examining her hairline and skin in a softly lit bathroom mirror
Hormones and Skin

Hormones, Hair Growth, and Laser Hair Removal

Unwanted hair growth may be influenced by age, hormones, medications, stress, or medical history. Treatment planning should reflect the whole patient.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 10, 20267 min read
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Clinician performing a laser hair removal treatment on a patient's leg in a Wellington, Florida medical office
Laser Hair Removal

Laser Hair Removal in Wellington: What Patients Should Know Before Starting

Laser hair removal works best when the plan is customized to skin type, hair color, treatment area, and long-term goals.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 6, 20268 min read
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Physician in a white coat reviewing a treatment plan with a patient during a physician-led cosmetic medicine consultation in Wellington, Florida
Treatment Planning

Why Physician-Led Cosmetic Medicine Matters

Aesthetic care should begin with understanding the patient. At PBCM, skin, hair, hormones, health history, and long-term goals all matter.

By Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist · Medical Director, PBCM
Apr 2, 20267 min read
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