| introduction- With rising life expectancy and active lifestyles, aesthetic concerns in the geriatric population are increasingly being addressed in dermatology practice. Age-related pigmentary changes, volume loss, scarring, and hair thinning can significantly impact self-esteem and social interaction. Minimally invasive procedures, when combined judiciously, can provide safe and effective rejuvenation in elderly patients without the risks of extensive surgical interventions. Case Report: We present a geriatric female patient who underwent a series of aesthetic procedures tailored to her specific concerns. For periorbital pigmentation, a periorbital chemical peel was performed, resulting in noticeable lightening and improved skin texture. High-intensity focused ultrasound (HIFU) was employed for non-invasive lower face and jawline rejuvenation, achieving visible tightening and lifting. To address sparse eyebrows, microblading was carried out, restoring natural definition and enhancing facial symmetry. Finally, fractional CO₂ laser was administered for longstanding post-burn facial scars, leading to improvement in scar pliability, surface texture, and overall cosmesis. Discussion: The combined approach provided comprehensive aesthetic enhancement, addressing pigmentary, structural, hair density, and textural concerns in a single patient. Importantly, each procedure was well tolerated, with no significant downtime, highlighting the safety of minimally invasive interventions in the geriatric age group. Beyond cosmetic gains, the patient reported improved confidence, social comfort, and psychological well-being, underscoring the holistic benefits of aesthetic dermatology in elderly individuals. Conclusion: This case demonstrates the successful use of multimodality aesthetic interventions—chemical peel, HIFU, microblading, and fractional CO₂ laser—in a geriatric patient. Such tailored approaches not only rejuvenate appearance but also significantly enhance quality of life, reflecting the evolving role of aesthetic dermatology in older adults. |
