Sun Damage
Brown spots and uneven tone from years of Keys sun exposure

Medical-grade skincare curated by your provider to match your skin type, concerns, and treatment plan
Big Pine Key, FL
Drugstore and cosmetic-counter skincare has a ceiling. Active ingredients like retinoids, growth factors, peptides, and antioxidants need higher concentrations and stable delivery to do what the label promises — and drugstore formulas built for the broadest skin type often under-deliver on real concerns: sun damage, melasma, persistent redness, post-laser healing, post-acne marks, or premature aging from a lifetime in the Keys.
Medical-grade skincare is sold through licensed providers because the ingredients work, but only when matched to the right skin and routine. Our physician-led approach doesn't push retail — we recommend products only when they support your aesthetic plan. The line is anchored by Alastin Skincare, our primary medical-grade brand, with carefully chosen complementary products from other vetted lines.
Medical-Grade Formulas
Professional or medical-grade skincare refers to products with active ingredients at concentrations and stabilities that exceed standard over-the-counter formulations, and that are sold through licensed medical practices to ensure appropriate use. Many of these brands rely on prescription-grade ingredients, advanced peptide complexes, growth factors, or proprietary delivery systems that wouldn't be safe or effective if dispensed without provider guidance.
Our anchor line is Alastin Skincare, a brand we carry because their TriHex Technology helps support the skin's natural ability to clear damaged elastin and collagen and stimulate fresh production. Alastin is widely used to prep skin for procedures (like ADVATx laser resurfacing) and to extend results afterward. We also stock medical-grade vitamin C serums, retinols at appropriate concentrations, broad-spectrum mineral sunscreens, hyaluronic acid hydrators, and gentle medical cleansers. We now also offer Neocutis products, sold in office only, which share a rewards program with Xeomin.
To see how our skincare line supports your aesthetic plan, visit our aesthetic treatments hub or pair products with PRP facials to address texture, fine lines, and post-procedural healing.
Real ingredients, real guidance
2000+ Satisfied patients
Every product reviewed by our team for evidence and fit
Pre and post-procedure products to extend treatment results
Sourced directly from manufacturers, never grey market
Morning and evening regimens built around your skin
Formulas matched to humid, sun-saturated Keys living
We recommend only what your skin actually needs
Compare Skincare Tiers
| Tier | Mechanism | Formulation | Results | Cost | Guidance | Best For |
|---|---|---|---|---|---|---|
| Alastin & Medical-Grade | Active ingredients at clinically tested concentrations and stabilities | Pharmaceutical-quality | Visible improvement in 4-12 weeks | Higher per-bottle, lower per-result | Physician-curated routine | Real concerns, post-procedure care, sun damage |
| Cosmetic Counter / Department Store | Mid-strength actives, marketing-heavy claims | Mixed quality | Variable, often subtle | Mid-to-high | Sales associate | Routine maintenance, no specific concern |
| Drugstore / Mass Market | Mild actives, broad formulation for the average skin | Adequate basics | Slow, often plateaus | Low | None | Starter routine, basic SPF and cleansing |
Realistic expectations matter
Professional skincare is appropriate for almost any adult who wants their daily routine to actually move the needle. The bigger question is which products fit your specific concerns and your aesthetic plan. During a free skincare consultation, our team will assess your current routine and recommend a personalized regimen.
Because every recommendation is reviewed under Dr. Keifer's supervision with access to your full medical chart, ingredient interactions and contraindications are caught before you start.
How we build your personalized skincare routine, from skin analysis to product selection and ongoing guidance
Our team reviews your current routine, concerns, sun habits, and treatment plan.
We pull a personalized morning and evening regimen from the line we carry.
You're walked through how to layer, when to use each product, and what to expect.
Take home your products the same day; reorders are quick by phone or in office.
Common adjustment reactions, sensitivities, and rare risks when starting medical-grade skincare
Professional skincare is priced at standard manufacturer retail. Most patients build a foundational routine of 4-6 products (cleanser, serum, treatment, moisturizer, eye cream, daily SPF), with the option to add or rotate products as their plan evolves.
Investment ranges:
Our team will tell you honestly which products are worth the spend and which are not necessary for your skin.
We accept major credit cards. For procedure-related skincare bundles, financing is available through Cherry and CareCredit. Skincare products are not covered by medical insurance.
Physician-curated medical-grade skincare paired with personalized routines built for Florida Keys skin
Product line curated under Dr. Keifer's medical supervision
Skincare integrates with our 9 vetted aesthetic devices
Ingredients backed by evidence, dosed for real results
Soft lighting, mild aromatherapy, and thoughtful music throughout
Only proven medical-grade brands stocked, no random retail picks
Products matched to your skin during a quick in-office consult
In-office treatments amplified by your daily routine.
Annual physicals, chronic disease management, walk-in sick visits and in-office procedures — physician-led care for the Middle and Lower Keys
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Hormone Replacement, Medical Weight Loss, TMS Therapy, Emsella, Emsculpt Neo and more — physician-led wellness for the Lower Keys
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Hair restoration, PRP facials and PRP joint injections — physician-led regenerative medicine for the Lower Keys
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Botox, dermal fillers, ADVATx laser resurfacing, Emface, Denza, Nirvana laser hair removal and physician-curated skincare — all under one roof
Learn MoreBig Pine Key, FL
Our anchor brand is Alastin Skincare. We also carry carefully selected medical-grade vitamin C serums, retinols, broad-spectrum mineral sunscreens, hyaluronic acid hydrators, and gentle cleansers from other vetted professional lines.
Most professional brands restrict online sales to verified medical practices. We can dispense in-office or, for some lines, set you up with provider-direct ordering through the manufacturer's authorized portal.
No. Cosmetic and aesthetic skincare products are not covered by medical insurance. Most patients view them as the at-home complement to their in-office aesthetic plan.
We are happy to coordinate convenient pickup at our Big Pine Key office. For patients further afield in the Lower Keys or Key West, we can discuss options at your visit.
Yes for refills of products you're already using. For new products or a new routine, we strongly recommend a brief skincare consultation so the recommendation actually fits your skin.