Real Dull Skin Cases by Dr. Xu
The following four cases were personally assessed and treatment-planned by Dr. Dan Xu at our Toronto · Markham clinic, with Media Release Form authorization. The causes of skin dullness vary significantly (slow metabolism / barrier / glycation / hypoxia), individual responses differ, and actual outcomes are determined during consultation.


Case 5 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- VISIA Assessment · Dull skin · Stratum corneum buildup + poor microcirculation
- Treatment Plan
- Acne Clearing AI BBL HEROIC™ + AI BBL HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL Photofacial, and 19 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Hydrafacial/Monthly mesotherapy × 1 + sun protection
Case 05: Dull skin before treatment · Asian female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV · Persistent for nearly 3–5 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Fotona® Redness Reduction Laser + Laser Vascular Treatment + Vbeam® Perfecta + Vbeam® Redness Clearance and 12 other treatments (1 session)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + home care
Case 02: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Persistent for nearly 3-5 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 3 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 03: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 04: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + PicoSure Pro, and 8 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + AI BBL HEROIC™ Photofacial, and 6 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 05: Skin Dullness Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Real Dull Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona 4D + Fotona® 4D Lifting and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 06: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 7 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 07: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 08: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 09: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 11 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 11: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 12 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick IV · Long-term duration
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- PicoSure® + PicoSure Pro + PicoWay (1-2 sessions)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 12: Dull skin before treatment · Asian female · Fitzpatrick IV · Long-standing · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick IV · Noticeably persistent for 1-2 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Pico® Whitening & rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 16: Dull skin before treatment · Asian female · Fitzpatrick IV · Noticeable for nearly 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Real Dull Skin Record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 38: Skin Dullness Before Treatment · Asian Male · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Real dull skin record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 40: Dull Skin Before Comparison · Asian Male · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 41 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 41: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham

















































