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Subject: Results from my Feb 23 skin therapy:
From: Bryan Johnson from Bryan Johnson <bryanjohns0n@substack.com>
To: tjphuhs@gmail.com
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View this post on the web at https://bryanjohns0n.substack.com/p/results-fr=
om-my-feb-23-skin-therapy

Improvements since treatment:
> Brown spots: +71 percentile points (20th =E2=86=92 91st)=E2=9C=85
> Pores: +25 percentile points=E2=9C=85
> Spots: +25 percentile points=E2=9C=85
My skin age is 9 years younger than my chronological age (39 vs 48) and has=
n=E2=80=99t aged in five years since starting this project. Effectively a 9=
 year age reversal. Measured using VISIA multispectral clinical imaging, th=
e most validated non-invasive skin analysis system available.
Feb 23 treatment summary
Technologies
>  Everesse RF
> CoolPeel CO2 laser
> BBL
Each targeting a different skin depth so repair windows overlap without com=
peting.
Treatment details
Everesse RF (200 pulses, Level 2.5 per cheek), CoolPeel CO2 laser (3.0W, 70=
0 micron spacing), and BBL broadband light. Each targeting a different skin=
 depth.=20
Everesse drives heat into the dermis at 60-70=C2=B0C, triggering fibroblast=
 activation and collagen production that peaks 6-8 weeks later (about now),=
 tightening the structural scaffolding that makes pores visible.=20
CoolPeel ablates the surface layer of skin, physically removing melanin-loa=
ded cells and forcing fresh keratinocytes to the surface.=20
BBL destroys residual pigment one layer deeper through selective phototherm=
olysis, where melanin absorbs light energy and self-destructs.=20
Porphyrins dropped 13 points, which is expected. The treatments temporarily=
 disrupt the follicular environment that bacteria need to thrive, and that =
recovers within 8-12 weeks.=20
Goal was to do a triple-modality stack so the repair windows overlap withou=
t competing (dermis, epidermis, and chromophores).

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@media screen and (max-width: 650px) {
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@media screen and (max-width: 650px) {
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}
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}
@media screen and (max-width: 650px) {
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}
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}
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}
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}
@media (max-width: 1024px) {
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}
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}
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}
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}
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@media (max-width: 650px) {
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}
@media (max-width: 650px) {
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}
@media (max-width: 650px) {
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}
@media (max-width: 650px) {
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}
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}
@media (max-width: 420px) {
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}
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}
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}
@media screen and (max-width: 650px) {
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}</style></head><body class=3D"email-body" style=3D"font-kerning: auto;--im=
age-offset-margin: -120px;"><img src=3D"https://eotrx.substackcdn.com/open?=
token=3DeyJtIjoiPDIwMjYwNDA3MDA0MjI4LjMuZjY0NDZjNTFmYjM1MWJjZUBtZy1kMC5zdWJ=
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ght=3D"1" border=3D"0" style=3D"height:1px !important;width:1px !important;=
border-width:0 !important;margin-top:0 !important;margin-bottom:0 !importan=
t;margin-right:0 !important;margin-left:0 !important;padding-top:0 !importa=
nt;padding-bottom:0 !important;padding-right:0 !important;padding-left:0 !i=
mportant;"/><div class=3D"preview" style=3D"display:none;font-size:1px;colo=
r:#333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:h=
idden;">Improvements since treatment:</div><div class=3D"preview" style=3D"=
display:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max=
-width:0px;opacity:0;overflow:hidden;">&#847; &nbsp; &#8199; &#173;&#847; &=
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color: rgb(54,55,55);font-family: 'SF Pro Display',-apple-system-headline,s=
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ght: bold;-webkit-font-smoothing: antialiased;-moz-osx-font-smoothing: anti=
aliased;-webkit-appearance: optimizelegibility;-moz-appearance: optimizeleg=
ibility;appearance: optimizelegibility;margin: 0;line-height: 36px;font-siz=
e: 32px;"><a href=3D"https://substack.com/app-link/post?publication_id=3D50=
08442&post_id=3D193417404&utm_source=3Dpost-email-title&utm_campaign=3Demai=
l-post-title&isFreemail=3Dtrue&r=3D4iwoe6&token=3DeyJ1c2VyX2lkIjoyNzM2MjIzO=
TgsInBvc3RfaWQiOjE5MzQxNzQwNCwiaWF0IjoxNzc1NTIyNTUzLCJleHAiOjE3NzgxMTQ1NTMs=
ImlzcyI6InB1Yi01MDA4NDQyIiwic3ViIjoicG9zdC1yZWFjdGlvbiJ9.TcRAIhQ9rRYxo2sK0U=
m1fLQ8LTgoiC83ahKcKa8ampo" style=3D"color: rgb(54,55,55);text-decoration: n=
one;">Results from my Feb 23 skin therapy: </a></h1><table class=3D"post-me=
ta" role=3D"presentation" width=3D"100%" border=3D"0" cellspacing=3D"0" cel=
lpadding=3D"0" style=3D"margin: 1em 0;height: 20px;align-items: center;"><t=
body><tr><td><table role=3D"presentation" width=3D"auto" border=3D"0" cells=
pacing=3D"0" cellpadding=3D"0"><tbody><tr><td><table role=3D"presentation" =
width=3D"auto" border=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr>=
<td style=3D"vertical-align:middle;"><div class=3D"pencraft pc-reset color-=
primary-zABazT line-height-20-t4M0El font-meta-MWBumP size-11-NuY2Zx weight=
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SF Compact',-apple-system,system-ui,-apple-system,BlinkMacSystemFont,'Segoe=
 UI',Roboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji'=
,'Segoe UI Symbol';font-weight: 500;text-transform: uppercase;letter-spacin=
g: .2px;"><a class=3D"pencraft pc-reset color-primary-zABazT line-height-20=
-t4M0El font-meta-MWBumP size-11-NuY2Zx weight-medium-fw81nC transform-uppe=
rcase-yKDgcq reset-IxiVJZ meta-EgzBVA" style=3D"list-style: none;color: rgb=
(54,55,55);margin: 0;font-size: 11px;line-height: 20px;font-family: 'SF Com=
pact',-apple-system,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',R=
oboto,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Sego=
e UI Symbol';font-weight: 500;text-transform: uppercase;letter-spacing: .2p=
x;text-decoration: none" href=3D"https://substack.com/@bryanjohns0n">Bryan =
Johnson</a></div></td></tr></tbody></table></td></tr><tr><td><table role=3D=
"presentation" width=3D"auto" border=3D"0" cellspacing=3D"0" cellpadding=3D=
"0"><tbody><tr><td style=3D"vertical-align:middle;"><div class=3D"pencraft =
pc-reset color-secondary-ls1g8s line-height-20-t4M0El font-meta-MWBumP size=
-11-NuY2Zx weight-medium-fw81nC transform-uppercase-yKDgcq reset-IxiVJZ met=
a-EgzBVA" style=3D"list-style: none;font-size: 11px;line-height: 20px;text-=
decoration: unset;color: rgb(119,119,119);margin: 0;font-family: 'SF Compac=
t',-apple-system,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',Robo=
to,Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe U=
I Symbol';font-weight: 500;text-transform: uppercase;letter-spacing: .2px;"=
><time datetime=3D"2026-04-07T00:42:28.032Z">Apr 7</time></div></td></tr></=
tbody></table></td></tr></tbody></table></td><td align=3D"right"><table rol=
e=3D"presentation" width=3D"auto" border=3D"0" cellspacing=3D"0" cellpaddin=
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=3D"18" alt=3D"" style=3D"max-width: 550px;border: none !important;vertical=
-align: middle;"></a></td></tr></tbody></table></td></tr></tbody></table></=
td><td align=3D"right"><table role=3D"presentation" width=3D"auto" border=
=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td style=3D"vertical=
-align:middle;"><table role=3D"presentation" width=3D"auto" border=3D"0" ce=
llspacing=3D"0" cellpadding=3D"0"><tbody><tr><td align=3D"center"><a class=
=3D"email-button-outline" href=3D"https://open.substack.com/pub/bryanjohns0=
n/p/results-from-my-feb-23-skin-therapy?utm_source=3Demail&redirect=3Dapp-s=
tore&utm_campaign=3Demail-read-in-app" style=3D"font-family: system-ui,-app=
le-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-serif,'=
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;font-weight: 500;border: 1px solid rgb(0,0,0,.1);border-radius: 9999px;tex=
t-transform: uppercase;font-size: 12px;line-height: 12px;padding: 9px 14px;=
text-decoration: none;color: rgb(119,119,119);"><div class=3D"email-button-=
spacer" style=3D"font-size: 16px;line-height: 26px;display: inline-block;ve=
rtical-align: middle;max-width: 0;min-height: 18px;"></div><span class=3D"e=
mail-button-text" style=3D"vertical-align: middle;margin-right: 4px">READ I=
N APP</span><img class=3D"icon text-icon" src=3D"https://substackcdn.com/im=
age/fetch/$s_!ET-_!,w_36,c_scale,f_png,q_auto:good,fl_progressive:steep/htt=
ps%3A%2F%2Fsubstack.com%2Ficon%2FLucideArrowUpRight%3Fv%3D4%26height%3D36%2=
6fill%3Dnone%26stroke%3D%2523808080%26strokeWidth%3D2" width=3D"18" height=
=3D"18" style=3D"min-width: 18px;min-height: 18px;border: none;vertical-ali=
gn: middle;margin-right: 0;margin-left: 0;max-width: 18px" alt=3D""></a></t=
d></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table>=
</td></tr><tr height=3D"16"><td height=3D"16" style=3D"font-size:0px;line-h=
eight:0;">&nbsp;</td></tr></tbody></table></div></div><div class=3D"post ty=
pography" dir=3D"auto" style=3D"--image-offset-margin: -120px;padding: 32px=
 0 0 0;font-size: 16px;line-height: 26px;"><div class=3D"body markup" dir=
=3D"auto" style=3D"text-align: initial;font-size: 16px;line-height: 26px;wi=
dth: 100%;word-break: break-word;margin-bottom: 16px;"><p style=3D"margin: =
0 0 20px 0;color: rgb(54,55,55);line-height: 26px;font-size: 16px;margin-to=
p: 0;">Improvements since treatment:</p><p style=3D"margin: 0 0 20px 0;colo=
r: rgb(54,55,55);line-height: 26px;font-size: 16px;">&gt; Brown spots: +71 =
percentile points (20th &#8594; 91st)&#9989;</p><p style=3D"margin: 0 0 20p=
x 0;color: rgb(54,55,55);line-height: 26px;font-size: 16px;">&gt; Pores: +2=
5 percentile points&#9989;</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,=
55,55);line-height: 26px;font-size: 16px;">&gt; Spots: +25 percentile point=
s&#9989;</p><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);line-height=
: 26px;font-size: 16px;"><span>My skin age is 9 years younger than my chron=
ological age (39 vs 48) and hasn&#8217;t aged in five years since starting =
this project. Effectively a 9 year age reversal. Measured using VISIA multi=
spectral clinical imaging, the most validated non-invasive skin analysis sy=
stem available.</span><br><br><strong><span>Feb 23 treatment summary</span>=
<br><br></strong><span>Technologies</span><br><strong>&gt; </strong><span> =
Everesse RF</span><br><span>&gt; CoolPeel CO2 laser</span><br><span>&gt; BB=
L</span><br><br><span>Each targeting a different skin depth so repair windo=
ws overlap without competing.</span></p><p style=3D"margin: 0 0 20px 0;colo=
r: rgb(54,55,55);line-height: 26px;font-size: 16px;"><strong><span>Treatmen=
t details</span><br><br></strong><span>Everesse RF (200 pulses, Level 2.5 p=
er cheek), CoolPeel CO2 laser (3.0W, 700 micron spacing), and BBL broadband=
 light. Each targeting a different skin depth. </span><br><br><span>Everess=
e drives heat into the dermis at 60-70&#176;C, triggering fibroblast activa=
tion and collagen production that peaks 6-8 weeks later (about now), tighte=
ning the structural scaffolding that makes pores visible. </span><br><br><s=
pan>CoolPeel ablates the surface layer of skin, physically removing melanin=
-loaded cells and forcing fresh keratinocytes to the surface. </span><br><b=
r><span>BBL destroys residual pigment one layer deeper through selective ph=
otothermolysis, where melanin absorbs light energy and self-destructs. </sp=
an><br><br><span>Porphyrins dropped 13 points, which is expected. The treat=
ments temporarily disrupt the follicular environment that bacteria need to =
thrive, and that recovers within 8-12 weeks. </span><br><br><span>Goal was =
to do a triple-modality stack so the repair windows overlap without competi=
ng (dermis, epidermis, and chromophores).</span></p><div class=3D"captioned=
-image-container-static" style=3D"font-size: 16px;line-height: 26px;margin:=
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