Consultation
Dr. Farag reviews your skin concerns, goals, history, and confirms PRX is appropriate for your skin.

Glow Without the Peel or Downtime
Your PRX Treatment at a glance:
Without the Recovery Cost
Conventional skin rejuvenation usually means a tradeoff: chemical peels give you brighter, smoother skin but require 5 to 10 days of visible peeling and strict sun avoidance. Microneedling produces collagen, but recovery includes 1 to 3 days of redness and a few days of avoiding makeup. Laser resurfacing extends downtime even further. For Florida professionals and busy parents, taking a week off the calendar simply is not feasible, especially during high sun exposure months.
PRX changes the equation. The formulation combines low-concentration trichloroacetic acid (TCA), hydrogen peroxide, and kojic acid in a topical solution that Dr. Farag massages into clean skin. The active ingredients penetrate the deeper dermis without injuring the epidermis, so there is no visible peeling, no downtime, and no sun-sensitivity window. Results build over a series of 4 to 6 treatments spaced 1 to 2 weeks apart: brighter tone, firmer texture, refined pores, and softer fine lines.
Bio-Revitalization Without the Peel
PRX, commonly referred to as PRX-T33 (the original Italian formulation), is a topical bio-revitalization treatment that combines a low concentration of trichloroacetic acid (TCA, typically 33 percent), hydrogen peroxide, and kojic acid. The hydrogen peroxide acts as a barrier protector, allowing the TCA to penetrate the deeper dermis where it stimulates fibroblast activity, collagen synthesis, and elastin remodeling, without injuring the surface skin or producing visible peeling.
At RegalMed Clinic, Dr. Farag performs PRX as a 30-minute in-office treatment. The skin is cleansed, the PRX solution is massaged in by hand for several minutes until it is fully absorbed, and a hyaluronic acid serum and SPF are applied. There is no needling, no peeling, no redness window, and no sun-sensitivity restriction beyond standard daily SPF use. PRX is safe for all Fitzpatrick skin types (I through VI) and is one of the few rejuvenation protocols suitable year-round in Florida.
Glow Without the Tradeoff
No peeling, no redness, no recovery window between work and life
Safe and effective on Fitzpatrick I through VI, including melanin-rich skin
Topical application means no injections, no bruising, no needle anxiety
Year-round treatment with no extended sun-sensitivity restriction
Approved for face, neck, decolletage, hands, arms, and stretch marks
Personally administered by Dr. Sherry Farag, M.D.
Compare Your Options
| Treatment | Mechanism | Peeling | Downtime | Best For | Sessions | All Skin Types |
|---|---|---|---|---|---|---|
| PRX (PRX-T33) | Topical TCA + H2O2 + kojic acid | None | Zero | Tone, texture, glow, year-round Florida use | 4 to 6 in series | Yes (I to VI) |
| Chemical Peel (TCA) | Controlled epidermal injury | 5 to 10 days visible | 5 to 10 days | Photodamage, deeper texture | 1 to 3 | Limited (caution III to VI) |
| Microneedling | Mechanical micro-injury | None visible | 1 to 3 days redness | Texture, scars, pores | 3 to 6 | Yes (with care) |
| RF Microneedling | Micro-injury plus heat | None visible | 2 to 5 days | Laxity, deeper remodeling | 3 to 4 | Yes (with care) |
PRX
PRX
Most patients see a visible glow and smoother feel after the first PRX treatment. Cumulative tone, texture, and firmness gains build through the recommended 4 to 6 session series, with full collagen remodeling continuing 4 to 8 weeks after the final session.
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Personalized Candidacy Review
PRX treatment is appropriate for nearly all adults seeking brighter, smoother, firmer skin without downtime. Because there is no epidermal injury, PRX is one of the few rejuvenation protocols safely used on all Fitzpatrick skin types and during high-sun seasons. Dr. Farag confirms candidacy through a skin assessment and goal review.
Dr. Farag reviews medical history, current skincare regimen, and goals during your consultation and recommends a customized PRX series with home skincare support.
Dr. Farag reviews your skin concerns, goals, history, and confirms PRX is appropriate for your skin.
The treatment area is gently cleansed and dried to maximize absorption of the PRX solution.
Dr. Farag massages the PRX-T33 solution into the skin for several minutes until fully absorbed.
A hyaluronic acid serum and SPF are layered on to support hydration and Florida sun defense.
You receive a personalized 4 to 6 session schedule and home care plan to extend results.
Honest Risk Discussion
PRX has one of the most favorable safety profiles in non-invasive skin rejuvenation. Because the formulation includes hydrogen peroxide as a barrier protector, the TCA does not produce visible epidermal injury or peeling. Common, transient effects include a brief tingling or warmth during application, mild skin tightness for several hours, and a mild glow flush that resolves within an hour.
Less common effects include temporary mild skin sensitivity in patients with very reactive skin, mild dryness in the days following treatment if home skincare is interrupted, and rare paradoxical pigmentation in patients with active hormonal melasma (which Dr. Farag screens for and may pre-treat).
Rare risks include allergic contact reaction to a component of the PRX solution, post-inflammatory hyperpigmentation in extremely reactive skin types, and infection if active herpes or other skin infection is present during treatment. Dr. Farag screens for contraindications, reviews informed consent before each session, and pauses the protocol if skin is irritated or healing.
PRX is generally priced per session, with most patients investing in a recommended series of 4 to 6 treatments spaced 1 to 2 weeks apart. Maintenance sessions every 3 to 6 months sustain results.
PRX treatment is not covered by insurance because it is a cosmetic skin rejuvenation procedure. RegalMed Clinic accepts CareCredit and Cherry financing. Final pricing is confirmed during your consultation.
Fort Myers Skin Care
Dr. Farag personally massages every PRX session for consistent dermal delivery
Treatments use the original PRX-T33 formulation, never compounded substitutes
PRX is paired with nutrition, supplementation, and HRT when imbalances drive aging
4 to 6 session protocol set on day one with clear maintenance schedule
What Patients Ask Dr. Farag
PRX uses low-concentration TCA combined with hydrogen peroxide, which protects the surface epidermis. The active ingredients reach the deeper dermis to stimulate collagen, but you do not experience visible peeling, redness, or recovery.
Most patients benefit from a series of 4 to 6 sessions spaced 1 to 2 weeks apart. After the initial series, maintenance every 3 to 6 months sustains results.
Most patients notice an immediate glow after the first session. Tone and texture improvements build through the series, with full collagen remodeling continuing 4 to 8 weeks after the final session.
Yes. PRX is one of the few rejuvenation protocols safe to use during Florida sun season. Daily SPF is required, but there is no extended sun-sensitivity window.
Yes. PRX is approved for Fitzpatrick I through VI and is widely used as a safer alternative to traditional chemical peels for melanin-rich skin.
Yes. PRX is commonly used on the neck, decolletage, hands, arms, and stretch mark areas. Pricing varies by area.
PRX is needle-free and topical only, with zero downtime. Microneedling uses tiny needles to create controlled micro-injury and produces some redness for 1 to 3 days. Many patients combine the two for layered results.
PRX produces real collagen and tone improvements that last, but skin continues to age. Maintenance every 3 to 6 months keeps the glow consistent. Daily SPF, hydration, and skincare extend results significantly.