Skin care products at Coastal Dermatology + Aesthetics are medical-grade regimens built around the ZO Skin Health line, a dermatologist-developed range sold through practices rather than over the counter. Regimens are assessed, built and adjusted at the San Luis Obispo office. Five members of staff hold ZO certification, a program of roughly 40 hours of training.
What a real regimen does for your skin
A regimen is the only part of your skin care that works every single day. A peel is one afternoon. A laser is one appointment. The products you put on morning and night are touching your skin twice a day for the rest of the year, which is why the wrong ones do so much damage and the right ones do so much quietly.
What we build is short. Cleanse, protect, and two or three actives chosen for the thing you actually want fixed, whether that is pigment that keeps coming back, acne that never fully clears, or skin that has thinned and roughened from twenty summers on this coast. Actives get introduced at a pace your skin can take, in an order that matters, because most people who quit retinol quit it in week two after using too much of it.
The lines we carry are sold through practices instead of stores, which means higher concentrations of the ingredients that do the work and formulations built around getting them where they need to go. It also means someone who has looked at your skin decides what you use. That is the part that turns a shelf of products into a result.
What a built regimen is good at
- Holding the result of a peel, a facial or a laser between visits instead of letting it fade
- Fading and then holding pigment, which is where the daily product does more work than any single treatment
- Clearing the kind of acne that never quite responds to what you can buy at the counter
- Rebuilding a barrier that has been stripped by too many strong products used at once
- Supporting prescribed treatment for eczema, contact dermatitis, rosacea and psoriasis
- Preparing skin so a procedure does more, and settles faster afterward
Times a year a morning and evening routine touches your skin. Nothing else in a dermatology practice gets that many chances to work, which is why we spend a consultation getting it right.
How we build your regimen
Assess
We look at your skin, your history and everything you are already using, including the things you buy and forget about. Most people arrive with a routine where one or two products are doing real work and the rest are cancelling each other out.
Build
You leave with a specific sequence, specific products and instructions on order and frequency. Not a starter kit. Actives go in one at a time at a strength your skin will tolerate, so you get the benefit without the two weeks of peeling that make people quit.
Adjust
Skin changes with the season, with treatment and with age. What was right in March is not automatically right in September. We change it when your skin changes, which is the advantage of buying from somewhere you are coming back to anyway.
Hours of training in the ZO certification program, across sixteen advanced science courses. We also hold the highest level of ZO Circle Club status.
The brands we carry
ZO® Skin Health. The topical line most of our regimens are built from, developed by a dermatologist and sold through practices rather than over the counter. Cleansers, exfoliants, treatment serums, moisturizers, eye products and sunscreens, with actives like retinol, salicylic acid and benzoyl peroxide. There is a full ZO Skin Health page if you want the detail on the line itself.
Heliocare®. Capsules that add oral sun protection on top of your sunscreen, not instead of it. It suits people who are outdoors here most of the year and people working on pigment, where every stray hour of sun undoes a little of the progress.
Nutrafol®. For thinning hair, a daily supplement taken by mouth. It sits alongside a real look at why the hair is thinning rather than standing in for one.
Pendulum® Probiotics. A gut health supplement, which is an unusual thing to find in a dermatology practice. It is here because what happens in the gut shows up on the skin often enough to be worth addressing.
Collagen Boost. The one thing here you do not take home. This is the in-office collagen work side of the same goal, and a regimen is usually built to hold on to what it achieves.
Members of our staff hold ZO certifications, including Dr. Kilcline. Four hold both the Specialist and Expert credentials.
Areas we treat
Face
Where most of the work happens: pigment, acne, texture and the lines that come from sun rather than age.
Neck and chest
The two places that give you away first, and the two most people skip. Sun protection and a lighter set of actives.
Body
Dryness, rough bumpy patches on the arms, and body acne that responds to the same ingredients in a different vehicle.
Scalp
Cleansing and treatment products for a scalp that flakes, itches or is thinning.
Post-procedure skin
Products chosen for the procedure you just had, so healing goes the way it should and the result holds.
Dr. Kilcline and her staff are amazing to work with. The center is a lot of fun and everyone is always so friendly! I’ve been getting my skin treated here for years.

The Coastal difference
Sold by people who have to see you again
A counter clerk never finds out whether the thing they sold you worked. We do, because you are coming back for a skin check or a treatment anyway, and the person who chose your regimen is going to be looking at your face. Our aesthetics team includes a licensed esthetician holding ZO Skin Health Expert certification with more than two decades in the field, and building regimens is a large part of what that role does.
We are also straight with you about what a regimen is for. It is the foundation: it keeps your skin healthy, holds the results you have paid for, and makes every treatment you have here work better. Where a line or looseness needs a treatment, we will point you at the right one. A chemical peel on skin prepared with the right actives behaves differently than a peel on skin that has not been prepared, and the regimen is what keeps the result once you leave. It is not the thing you do instead of treatment. It is the thing that makes treatment worth paying for.
Is it right for you?
A built regimen is probably a good fit if:
- You own a lot of products and are not sure which ones are doing anything
- You are treating pigment, acne or sun damage and want the result to hold between appointments
- You have tried retinol before and stopped because your skin could not take it
- You are booked for a procedure and want to get more out of it
- You have a skin condition your dermatologist is treating and want your daily routine to support it
We will change the plan if:
- You have reacted to an ingredient before, which narrows the field and is worth knowing up front
- What you are describing needs a prescription rather than a product
- You are pregnant or breastfeeding, when several common actives come out of the routine
Not sure which of these you are? That is what the consultation is for. Buying the bottle is easy. Knowing which bottle is the whole job.
What to expect
Strong actives ask something of your skin in the first few weeks. Expect some dryness, a little flaking and a period where your skin feels more sensitive than usual. That settles as your skin adapts, and it is the reason we introduce things one at a time instead of handing you five products and wishing you luck.
In the first weeks, do
- Introduce one active at a time and give it a couple of weeks
- Wear broad-spectrum sunscreen every day, especially while treating pigment
- Follow the order and frequency we wrote down, not the one on the box
- Tell us if irritation is not settling, so we can adjust rather than have you quit
In the first weeks, don’t
- Layer several strong actives on the same night
- Assume the most expensive product is the one your skin needs
- Push through significant irritation, which sets you back rather than speeding you up
- Skip sunscreen while you are treating pigment or sun damage
Call us about anything severe, worsening, or simply not what we described: real pain, blistering, signs of infection, or a reaction that does not match what we told you to expect. We would far rather hear from you.
Concerns treated
A regimen is either supporting the treatment plan or working against it. Pick a concern to see how we approach it.
What it costs
Products are priced individually and you can buy them without an appointment. What we would rather sell you is the plan, because the same four products in the wrong order do a fraction of what they do in the right one.
We build the shortest regimen that gets you the result. If two products are enough, you leave with two products.
Routine time
A few minutes, morning and evening
Downtime
None, though actives are introduced gradually
Results appear
Weeks to months, depending on the product
Results last
For as long as you keep using it
Skin care product frequently asked questions
Cosmetic products the FDA approves before they reach the shelf, apart from color additives. Every skin care line in America is in the same position, which is why who chooses your products matters more than what the box says. [1]
Offered at
Ready to start? Request your consultation
Fill out the form below, book online in Santa Maria (opens online scheduler), or give us a call. Cosmetic and aesthetic appointments need no referral. For medical dermatology in San Luis Obispo, we are accepting new patients by referral from your primary care physician; send the referral across and then use the same form. In Santa Maria, medical appointments are available without a referral for PPO patients, and for HMO patients we are in-network with Santa Maria Physician's Choice.
A consultation fee of $125 is due at the time of booking.
Sources and medical review
1. U.S. Food and Drug Administration. “FDA Authority Over Cosmetics: How Cosmetics Are Not FDA-Approved, but Are FDA-Regulated.” Cosmetic products and ingredients do not require FDA premarket approval, with the exception of color additives. https://www.fda.gov/cosmetics/cosmetics-laws-regulations/fda-authority-over-cosmetics-how-cosmetics-are-not-fda-approved-are-fda-regulated · Regulatory
2. Sitohang IBS, Makes WI, Sandora N, Suryanegara J. “Topical tretinoin for treating photoaging: A systematic review of randomized controlled trials.” *International Journal of Women’s Dermatology.* 2022;8(1):e003. Seven randomized controlled trials; the authors concluded topical tretinoin is safe and effective for long-term treatment of photoaging. PMID 35620028. https://pubmed.ncbi.nlm.nih.gov/35620028/ · Peer-Reviewed Systematic Review
3. American Academy of Dermatology Association. “How to select a sunscreen.” Broad spectrum, SPF 30 or higher, water resistant. https://www.aad.org/public/everyday-care/sun-protection/shade-clothing-sunscreen/how-to-select-sunscreen · Medical Organization
Content on this page is for educational purposes and is not a substitute for professional medical advice. ZO® is a registered trademark of ZO Skin Health, Inc. Heliocare® is a registered trademark of Cantabria Labs. Nutrafol® is a registered trademark of Nutraceutical Wellness Inc. Pendulum® is a registered trademark of Pendulum Therapeutics, Inc. Individual results may vary. Some products may cause dryness, peeling or irritation, particularly when actives are introduced too quickly. A consultation fee of $125 is due at the time of booking.