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Video library· The Science of Skin PodcastAudio language not provided

Podcast episode: how a failed venous ulcer treatment led to the SkinMedica TNS serum

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At a glance

Automatic summary · not editorially reviewed

In this episode description, SkinMedica co-founder Dr. Mitchel Goldman recounts how a failed venous ulcer treatment became the TNS growth factor serum, which he calls a longevity product from decades before the term existed. [1]

  1. The description says a failed treatment for venous ulcers became the TNS serum, which Goldman calls a longevity product from decades before the term existed. [1]

  2. A passing comment from Dr. Richard Fitzpatrick about the skin around a wound is said to have led to the first growth factor serum. [1]

  3. The description lists topics including growth factor and exosome products, pre- and post-procedure skincare, and Goldman's caution about systemic anti-aging therapies. [1]

Goldman on TNS origins and company finances

The description says the episode features Dr. Mitchel Goldman, co-founder of SkinMedica, in conversation with Dr. Ted Lain. Goldman describes how a failed treatment for venous ulcers became TNS, which he calls one of the most influential products in professional skincare and a longevity product decades before the term existed. A passing comment from Dr. Richard Fitzpatrick about the skin around a wound is said to have led to the first growth factor serum. Goldman also discusses the hard financial realities of building a skincare company and why physician-dispensed brands that invest in research stand apart. [1]

Growth factors, exosomes and procedure skincare

The description lists further topics: why the full mixture of growth factors, secretomes and exosomes is said to outperform any single ingredient; how Goldman rotates growth factor products and lets patients' results guide the choice; and pre- and post-procedure skincare, including a shift toward priming fibroblasts with topical rapamycin. It also names whether skin longevity needs multi-targeted or single-pathway products. These are described as topics covered, not as results of a reported study. [1]

Systemic anti-aging caution and other episode topics

The description also mentions Goldman's personal cautionary tale about systemic anti-aging therapies and why he favors topicals. It says a topical sodium bicarbonate made for athletes is now being studied in oncology, and that the episode argues aesthetic dermatology deserves a bigger place in residency training. The description ends with a disclaimer that the episode is not intended to provide diagnosis, treatment or medical advice and is for educational purposes only. [1]

Context & limits

This is based only on the supplied video description; the video and transcript were not reviewed. The description lists conversation topics and creator statements, not study designs, samples or measured outcomes, so no efficacy or safety conclusions can be drawn.

Based on the creator’s description; the full video and transcript were not analyzed.

[1] Episode 137: The Accidental Birth of SkinMedica TNS
Quoted passages in the original language
failed treatment for venous ulcers became
led to the first growth factor serum
A cautionary tale on systemic anti-aging

About this video

Creator description · original textText language: English

What started as a failed treatment for venous ulcers became one of the most influential products in professional skincare. Dr. Mitchel Goldman, co-founder of SkinMedica, tells the story of how TNS was created and why it was a "longevity" product decades before the term existed. Dr. Ted Lain sits down with Dr. Goldman, a world-renowned cosmetic dermatologist, former ASDS president, and director of cosmetic and laser surgery at Platinum Dermatology. Dr. Goldman shares how a passing comment from Dr. Richard Fitzpatrick about the skin around a wound led to the first growth factor serum. He also talks about the hard financial realities of building a skincare company and why physician-dispensed brands that invest in research stand apart. They also cover: Why the full "gemish" of growth factors, secretomes, and exosomes outperforms any single ingredient How Dr. Goldman rotates growth factor products and lets patients' results guide the choice Pre- and post-procedure skincare, and the shift toward priming fibroblasts with topical rapamycin Whether skin longevity needs multi-targeted or single-pathway products Dr. Goldman's personal cautionary tale about systemic anti-aging therapies, and why he favors topicals How a topical sodium bicarbonate made for athletes is now being studied in oncology Why aesthetic dermatology deserves a bigger place in residency training Questions or ideas for future episodes? Email us at inquiry@scienceofskinsummit.com. If you enjoyed this conversation, please subscribe, leave a five-star rating, and share it with a colleague. Chapters 00:00 Welcome Dr. Mitchel Goldman 01:35 The founding of SkinMedica 03:34 From venous ulcers to TNS serum 09:58 Why building a skincare company is so hard 12:16 TNS: the first longevity product? 13:39 Comparing growth factor and exosome products 15:39 Pre- and post-procedure skincare 20:41 Fibroblasts and the hallmarks of aging 22:47 A cautionary tale on systemic anti-aging 27:42 From athlete recovery to cancer research 30:05 Why aesthetic dermatology matters to medicine 33:23 Closing thoughts #Dermatology #Skincare #SkinLongevity #SkinMedica #AestheticDermatology Follow and Listen to the Podcast Here: 🍎 Apple Podcasts — https://podcasts.apple.com/us/podcast/skincare-confidential/id1664286292 🎵 Spotify — https://open.spotify.com/show/033Vffp4W8A72pVRVaoWzs 📦 Amazon Music — https://music.amazon.com/podcasts/7de48e5e-f450-466b-a0f4-f2275b67757f/skincare-confidential 💚 iHeart Radio — https://www.iheart.com/podcast/269-the-science-of-skin-269540115/ 📻 Audacy — https://www.audacy.com/podcast/skincare-confidential-4398f Disclaimer: This episode is not intended to provide diagnosis, treatment, or medical advice. Content provided in this podcast is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment.

The Science of Skin Podcast · 34 min · Source published: 2026-10-13

Added to Harbor: 10/23/2026

Original on YouTube ↗

Automatically categorized source. Creator statements are not an independent evidence review or personal medical guidance.

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