Dr Riekie Smit

28/03/2026

Reflecting on an incredible experience at AMWC 2026 in Monaco. It was a privilege to take the stage for two symposiums yesterday, sharing clinical insights from a South African perspective. 🌍

I had the opportunity to discuss treating diverse skin types using advanced injectables and energy-based devices. A highlight was presenting two case studies focused on the unique aesthetic profiles and needs of African female patients—an area where our local expertise offers so much to the global stage.

I also dove into the science of regeneration, biostimulation, and cellular biohacking. A favorite new topic of mine. There is a lot of misconceptions on these topics, and it’s vital that we ground our treatments in a deep understanding of biology to ensure true cellular health.

Ending the trip on a high note with a morning run from Monaco to Èze—the perfect way to clear the head before the flight home!

26/03/2026

1st day at AMWC 2026 in a sunny Monaco 🇲🇨.

Excited about my 2 presentations for tomorrow:
• 9:30 Solta symposium where I will present my experience with using combination treatment of monopolar and dual wavelength fractional laser (ThermaFrax)

• 16:30 FILLMED SYMPOSIUM: Biohacking- Build-Balance with my beautiful cases on 2 African ladies

🩷Grateful for this experience, for sharing and learning, for a beautiful room in a beautiful Monaco, an amazing run along the French Riviera, for meetings with innovative companies and colleagues that have become friends over the years and for being involved in the development of new innovations and education.
I love medicine, teaching and love the new developments focusing on real rejuvenation and regeneration whilst respecting the cellular health and safety for long term

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23/03/2026

At FPD University today for an intensive Mesotherapy practical day.

We went beyond the surface with the Advanced Diploma in Aesthetic Medicine cohort.
On the agenda:
✅ Skin Glow & Hydration
✅ Targeted Body Contouring
✅ Cellulite Revision
✅ Hair Growth Stimulation

The future of aesthetic medicine is looking bright (and very rejuvenated).

20/03/2026

AMWC Monaco🇲🇨 just a few days away (March 26–28)!
After a busy Friday in the clinic, now some time for last preparations on my presentations for the AMWC World Congress in Monaco next weekend.

Following our deep dive into biostimulation last week, my focus has shifted entirely to my upcoming specialized workshops with Fillmed laboratories and also for Solta Medical.
I will be sharing my experience on diverse skin types in South Africa in both these presentations.
In the Fillmed Laboratories workshop, I will focus on the cellular biohacking and regenerative concept and the relate it specifically to African ethnicity profile.
The other speakers from around the globe will focus on other ethnicities:
Dr Jacqueline Rodrigues .jaquerodrigues on Latin American profiles,
Dr Shi Bing on the Asian Profile
and Dr Konstantin Frank on the Caucasian profile.

In the Solta workshop I will share my experience on divers skin types with the intricate, cellular-level synergy of Radiofrequency and Resurfacing treatments.
This photo shows the final edits on my presentation: analyzing ethnic anatomical variations in aging and mapping exactly how “stacked” technologies optimize skin regeneration. It’s all about evidence-based excellence.

What I’m most looking forward to:
* Presenting new clinical protocols that bridge the gap between tightening and texture.
* Reconnecting with the global aesthetic community and my fellow faculty.
* 🇿🇦 Bringing the latest international insights back to my patients and the educational events locally.

Which upcoming aesthetic trends are you most curious about? Let me know and I will look for answers at this upcoming global event next weekend.

19/03/2026

Healthy vs. Compromised Skin Barrier: Understanding the Difference

A strong skin barrier (left) is your skin’s front line of defense. It effectively locks in moisture and nutrients, keeping your complexion plump and hydrated, while simultaneously shielding it from environmental aggressors and harmful pathogens. Think of it as a tightly-woven, resilient shield.

Conversely, a compromised skin barrier (right) occurs when that essential shield is weakened. This allows vital moisture to escape (transepidermal water loss or TEWL), leading to issues like dryness, flakiness, irritation, and sensitivity. It also leaves your skin vulnerable to the entry of external irritants, allergens, and bacteria, which can cause redness, inflammation, and even breakouts. Recognizing the difference is key to providing your skin with the tailored care it needs to thrive.

Take a look at the two photos that follow in this post! They showcase the incredible transformation of the skin barrier of a remarkable patient who was recently featured on this week’s episode of the DrNou TV show on Via channel.

We are so proud of her progress and wanted to share this testament to the power of a comprehensive approach to skin health. We worked closely with her to develop a personalized plan that not only incorporated targeted skincare products and professionally-administered treatments but also, most importantly, focused on optimizing her overall health condition. By addressing her well-being from the inside out and providing her skin with the support it needed, we were able to successfully repair her compromised skin barrier, leading to a visibly healthy, resilient, and glowing complexion. This journey beautifully illustrates that true skin health is a holistic endeavor, achievable when we treat the body as a whole.
Remember, your skin is a reflection of your overall well-being, and nurturing both will empower you to look and feel your absolute best.

17/03/2026

Understanding Biohacking: The Science of Optimized Aging

What exactly is biohacking, and why is it becoming the cornerstone of modern aesthetic medicine?

Biohacking is the practice of using science, technology, and lifestyle interventions to take control of your own biology. It’s about making incremental changes to your diet, environment, and physical habits to improve your health, performance, and longevity.

But how does this bridge the gap between Integrative Healthcare and Aesthetic Medical Treatments?

1. The Inside-Out Approach

In integrative healthcare, we don’t just treat symptoms; we look at the body as a whole system. Biohacking fits perfectly here by optimizing cellular function. When your internal “machinery” is running efficiently, thanks to balanced hormones, reduced inflammation, and cellular nutrition—your body is better equipped to repair itself.

2. Enhancing Aesthetic Outcomes

This is where the magic happens in the clinic. Aesthetic treatments like lasers, RF, lights, microneedling, or biostimulators rely on your body’s ability to produce collagen and heal. By incorporating biohacking principles—such as collagen banking, nutritional optimization, and red light therapy—we aren’t just performing a procedure; we are priming your cells to respond more robustly to that treatment.

3. Regenerative Medicine: The Future

We are moving away from just filling and moving toward “regenerating.” Biohacking allows us to use tools like nutrient delivery, PRP, exosomes and regenerative energy-based devices to “hack” the aging process, telling your skin to behave like it did ten years ago.

True beauty is a reflection of cellular vitality. By merging biohacking with advanced aesthetics, we aren’t just changing how you look—we’re optimizing how you age.

13/03/2026

Watch the transformation unfold. This clip offers a glimpse into a comprehensive full-face rejuvenation for one of our featured patients from Dr. Nou.
As we discussed in our previous post, achieving a natural, balanced result often requires a strategic, multi-step approach over time rather than a single session.
The Protocol
This particular transformation highlights the synergy of three key modalities:
* HA Fillers: To restore lost volume and refine structural contours.
* Biostimulators: To encourage the body’s natural collagen production for long-term structural integrity.
* Skin Revitalizing Agents: To improve texture, tone, and overall radiance from the surface down.
🩺 For Medical Professionals
Interested in the clinical mapping and step-by-step logic behind this multi-modality approach? I will be breaking down the techniques used in this case during the upcoming webinar.
How to join:
* Find the link in the comments.
* Refer to my previous Stories for the full agenda.

13/03/2026

Join us for an exclusive, high-level teaching webinar focused on advanced full face rejuvenation.
We are diving deep into the science and strategy of aging, moving beyond simple corrections to holistic, transformative results. Whether you’re looking to refined your technique or tackle complex cases, this session is designed for the modern aesthetic provider.

• Theoretical Mastery: Understanding the ‘why’ behind multi-modality treatment strategies.

• Expert Insights: The brilliant Dr. Erminio Mastroluca, Plastic Surgeon from Italy, will be sharing his advanced case studies, demonstrate his techniques and surgical-perspective insights.


Practical Application: I will be showing a demonstration on a challenging patient, walking you through my step-by-step decision-making process.

📅 Save the Date:

Thursday, 19 March 2026
6:00 PM CET

Don’t miss this opportunity to bridge the gap between theory and advanced clinical practice.

🔗 How to Register: Click the link in my Bio, check my Stories, or find the direct link in the Comments below.

See you there!

11/03/2026

Regenerative Aesthetics and the power of Biostimulation

Regeneration is one of the most exciting advancements in modern aesthetic medicine.

While hyaluronic acid fillers are excellent for immediate contouring and building structure, biostimulators offer a different philosophy: longevity and structural health.
By injecting biocompatible materials that trigger a controlled healing response, we can encourage the dermis (the deep layer of the skin) to thicken and tighten naturally.

For my fellow practitioners, selecting the right rheology, mixing process and injection depth is critical to optimizing the neocollagenesis process.

For my patients, it’s one of the most talked about secrets to aging gracefully without looking “done” or “overfilled”.

It’s about long term regeneration.
It’s about biology.

09/03/2026

Master Facial Anatomy & Elevate Patient Safety
Refine your expertise in neuromodulation.

Join world-renowned experts for an intensive session focused on the intersection of functional anatomy and clinical excellence.
This masterclass, hosted by the Ipsen Aesthetic Academy, dives deep into:
* Assessment & Precision: Mastering the underlying structures for optimal results.
* Safety First: Comprehensive strategies for complication prevention and management.
* Expert Insights: Learn directly from global leaders in the field.

🗓 Event Details: Wednesday, April 29th
Choose the session that fits your schedule (all times in CEST):
* Session 1: 13:00 – 14:35
* Session 2: 18:30 – 20:05
Featuring Distinguished Faculty:
* Pr. Sebastian Cotofana (Anatomist, USA)
* Dr. Riekie Smit (Medical Doctor, South Africa)
* Dr. Michela Zazzaron (Medical Doctor, Italy)

🌍 Available in English, Russian, and Spanish.
🔗 How to Register:
Don’t miss this opportunity to advance your aesthetic practice. Click the link in my Story to book your spot now!

06/03/2026

In the world of aesthetic medicine, we often showcase spectacular, “all-at-once” transformations. Seeing the synergistic power of fillers, biostimulators, botulinum toxin, and threads used in one session is undeniably impressive.
However, as doctors, we know the reality: for many patients, a total transformation is a significant financial commitment that may feel out of reach.

The good news? A “miraculous” result doesn’t require a single marathon appointment.

Professional aesthetic medicine is about more than just injections; it is about strategic planning. Your registered and trained aesthetic doctor can use advanced tools—imaging, facial mapping, and precise measurements—to perform a comprehensive evaluation.

The Professional Approach to Pacing:

• The Roadmap: We work with you to create a long-term treatment plan tailored to your specific anatomy.

• The Budget: Treatments can be staged in manageable steps over a period of time, making rejuvenation accessible without compromising on quality.

• The Result: By addressing the face in stages, we can often achieve a more subtle, natural-looking evolution that respects both your features and your lifestyle.

Our goal as practitioners is to fulfill your aesthetic needs through a plan that is individually adapted and sustainable. Excellence in aesthetics is a marathon, not a sprint.

Consult with a qualified aesthetic physician to map out your personal journey.

05/03/2026