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Precision medicine

Beyond the surface.
Your skin at the molecular level.

Most practices treat what they can see. Aahana starts with what the data reveals: clinical imaging, genetic analysis, microbiome profiling, and targeted lab work. A complete picture of how your skin is built and why it behaves the way it does.

Symptoms are the last thing
to show up.

By the time a skin concern is visible, the underlying cause has often been active for months or years. Dryness, pigmentation, premature aging, and reactivity are outputs of deeper processes: genetic predispositions, microbial imbalances, inflammatory signaling, and nutrient deficiencies that topical treatments alone can never fully address.

Precision medicine for skin means diagnosing those root causes before treating their symptoms. It is what separates a protocol that works from one that manages.

"We are trying to take this concept a step further by using the patient's genetic profile, medical history, microbiome, lifestyle, diet and other environmental factors to create the most effective treatment plan for that individual."

Dr. Julie C. Harper, MD, Dermatology Times

Included in every consultation

Visia skin analysis.
The foundation of every plan.

Visia clinical imaging captures eight skin metrics simultaneously, benchmarked against a database matched to your age and skin tone. It reveals what the eye cannot: subsurface pigmentation, UV damage, bacterial activity, and pore structure. Every Aahana patient receives a Visia analysis before any treatment is recommended.

01
Spots
Surface and subsurface pigmentation, including sun damage not yet visible to the eye.
02
Wrinkles
Fine lines and deeper creases mapped across the face.
03
Texture
Surface irregularities that affect light reflection and skin smoothness.
04
Pores
Pore size distribution and congestion patterns.
05
UV spots
UV-induced damage visible under UV illumination before it reaches the surface.
06
Brown spots
Melanin-based pigmentation including melasma and post-inflammatory hyperpigmentation.
07
Red areas
Redness, rosacea, and vascular irregularities.
08
Porphyrins
Bacterial activity and sebaceous secretions linked to acne and congestion.
Powered by SkinDNA
Optional · Available for an additional fee

What you were born with
shapes everything.

Your DNA determines how your skin produces collagen, responds to UV, manages oxidative stress, and ages. SkinDNA analysis identifies genetic variants across five clinically validated categories, giving Dr. Shankar a blueprint of your skin's intrinsic strengths and vulnerabilities before a single treatment begins.

The test is a simple cheek swab. The results inform your protocol for life. Available as a standalone add-on or as part of a comprehensive precision medicine program.

01
Firmness & Elasticity
Collagen and elastin production and structural resilience over time.
02
Glycation & Wrinkling
How your body processes sugars and their effect on deep wrinkle formation.
03
Sun Damage
Genetic susceptibility to UV damage and photoaging beyond Fitzpatrick type.
04
Skin Antioxidants
Your intrinsic capacity to neutralize free radicals and oxidative stress.
05
Skin Sensitivity
Inflammatory response, barrier integrity, and reactivity to products and treatments.
In partnership with Parallel Health
Optional · Available for an additional fee

The ecosystem
living on your skin.

Trillions of microorganisms live on your skin and play an active role in barrier function, immune regulation, inflammation, and aging. Parallel Health's skin microbiome testing goes beyond identifying which species are present. It maps what your microbiome is actually producing: the vitamins, antioxidants, lipids, and peptides it synthesizes, and the harmful metabolites generated by pathogenic species.

Dr. Shankar co-led the development of the first microbiome-driven skincare line from bench to market at Parallel Health. That background informs how Aahana integrates microbiome data into clinical protocols, not just skincare recommendations.

What it reveals
Species composition
Whole genome sequencing at strain-level resolution: who is present, in what amounts, and whether they are beneficial or pathogenic.
What it reveals
Metabolic output
The specific bioactive compounds your microbiome is actively producing or failing to produce, including vitamins, antioxidants, lipids, and short-chain fatty acids.
What it means for your skin
Targeted intervention
Results translate into clinical protocols addressing barrier repair, inflammation, acne, rosacea, and skin aging at the microbial root.
Optional · Available for an additional fee

Skin is a readout
of systemic health.

Chronic inflammation, hormonal shifts, nutrient deficiencies, and metabolic dysfunction all manifest on the skin before they manifest anywhere else. Where clinically indicated, Aahana orders targeted lab panels to identify the systemic drivers of your skin concerns and to ensure your treatment protocol addresses them.

All markers are selected for their direct relevance to skin health. Labs are not ordered routinely. Dr. Shankar recommends them only where your clinical picture suggests a systemic driver that would meaningfully change your treatment protocol. Any findings outside normal range are communicated to your primary care physician.

Nutrient status
Vitamin D Zinc Ferritin Omega-3 index
Inflammation
IL-6
Hormonal health
Cortisol DHEA-S Estradiol Testosterone

Ordered where hormonal fluctuation is a known driver of a patient's primary skin concern, such as melasma or hormonal acne. Any values outside normal range are referred to the patient's primary care physician.

Every layer of data, read together.
One protocol, specific to you.

Visia imaging is included in every consultation. Skin DNA analysis, microbiome testing, and lab panels are optional. They are available individually or as part of a comprehensive precision medicine program, and recommended only when they would meaningfully inform your care.

01

Visia imaging

The clinical foundation. Eight metrics that reveal surface and subsurface skin health.

02

Prakriti assessment

Your constitutional type: how your skin is built to behave, age, and respond.

03

DNA & microbiome

Your genetic blueprint and microbial ecosystem: the layers beneath the surface.

04

Lab markers

The systemic signals driving your skin's behavior from within.

See your skin
completely.

Join the waitlist for early access and exclusive benefits for our first patients.