I'm developing crepey skin on my hands and elbows and front of upper thighs. I've had Radiesse and a fraxel dual treatment on my hands with no improvement in the crepiness or loss of elasticity. Since I don't understand what makes skin crepey, can it be fixed? Is there a permanent solution?
Can Crepey Skin Be Permanently Treated?
Doctor Answers (5)
Crepey skin, especially hands, elbows, and front of thighs, is difficult to help.
Also, each of these areas is different. Elbows look crepey because the skin is constantly stretched and relaxed as we move our arms. Aging, with its attendant loss of skin elasticity and collagen content, only makes the skin in this area look more wrinkled and thinned. No treatment is going to make any real changes that are worthwhile--just say "NO!" and save your money!
The front of the thighs (near the knees): same answer . . . BUT, a thigh lift can tighten loose skin of the entire thigh and improve the "cellulite" look for the rest of the thigh skin. The knee still needs to bend, however, so be realistic in your expectations.
The hands look aged because of loss of volume, and only fat grafting has been shown to be of any value in improving the aged hand. Other treatments are essentially worthless, but spots and lesions can be treated by laser (which won't help the crepey or wrinkled skin look). Fat grafting needs to be done by someone skilled in the details and technique of proper fat harvest--you can't just take damaged fat cells from liposuction, inject them, and expect uniform "take" of the fat cells when many of them are destroyed in the liposuction procedure.
Most of the time crepy skin comes with age or some medication such as long term cortisone intake.
Treatment is very difficult. You will not change the skin with fillers. Fraxel and thermage are junk medicine.
you may try light Retin A and Glycolic acid. Depending on your color of skin light peels may improve the skin. Another modality, also depend on your skin is very light Fractional CO2 Laser, but has to be done several times. Can be expensive.
Crepey Skin Treatment
Thanks for the question.
Crepey skin represents a gradual reduction in organized collagen bundles in the dermal layer of the skin. This can come about through the natural aging process as well as other etiologies, such as massive weight loss, or chronic corticosteroid use.
There is no "magic bullet" for treating this problem. The goal, ultimately would be to boost body collagen production. This can be achieved, to a degree, with fractionated laser resurfacing, collagen induction therapy, and a sound skin care program along with oral nutriceauticals. Complete eradication of crepey skin at present is not possible, although innovation in skin regeneration may bring hope in the years to come.
Best of luck,
Glenn Vallecillos, MD, FACS
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Crepey Skin in elbows, thighs, hands
These ares of crepey skin are very difficult to treat. There are times when you are very fortunate and Thermage and Fraxel work remarkably well. There are other times when the skin is just too lax and nothing works well. Surgery leaves terrible scars in these areas and is not a viable option for most patients looking for an aesthetically pleasing result. Each case must be individually reviewed and decided since there is no one magic answer for this condition.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.