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Crepey-skin generally indicates that the skin is very thin. A soft HA filler (juvederm ultra or restylane silk) could be injected in a pinpoint, matrix-like fashion to give the skin more substance. However, the effects would not be very long-lasting.You may find the best results with a device that introduces controlled injury to the skin, thereby stimulating collagen production. Depending on your skin type, this device could be a co2 laser (lighter skin types) or a radio frequency device (light- or dark skin-types). A collagen-stimulator, such as sculptra, can also be feathered into the skin to stimulate collagen production. Finally, if you can tolerate a mild retinoid, that will also help to promote collagen in the superficial layers of the skin. Note: retinoids works slowly (over 9-12 months).
Thank you for your question. Voluma is a great adjunct to help restore lost volume and contour to the middle part of the face. While filling up some of the cheek may diminish some fine lines a little bit, Voluma does not really have much effect on the skin. Many of these minimally invasive procedures work well together. Combining fillers and Botox is a great way to help improve the facial appearance. Fine, crepey lines often benefit from aggressive skin care and use of Retin-A. Additionally, more aggressive chemical or laser peels will have a greater effect on these fine lines. Find a board certified plastic surgeon with whom you are comfortable and make sure you have all of your questions answered. Good luck.
Hi Kool,Voluma revolumization of the upper cheeks does help with lower cheek lines. The best course of treatment for lower cheek lines is to have a fractionated CO2 laser treatment such as Fraxel repair followed by the injection of Voluma and other fillers is necessary. Choose your injecting physician most carefully. Good luck and be well.Dr. P
Voluma is an excellent product for cheek augmentation. It is FDA indicated specifically for this area. As far as how it affects the creepiness of the skin, it really depends on how thin and how loose the skin is. Voluma won't necessarily thicken the skin, but it will take up some of the laxity in the cheek area, which may help decrease the crepey look. A photo could really help further explain what you might expect after Voluma.
Voluma is FDA approved to fill and lift the mid face. Without seeing you in person or without seeing pictures, it is impossible to give you specific advice. However, in the studies on Voluma and in extensive experience, even with injections in the cheek area, positive effects were seen in areas not injected such as the nasolabial folds around the mouth and the tear troughs around the eyes. Off-label areas can also be injected, but this is at the discretion of your injector. If the areas you are looking to have treated are superficial, you may need combination injections with Voluma used in the deep areas of the cheeks and mid face and Juvederm, Restylane or Belotero in the more superficial levels of the skin. Good Luck.