Hello Eclectic406782,This is becoming a question that comes up more often now with an increasing number of the population taking diabetic medications that aid in weight loss. Although the exact mechanism is still unknown, it is likely related to the weight loss. Unfortunately as we age, we lose fat from our faces and when you add weight loss on top of that, it can accentuate it even further. This seems especially true in relation to diabetic medications and facial changes. There are a variety of approaches to manage these facial changes and can range from minimally to maximally invasive. Fillers may help efface some of the changes but these are temporary or may not be sufficient depending on what is bothering you the most. It is best to keep in mind that any sagging is, for the most part, not well treated with filling but better treated with lifting. So discussing face/neck lift, periorbital rejuvenation, and facial fat grafting may give you more optimal results. This would best be discussed with a plastic surgeon. I would suggest a consult to discuss your goals and desires so they may be addressed and a plan tailored to your needs. I hope this helps!Cheers,Dr. Jourdan Carboy
Hello Genius286917,Using a topical tranexamic acid following a peel should not cause any problems. Sometimes your skin is more sensitive after a chemical peel. Depending on the ingredients in the serum you used, it could cause further irritation but nothing that should cause significant harm. TXA can actually be used in conjunction with chemical peels to reduce dark spots. I would suggest seeing how your skin reacts and acting accordingly. If it seems more irritated, avoid the serum until you are fully healed (usually 1-2 weeks depending on peel type).I hope this helps,Cheers,Dr. Jourdan Carboy
Hello 40yearoldtuneup,The concern over dark circles is an extremely common complaint from patients and presents a great question. Many people do attempt to camouflage the dark circle with filler not realizing that filler can actually make this worse by drawing in more water (hydrophilic properties) and causing more "puffiness." A great alternative that has more long term results in a more controlled setting is an lower lid blepharoplasty. A skin pinch will not remove dark circles, that can only help minimize excess skin. A full under eye blepharoplasty can, however, efface those circles by disrupting the orbitomalar ligament and redraping the fat found in your under eye area, effectively eliminating the cause of the dark circle shadows.I would suggest a consult with a plastic surgeon to further discuss your goals and hopefully help you achieve them!Cheers,Dr. Jourdan Carboy Plastic SurgeonAlpenaura Plastic Surgery
Hello olga_daniel,This is an excellent question as everyone begins to develop crepiness of their skin as they age. You are asking early on before it has become severe which puts you in a much better position to prevent it from worsening. There are a variety of approaches to manage skin texture and fine lines that you are describing. For a dramatic result, you would ideally undergo laser resurfacing with an ablative laser, such as erbium-yag or CO2. You can also have similarly dramatic results with a phenol peel. In addition to resurfacing, you should make it a regular part of your skin care routine to use sunscreen every single day and avoid any sun exposure to your face if possible. Also start using a tretinoin, ideally work up to using nightly.I hope this helps,Cheers, Dr. Jourdan CarboyAlpenaura Plastic Surgery
