I'm 27 Years Old , Is It Possible to Make Me Look Like 16 Again with Surgery?

Question

Years of smoking and alcohol have made me look like I'm in my thirties

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nima Shemirani, MD · Answer

I recommend medical grade skincare that involves Vitamin C and Retinol. In addition, I recommend 3-6 sessions of microneedling. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Joseph J. Castellano, MD · Answer

Age
27 is pretty young to be considering facial surgery due to aging, especially
since the main reasons for a facelift and other surgeries, like skin laxity or
loss of muscle tightness, really aren’t that prevalent yet. Although it’s hard
to say for sure without reference photos, my guess is that there are several
nonsurgical options that could help you look more refreshed and rejuvenated.
BOTOX® can smooth out existing dynamic wrinkles and even help prevent new ones
from forming, while dermal fillers add volume to diminish deeper lines.
Resurfacing treatments can even skin tone and help your skin look more glowing
and luminous. I recommend scheduling an in-person consultation with a cosmetic
surgeon to see what your best options are.

Vivek Bansal, MD · Answer

Thank you for your question.There are many options available, and your goal should be to improve from where you are, while looking at anti-aging options.  A realistic expectation is important so you are not discouraged.  You may have a dramatic improvement, but you first will need to have your health in order, then see a Board Certified Dermatologist or Board Certified Plastic Surgeon, and go over all of your skin options.  I hope this helps.

Hratch Karamanoukian, MD, FACS · Answer

I agree with cessation of smoking as it causes oxidative injury to the proteins (collagen and elastin) that give your skin resiliency, elaasticity and stiffness. I recommend a retinoid repair cream to be used on a daily basis and suggest RR Retinoid Repair by Kare Skin. Use sunscreen and a moisture booster that is ceramide based like Elevase.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

If you look older than your age after years of smoking and drinking, it is unlikely you can re-achieve your teenage youthful look even with surgery. You may be able to improve the quality of your skin with medical skin treatments. A good first start would be to stop smoking and drinking. Consult with a qualified doctor who can explain your nonsurgical options first.

Isidoros J. Moraitis, MD, FACS · Answer

You
are young, and should consider the range of nonsurgical approaches to
facial rejuvenation.  First, life style changes should be
considered.  Smoking and significant alcohol consumption, along with
other environmental factors including sun exposure, can hasten the appearance
of aging. Quit smoking and reduce your alcohol intake.  Good, first
line treatment include topical therapies, including tretinoin, which improve
the texture and tone of your skin with nothing more than a cream.  You may
consider the use of botulinum toxin (Botox) to treat frown lines and crow’s
feet.  Additionally, dermal fillers and volumizers may provide improvement
without surgery.  Microdermabrasion and mild chemical peeling may help,
but more aggressive chemical peeling and/or laser resurfacing may be in
order.  Speak with your Plastic Surgeon regarding your concerns. 
Ultimately, you should look refreshed and more youthful, but unfortunately,
looking 16 again may be unrealistic.

Alexander Golger, MD · Answer

Surgery is generally only performed when one's skin has sagged and is laxed. Even most thirty year olds don't yet have this issue. Certainly without photographs, one could not make a final assessment, however, perhaps you may want to look at other skin rejuvenating procedures;  such as microdermabrasion, photofacials and a good medical skin care system. These will definitely help improve the look of worn or tired skin that can make one appear older than they are. You would benefit by an assessment with a PS who also provides these non-surgical services.  All the best.

Brooke R. Seckel, MD, FACS (retired) · Answer

The first and most important issue is to stop smoking so that you stop the damage to your skin.The most common side effect of smoking and sun damaged is wrinkling and dryness and pigmentation on the surface of the skin.Once you have stop smoking for a period of 3-4 months and are engaging in a healthy lifestyle, combined laser's resurfacing not plastic surgery is often the best option to remove wrinkles and rejuvenate the surface of the skin.  However you must stop smoking or you might have significant complications in healing.

I'm 27 Years Old , Is It Possible to Make Me Look Like 16 Again with Surgery?

Answers (11)

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