Which is best for textured skin on chin: deep sea peel or laser treatment? (photo)

I have been performing microneedling for over twenty-two years. It's ideal use is for improving superficial, surface color and textural irregularities, the latter of the kind that appears in the photos. Faddish peels, which come and go like the wind, are unlikely to be of particular value. Hope this helps.

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question and photo. RF microneedling treatments can tighten and contour the skin while improving its texture. In this procedure, hair-thin needles are used to create micro-channels deep into the dermal tissue, while radiofrequency energy travels through the needles to encourage your body’s elastin and collagen production. The skin will repair itself over the following weeks and months, growing tighter, firmer, and smoother to provide a more youthful appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector who can assess your concerns and determine the best treatment option for you.

When it comes to addressing skin texture, the best solution would be a procedure that creates controlled injury on the skin, such as microneedling or laser resurfacing. Which option to select is determined by both downtime and budget. Most laser treatments will tend to be more expensive, with a longer downtime associated with the procedure. A CO2 laser would be most effective in treating the skin with a downtime of 7- 14 days with a single treatment where as microneedling would be a series of at least 3 treatments with a down time of 3-5 days.

Microneedling works great for skin texture issues while botox will help relax muscle in the chin that causes texture irregularity called peau d orange or orange peel like skin. Many have both issues. Acne that affects the chin may have to be treated separately. All in all combination therapy works best.