What to do about crepiness/texture, mostly around mouth and cheeks? (photo)

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

Hi and thank you for your question! Fractional CO2 laser is my first choice to improve the skin texture, but since you indicated that you are not ready for CO2 laser, my 2ns choice is microneedling (which can be done with various serums or PRP). In general microneedling achieves results similar to Fractional CO2 laser but at a lower level with less down-time and for patients who do not want to try fractional CO2 laser, it is often a good substitute. I hope it helps and good luck! 

I suggest seeing a cosmetic dermatologist to get you on a long term plan with lasers, microneedling/prp, Viva, Cosmelan, J Plasma, peels, scupltra, fillers, facials and skin care. Best, Dr. Emer.