What's the best skin laxity treatment?

Question

Hi! I'm a 35 year old male. No wrinkles but I've started noticing some skin laxity. Mainly at the forehead/brows/eyelids. The eyelids are starting to droop slightly but as I have natural "hunter eyes" I'm not wanting to have a Blepharoplasty. I've been to a Plastic Surgeon that also recommended against it due to slight asymmetry (depth) of my eyesockets. So, what's the best non-surgical laxity treatment? Collagen injections, CO2, Ultherapy, Morpheus8, other?

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Anna Chacon, MD, FAAD · Answer

Given these conditions, I would like to discuss various non-surgical treatments that could potentially address these concerns. Here are a few options:

1. Collagen Injections: These can help to restore volume and elasticity to the skin, potentially reducing the appearance of laxity.

2. CO2 Laser Resurfacing: This procedure can stimulate collagen production and tighten the skin. However, it may require some downtime due to the intensity of the treatment.

3. Ultherapy: This non-invasive treatment uses focused ultrasound to stimulate collagen production deep within the skin, resulting in a gradual tightening and lifting effect.

4. Morpheus8: This treatment combines microneedling and radiofrequency energy to stimulate collagen production and tighten the skin. It has the advantage of being able to target deeper layers of the skin compared to other treatments.

5. Thermage: This is a non-invasive treatment that uses radiofrequency to heat the deep, collagen-rich layers of the skin. The applied heat causes collagen to contract and encourages new collagen to grow, helping to tighten and smooth the skin over time.

Please note that the effectiveness of these treatments can vary depending on the individual's skin condition and response to treatment. It would be beneficial to discuss these options further to determine the best course of action.

What's the best skin laxity treatment?

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