I am 29 years old and have shiny leathery skin. (Photos)

Question

Attached are the photos. I am not sure if its because of excess oils or skin being sensitive to sun. Your advice will be highly valubale.

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

Todd Christopher Hobgood, MD · Answer

Thank you for your question! If you are experiencing "shiny" skin, you may have an excess of oil production. Sometimes this is due to having "oily skin" and sometimes excessive oil production occurs when a patient tries to over dry the skin by "stripping the skin". I would advise meeting with an aesthetician in your area for a skin analysis and a customized home care regimen recommendation. Medical grade skin care products can likely address and improve the issues you are concerned with. I hope this is helpful to you!Be well,Dr. Todd Hobgood

Fereydoon S. Mahjouri, MD · Answer

It looks to me like you have large pores and either currently have oily skin, or had oily skin in the past. It also looks like you have some fine lines and wrinkles-the first signs of aging. My recommendation for you would be to start on some anti aging skincare products. Adding a retinol at night would be a great idea. Choose a medical grade skincare line that includes peptides and/or growth factors. (these can be purchased through a medical spa or doctor's office) As far as treatments go, a series of microneedling treatments would be beneficial for shrinking the size of your pores and starting Botox injections will prevent further fine lines an wrinkles as well as the 11 wrinkle forming between your eyebrows.

Laura Riehm, MD · Answer

Thanks for your question and posting pictures.  Start with a good skin care regimen  that is as simple as ABC:Everyone should be using a vitamin A in a retinol.  When you start out, these can irritate your skin.  Start out twice a week, at night.  Gradually add more nights per week and try to get to every night.  If your skin becomes irritated, back off a little.  Retinol or Vitamin A is deactivated by the sun.Use a good quality Broad spectrum sun screen every day.  Makeup with sun screen usually isn't enough.  We really like the EltaMD line of sun screen products.  They are excellent quality and affordable.A vitamin C Serum helps boost collagen production to help fill in lines and wrinkles.  You can use them day and night in your routine.Over the counter or department store brands may have active ingredients, but usually don't have a delivery system to get it into the skin.  They are mostly filler and perfumes.  Look for something like PCA (Physicians Choice Alliance) Skin at a physician's office near you.  PCA recently had a ABC kit available for only $200.  You won't break the bank and you will find products that actually work.  After you start with the basics, you might need an occasional chemical peel or light laser resurfacing to keep your skin turning over and looking healthy.  Best of luck

I am 29 years old and have shiny leathery skin. (Photos)

Answers (4)

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