Had extractions when I was 19 while on accutane per my derms instructions (now know that was a terrible idea). I've been getting Botox since I was 20 (now 29) so they are not wrinkles. I've tried Botox, filler, microneedling, fibroblast, chemical peels. Nothing is strong enough to make the slightest difference. I am looking for a solution to tighten this skin so it's smooth - lasers, surgery, anything.