Vi peel or laser for chest wrinkles? (Photo)

Question

I am almost 38 and over the last year have got a ton of chest lines. I used to sun a lot in my youth. I feel very self conscious. Would a VI peel help or is laser my only option? I don’t want to do fillers or Botox. Would collagen pills do anything?

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

Jason Emer, MD · Answer

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.  VI peel will not help for the wrinkles, but sculptra/radiesse fillers and lasers like halo/fraxel will help dramatically.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Vibha Gambhir, MD · Answer

Hello, and thank you for your inquiry! Peels with help with superficial wrinkles. Lasers will treat at a deeper level and probably give you more satisfaction. Good luck on your journey!

Anshul Gambhir, MD · Answer

Thank you for your question! I wouldn't suggest doing a chemical peel on your chest and collagen pills will have no effect on your existing chest line. I think laser would be a great option for you. I would suggest CO2 laser for the chest to help with the wrinkles. As always, make sure you are wearing daily SPF and not tanning this area anymore as the sun will damage the skin and create more wrinkles. Hope this helps!

Vi peel or laser for chest wrinkles? (Photo)

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