31, best option for skin texture improvement on face? (Photos)

Question

I've always had thin and crepey skin all over, but the skin on my face has been youthful until recently. I'm 31 years of age, have had BBL sessions to remove freckles, but lately my skin seems to be taking a major spiral downhill and fast. Would love suggestions on products or procedures to help even out skin texture. Current skin care routine is: AM - Face wash, toner, vitamin c, Moisturize, Spf PM - Face wash, micellar, toner, Drmtlgy serum, tretinoin .05%, TNS, Mucin

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

Barbara Padilla, MD · Answer

We recommend Laser Genesis for improving skin tone and texture. We use the Cutera Coolgluide 1064 laser which is safe for all skin tones. This laser will heat up the upper dermis which will stimulate collagen regrowth. Collagen regrowth reduces fine lines, wrinkles, and improves skin tone and texture. We recommend 4-6 treatments 1 month apart.
Micro-needling is another effective way for improving skin tone and texture. We use the Collagen Pen for micro-needling which we combine with either PRP (platelet rich plasma from your own blood) or plant-based exosomes in order to further stimulate the production of collagen, elastin and hyaluronic acid which leads to smoother, firmer and more youthful skin. Micro needling creates micro wounds on your skin to stimulate the skins natural healing process. The PRP or plant-based exosomes are then “painted” onto the micropunctures so they can soak into the tissue. We suggest 4 treatments 4-6 weeks apart.

Anna Chacon, MD, FAAD · Answer

Improving skin texture, particularly when dealing with thin and crepey skin, can be achieved through a combination of skincare products and professional treatments. Given your current routine, you're already using some effective products, such as vitamin C, tretinoin, and a moisturizer with SPF, which are great for maintaining skin health and combating signs of aging. Here are some additional suggestions to consider:

Professional Treatments:

Microneedling: This treatment can stimulate collagen production, improving skin texture and firmness. It is particularly beneficial for thin and crepey skin.
Chemical Peels: Regular peels can help exfoliate the skin, leading to a smoother texture and more even skin tone.
Laser Resurfacing: Procedures like Fraxel can target deeper layers of the skin to promote collagen production and improve overall texture.
Radiofrequency (RF) Treatments: These can tighten the skin and improve texture by stimulating collagen production.
Skincare Products:

Hyaluronic Acid Serum: Incorporating a hyaluronic acid serum can help retain moisture, giving the skin a plumper and more hydrated appearance.
Peptides: Look for products containing peptides, which can support collagen production and improve skin elasticity.
Antioxidants: In addition to vitamin C, consider adding other antioxidants like niacinamide or resveratrol to help protect the skin from environmental damage.
Lifestyle Considerations:

Hydration: Ensure you are drinking enough water throughout the day to keep your skin hydrated from the inside.
Diet: A balanced diet rich in omega-3 fatty acids, vitamins, and antioxidants can support overall skin health.
Sun Protection: Continue to use a broad-spectrum SPF daily, and consider reapplying throughout the day if you are exposed to the sun for extended periods.
It may also be beneficial to consult with a dermatologist who can assess your skin in person and recommend a tailored treatment plan. They might suggest combining some of the above treatments for optimal results. If you have any further questions or need a personalized consultation, feel free to contact my office at the details provided below.

Best regards,

Camille Cash, MD · Answer

The best place to begin is a visit to a dermatologist or aesthetician to review your skin care regimen.  You want to make sure that you have the correct medical grade skin care products, like those in Transform MD.  You can also consider adding treatments such as microneedling or Morpheus8 to address skin tone and texture.

31, best option for skin texture improvement on face? (Photos)

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