I’m concerned about wrinkles on my skin . I’m 33, but I’ve noticed that whenever I fold or move my skin—even just once—wrinkles appear in that area and stay visible. It happens on my hands, the back of my neck (in places where most people don’t have folds), and even areas like right under my chest. I’ve also noticed the back of my hands are completely covered in wrinkles. I’m wondering if this could be due to thin skin, collagen loss, or something else? I don't shower as much as when i was a kid because I don't get dirty, so could my skin be dehydrated because it's not exposed to water from the shower? Can you please advise me on treatments or solutions? For example, would microneedling help? That could fix this or rebuild collagen and elasticity? Can this be reversed at all? My biggest concern is the neck as it looks so bad because i dont see many people have this only me, even the elderly have better skin than mine. I will do anything i can to take care of my skin now but is it too late?
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July 21, 2025
Answer: Premature Skin Wrinkling & Texture Changes in a 33-Year-Old Male
Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Microneedling with SkinPen can be an effective treatment for large pores and fine lines, particularly for fair skin, which tends to respond well to...
From the history and at least from the photo provided, the problem area appears consistent with a hypertrophic scar. If so, the treatment of choice would be the use of an intralsional injection of an appropriate concentration of traimacinolone acetonide suspension--a treatment for hypertrophic...
It is safe and reasonable to perform microneedling (not RF) one week before PDGF (Platelet-Derived Growth Factor) injections, and this sequence may even enhance the effects of the PDGF treatment.
Microneedling creates controlled micro-injuries that can increase skin permeability and may...