Is it possible to remove the wrinkles on the bridge of my nose? (Photos)

Question

I think i am suffering from some form of hypopigmented vitiligo because i am losing discoloration on both sides of my body in the exact same spots. And been going on for 4 years now but the lesions never turned white. So I decided to buy a handheld UVB device from Amazon to get color back. And a couple of days later I developed many wrinkles on the bridge of my nose. So I stopped and now wondering if there is a way to remove these wrinkles. I was wondering if microneedling can help . and depth?

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

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for sharing your concerns about the wrinkles on the bridge of your nose. It sounds like you are dealing with a complex situation involving both pigmentation changes and the recent development of wrinkles. Here are some considerations and potential options for addressing the wrinkles:

Evaluation by a Dermatologist:
It’s important to have a dermatologist evaluate your skin to determine the best course of action. They can assess whether the use of the handheld UVB device contributed to the wrinkles and provide a comprehensive treatment plan.

Microneedling:
Microneedling can be an effective treatment for improving skin texture and reducing the appearance of fine lines and wrinkles. It works by stimulating collagen production, which can help to smooth out the skin.
The depth of microneedling can vary depending on the severity of the wrinkles and your skin type. A professional can recommend an appropriate depth and number of sessions to achieve the best results.

Other Treatment Options:
Topical Treatments: Products containing retinoids or peptides can help promote collagen production and improve skin texture over time.
Laser Therapy: Fractional laser treatments might be another option to consider for targeting wrinkles and improving overall skin appearance.
Chemical Peels: These can help resurface the skin and reduce fine lines, though they should be used cautiously, especially if you have sensitive skin or hypopigmentation issues.

Addressing Pigmentation Concerns:
Since you mentioned possible vitiligo, it's important to address this with your dermatologist as well. They may suggest treatments like topical corticosteroids or calcineurin inhibitors to manage pigmentation changes.

Avoiding Further UV Exposure:
Since UV exposure can lead to skin damage, it might be best to avoid using the UVB device without professional guidance. Ensure you use broad-spectrum sunscreen daily to protect your skin from further damage.

Best regards,

Is it possible to remove the wrinkles on the bridge of my nose? (Photos)

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