Crepey neck skin; Will a chemical peel improve crepey skin on the neck or make it worse? (Photos)

Light peels don't do much for crepy skin but a few medium ones sure do especially if you are doing TCA peels.

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for sharing your question. For neck rejuvenation and tightening, a better option would be to consider a radiofrequency microneedling device like Intensif, which would help with skin remodeling and tightening by increasing new collagen production. Chemical peels would give weaker and slower results, but if you were do get chemical peels for the neck, a series of lighter peels would be better given the delicate nature of the skin. Hope that helps! Best of luck.

Hi thanks to share your concern and your photograph.in your case a combined modality of treatment with a medium depth peel and tightening your skin with radiofrequency devices will give optimal improvement.do consult a board certified facial plastic surgeon and decide .

Thank you for your question. The laser refinishing technique is a type of chemical peel that may fit your health profile and aesthetic desires. Each chemical peel technique varies in strength and can be adjusted depending on your specific needs. I suggest that you move forward and consult with a board certified facial plastic surgeon.Best wishes,

Because of the delicate nature of neck skin, and because of its greater propensity for scarring , a series of superficial chemical peels, such as with glycolic acid or Jessners solution or low strength TCA might be helpful. Having said that, I have found the use of skin boosters, such Restylane Skin Boosters, which I use for this purpose in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, or Belotero Balance, which I use in my Upper East Side Manhattan practice, to be extremely helpful for providing immediate tightening and smoothing of neck creypeyness (and crepey skin on the face and decollete, as well, for that matter). The material can be injected in microdroplets in a grid pattern or fanned through the area with a cannula. In most cases, the results are immediate and gratifying after just one treatment, although a second treatment may be required about four to six weeks later. The presence of the filler hydrates the skin from below, but also, due to its biostimulatory effects, increases new, native collagen and elastic fiber production (neocollagenesis, neoelastogenesis) for longer-lasting results. Best of luck to you.

Thank you for your question. Light to medium depth chemicals peels can help with neck rejuvenation, but if you want to tighten and firm the skin of your neck, I would recommend a tightening procedure such as Thermage or Ultherapy. Fraxel laser is also a great procedure for skin rejuvenation of the neck. 

There are lots of ways to rejuvenate the neck.  Medium or lighter peels are safer than a very strong peel on the neck.  Thermage and Fraxel are an amazing combination at rejuvenating the neck.  Best, Dr. Green