Is CO2 the answer to sun damage on neck/chest? (photos)

Question

I'm 35 years old and for the last 5 years I've been really down about the state of my neck. I believe it is a result of sundamage as my chest has a similar texture. It's very crepey/ wrinkled and is incredibly aging. I've tried RF sessions and Morpheus8 with absolutely no change. I'm considering a fractional co2 laser or maybe plasma pen? Any advice would be very much appreciated. Thank you

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

You might want to start with a retinol cream/skin care, peels and microneedling. But if your skin is very wrinkled and crepey from the sun and if you have early sun damage you may need peels, lasers, and microneedling with PRP.  Please be sure to wear sunscreen to prevent further wrinkling. thermage and Ultherapy can be used to tighten skin. Sculptra can be used to improve collagen production. Please see an expert for all of your options. Best, Dr. Emer

Is CO2 the answer to sun damage on neck/chest? (photos)

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