Facial Rejuvenation Options for Late 20s Woman?

Question

Hey docs,
I wanted to know what I should do  for a whole facial rejuvenation (including under eyes). i am 28, however i have some lines around my eyes forehead and little loose skin happening...
Some doc told me fraxel, thermage and other treatments are not worthy - only co2 lasers are. is this true? I want something to tighten the skin and work on fine lines, little spots, but also help pigmentation.
can you recommend anything? Maybe chemical peels and then ipl to help the pigmentation? does this sound good? help please... jade

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. 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

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Chien C. Kat, MD · Answer

As we approach the 30s, signs of ageing (chronological and solar) become more visible.To combat the process, start by looking at your skin care and protecting. Move away from high street products and start using clinic grade cosmeceutical with vitamin A, C and E. Be stringent with your sun protection. In fact, start thinking of it in terms of UV protecting so that SPF is not neglected through the duller winter months.Go beyond the pampering facial treatments. Look into treatments that actually do something for the skin like the Hydrafacial and Environ DF II facials.You can then add in specific treatments to stimulate collagen production further. Needling, mesotherapy and lighter chemical peels are some of the options with short down time.

William Ting, MD · Answer

20's is a perfect time to maximize preventive measures to slow down the process of aging. Strict daily sun protection, topical prescription-strength tretinoin at night and vitamin C serum in the morning can be a very helpful start to achieve facial rejuvenation. IPL or photofacial can be helpful to obtain even skin tone. Botox or Dysport is helpful to decondition facial muscles to minimize involuntary contraction leading to dynamic wrinkles on forehead and crows feet. It is not unheard of for people in 20's to start doing fillers to minimize shadows along nasolabial folds as all fillers have been shown to stimulate collagen production.

Harold J. Kaplan, MD · Answer

Hi Jade,
There are a couple items you mention in your question that we really like and a couple we really don't.
Fraxel, CO2 resurfacing and other Erbium and fractional technologies can definitely help with fine lines as well as sun damage.
The part we do not like is Thermage and IPL.  Thermage is a marginal at best procedure with little benefit for someone as young as you and only temporary benefits even for someone much older so we are not big proponents.  IPL is a second best technology and q-switched lasers are far superior for sun damage, achieving permanent resolution of brown spots vs. temporary fading with an IPL.
You also did not mention injection procedures.  Botox may help for some of the lines around the eyes, but to make hard and fast recommendations, we'd have to see pictures.  Good luck.

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Facial Rejuvenation Options for Late 20s Woman?

Answers (8)

Answer: Facial rejuvenation for 20's

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Answer: Best Rejuvenation procedures for late 20's female

Answer: Best Rejuvenation procedures for late 20's female

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