What can I do to help fix my skin? (photo)

Question

I'm 40 and my skin is horrid!

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.

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

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. You could get facial rejuvenation with Erbium laser treatment. The benefit of the Erbium is that it has low risk of post-treatment pigmentary changes. See an expert in use of this laser. Good luck!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi sF415637, 
To start, I would recommend investing in a medical grade skin care line plus a prescription strength Retinol. Other, more aggressive options would be chemical peels, IPL and/or laser resurfacing treatments. Be sure to seek out an experienced provider. We hope this information is helpful. Best of luck with your skin care concerns!

What can I do to help fix my skin? (photo)

Answers (4)

Answer: Enhancing your complexion

Answer: Enhancing your complexion

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What can I do to help fix my skin? (photo)

Answers (4)

Answer: Enhancing your complexion

Answer: Enhancing your complexion

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Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.