Forehead skin texture: The skin on my forehead has always been “wrinkly”, ever since I was a kid. (Photo)

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I would recommend using good skin care and Retinols and Vitamin C serums. If you are interested in skin tightening lasers I would consult with a board certified physician who has the new Thermage FLX laser which will give you impressive results and build up your collagen in a natural way.  Best, Dr. Green

Since these have been present since childhood and not likely the typical dynamic wrinkles (wrinkles due to underlying muscle movments), I would take an approach that uses a chemical peel, combined with a fractional RF/laser treatment, as Botox/Botulinum toxin may not help that much with this problem.  This approach would help with treating the wrinkles as well as building new collagen in the skin.  Use of a retinol cream and a great moisturizer, like SkinMedica's HA5 would help to maintain your results.  Most likely you will need maintenance treatments every 3-6 months.