Had IPL 3 years ago and something bad happened to my skin, new laxity, and weirdly I no longer sweat from my face when I exercise. Anyways, I am 40 and now I have crinkling, corduroy texture under my cheekbones, near corner of mouth and up through temples and forehead. I have tried TCA only 13 percent multiple layers but got some good peeling and slight improvement. Wondering what else I can do, CO2, aquagold? When I pull up bottom of my face, crinkles get better! Thanks for your opinion.
July 29, 2020
Answer: Facial Rejuvenation -- PRP/Microneedling, Laser (Fraxel/Clear+Brilliant, Halo/Erbium/Co2), COSMELAN, Fractora/Morpheus at home peels like cosmelan, enlighten and aerify along with dermarolling (emeragecosmetics MTS roller with anteage MD ampules weekly) should be started now to prevent further aging. I recommend all my patients do at home peels like cosmelan , enlighten or aerify (see link). For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling 2) PDT light therapy few times a month with growth factors 3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium 4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill 5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting 6) botox every 2-3 months to stop movement lines and prevent lines at rest 7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin 8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months) Best, Dr. Emer.
Helpful
July 29, 2020
Answer: Facial Rejuvenation -- PRP/Microneedling, Laser (Fraxel/Clear+Brilliant, Halo/Erbium/Co2), COSMELAN, Fractora/Morpheus at home peels like cosmelan, enlighten and aerify along with dermarolling (emeragecosmetics MTS roller with anteage MD ampules weekly) should be started now to prevent further aging. I recommend all my patients do at home peels like cosmelan , enlighten or aerify (see link). For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling 2) PDT light therapy few times a month with growth factors 3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium 4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill 5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting 6) botox every 2-3 months to stop movement lines and prevent lines at rest 7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin 8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months) Best, Dr. Emer.
Helpful