How to improve my fine lines and overall skin dullness without Botox?

Question

Hi, I am a 34 year old female who just had 2 kids back to back. I find that my sun damage has popped up after having kids, it’s subtle but it’s enough to make my skin look dull. My forehead lines bother me as well because it ages me. I also would like to do something for my deep set eyes as I used lash serums in the past and developed orbital fat loss. I would like to know my best options that are non invasive. Thanks.

Anna Chacon, MD, FAAD · Answer

ongratulations on your growing family, and thank you for sharing your concerns. It’s very common to notice changes in skin quality, pigmentation, and fine lines after pregnancy and with hormonal shifts. There are effective, non-invasive ways to improve overall skin tone, texture, and luminosity without Botox.

Options to consider include:

Topical skincare:

Retinoids or retinol for fine lines and overall rejuvenation.

Vitamin C serums to brighten skin and address sun damage.

Daily sunscreen to protect and prevent further pigmentation.

Energy-based treatments:

Chemical peels (light to medium depth) for dullness and uneven tone.

Microneedling with or without platelet-rich plasma (PRP) for collagen stimulation and improved skin texture.

Laser resurfacing (fractional, IPL, or gentle resurfacing lasers) for sun damage, pigment, and overall rejuvenation.

Hydration and skin quality treatments:

Hyaluronic acid–based skin boosters or injectable hydrators can improve fine lines and enhance luminosity without affecting muscle movement.

For the eye area:

Non-invasive options like PRP injections or under-eye skin boosters may help improve hollowing and texture.

Topical peptides, caffeine-based eye creams, and retinol formulations can also support this delicate area.

Overall, combining a strong at-home regimen with targeted in-office treatments provides the best natural-looking improvement without Botox.

Leonard Grossman, MD · Answer

Pregnancy can absolutely create havoc on the face and body. In your case, it’s quite easy to correct everything that you don’t like. The hollows around the eyes can be corrected with small amount of fat grafting, which, at least in my hands produces natural and practically permanent results. A good skin care which our office provides as well for the majority of our patients will correct the skin quality within approximately three weeks and all we have to do is maintain it. I hope this helps and good luck from Leonard Grossman, M. D., organic Plastic Surgery, New York City.

How to improve my fine lines and overall skin dullness without Botox?

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How to improve my fine lines and overall skin dullness without Botox?

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