Many fine lines everywhere and volume loss in 26 year old: Botox, filler, tretinoin already?

Question

Hello! I am concerned about my skin because I have observed a noticable volume loss and increase in wrinkles and fine lines since about a year. What bothers me most are that my whole skin wrinkles and I would like to ask if there are some explainations for my observations, if I might have a skin condition or if this is still in the normal range of how aging manifests itself?

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Juvederm Volite is currently unavailable in U.S. market. However, a popular alternative is Belotero. Belotero is used for fine lines and is used like volite for both plumping and rejuvenating the skin. Much like restylane skin boosters available outside the us.

Monica Boen, MD · Answer

Thank you for your question. While the symptoms you are describing are common with aging, they can also be the result of stress, sun exposure and other factors in younger patients. I encourage you to schedule an appointment with a board-certified dermatologist that can perform a personalized assessment. Through this meeting, your dermatologist should be able to devise a treatment program geared toward you and your needs. Sometimes small additions to your skincare routine and gentle lasers can create a subtle and refreshed look.

Neel Bector, MD · Answer

Wrinkling, fine lines, loose skin and loss of volume are signs of early aging, but in young patients it can be a result of stress, sudden weight loss, malnutrition, side effects of medicine and sun exposure. It results in reduced collagen production. I would recommend that you ensure that you have a balanced diet and consult a medical expert regarding different options available to you, including fillers/botox, Radio frequency, and Micro needling to minimize fine lines and wrinkles.  
Regards
Neel Bector

Tonya Boudreaux, MD · Answer

Hello Kinga209,
There are several treatments and products to help strengthen and prevent premature aging in the skin. It is very important to be using the right products for your skin. Products with retinol to help stimulate the cells is very important to add in your skin care regimen. Treatments to help stimulate collagen production and exfoliation are also important and always protect your skin from the sun. Botox/Xeomin/Dysport are always recommended to help prevent lines.
 I would recommend an in person consultation to determine a treatment plan and products best recommended for you.
Hope this helps!

Many fine lines everywhere and volume loss in 26 year old: Botox, filler, tretinoin already?

Answers (7)

Answer: Early aging

Answer: Early aging

Answer: Changes in skin

Answer: Changes in skin

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Many fine lines everywhere and volume loss in 26 year old: Botox, filler, tretinoin already?

Answers (7)

Answer: Early aging

Answer: Early aging

Answer: Changes in skin

Answer: Changes in skin

Browse related questions

Recommended reading

Everything you need to know about Botox

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