How to Improve Crepey Skin on Face?

You sound like you would be the perfect candidate for the newest treatment we offer, the Jet Peel. Jet Peel treatments are highly beneficial for skin texture improvement, wrinkle reduction, and overall skin rejuvenation. These treatments are also beneficial for minimizing acne breakouts. The Jet Peel treatment combines 100% oxygen and sterile saline to gently cleanse and hydrate the skin. The combination is delivered much like an airbrush treatment (mini pressure wash) and the effect is amazing. This gentle cleansing unclogs pores and removes dirt and makeup that can build up on the skin’s surface over time. The infusion of oxygen acts like a dose of Vitamin E to refresh the skin’s texture and appearance. 

The first and most important thing you can do is find a board-certified dermatologist or facial plastic surgeon who has a lot of expertise in treating fine lines and crepey skin around the eyes.  While you have not seen much improvement with the topical RetinA (tretinoin), I would still recommend you continue to use it as much as you can as long-term use will improve fine lines and textural issues. The fine lines you see around the eyes when you smile or squint will benefit from Botox or Dysport (neurotoxins) as they will reduce your ability to smile or squint thereby reducing those visible lines.  Sometimes you can put a little Dysport or Botox immediately under the eyes to soften the lines there as well.  An appropriate type and strength of chemical peel can be very effective for improving the fine lines, texture and crepey nature of the skin around the eyes and may be used in conjunction with the neurotoxins for optimal improvement.  Again, your physician will be able to select the appropriate treatments based on your specific concerns and the clinical presentation.