How to Improve Crepey Skin on Face?

Regular use of Retin-A should stimulate collagen production but you need to be out of the sun and use daily sunblock.  Overall you need to stay well hydrated with both drinking water and facial moisturizer. 

Botox and Dysport work by reducing the ability to squint and minimize the wrinkles around the eyes; the products and their results are temporary but highly effective. 

Chemical peels (TCA, lactic acid) get rid of the epidermis and outer dermis with the goal of stimulating your own collagen for a more youthful appearance.  Combination therapies are frequently common to achieve the best aesthetic results.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

The kind of  "gathering" you describe around your eyes is likely to be what we refer to as "periorbital" wrinkling or more commonly "crow's feet."  Dynamic wrinkling, i.e. wrinkling from the motion of the movement of the facial muscles of expression is a common problem, which first begins to appear in a person's thirties when sun-damage related and age-related losses in the quality and quantity of collagen and elastic fibers first begin to appear. 

Happily, dynamic wrinkling of this kind can be easily treated with injections of neuromodulators, such as Botox, Dysport and now Xeomin, which suppress slightly the motion of these muscles thereby alleviating the "gathering" and bunching that are so cosmetically troubling. I first began using Botox for this purpose in 1991, so its use for this indication is hardly new. 

Of course, sun protection and the use of topical retinoids and alpha hydroxyacids would be helpful to maintain and prolong the results you achieve with treatment.