Improve skin overall. Texture, blackheads, under-eyes? ISO recommendations. (Photo)

Question

I'm not happy with my skin. I have scars, huge pores, a lot of texture (especially under my eyes) and blackheads. I'm 28 years old. Current skincare: - tactupump forte (adapalene & BP) - cetaphyl face wash - la Roche posay moisturizer for sensitive skin - black head strips Any treatments or products that would help with my problems?

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anil R. Shah, MD · Answer

Hello beautyquest94 I am a Medical Aesthetician at Aesthetic Skin in Chicago, IL. Thank you so much for sharing your picture first of all your are absolutely beautiful! However, I am all for improving the skin and taking a preventative approach to aging and many other skin concerns. Incorporating a Diamond Glow or Hydrafacial every 4-6 weeks will improve the texture of the skin and minimize and refine the pores. You also have a pretty solid home care routine, we can add a few products to further customize your regimen. Here at Aesthetic Skin I offer complimentary skin consultations. I would love to speak with you more directly to further help you reach your skin care goals. Please feel free to give our office a call. 312-944-0117.

Camille Cash, MD · Answer

You will have the best results from a combination of treatments.  The best place to begin is a visit to a med spa to meet with an experienced aesthetician.  After an evaluation of your skin a treatment regimen can be recommended with medical grade skin care products like Transform MD.  We always recommend using sunscreen every day.  In addition you can consider Morpheus8 treatments to improve overall skin tone and texture.

Diyanah Bani Hani, MD · Answer

Hi there! You know, we are always our own worst critic.. when you look at your picture, you see enlarged pores, scars, and blackheads, but I see so many naturally beautiful features! There are some really great treatments out there to address your concerns but I recommend starting with telling yourself that you’re beautiful everyday when you look in the mirror - even if you don’t believe it at first. It could be a powerful mindset change so that when you do receive treatment, it will help you to fully appreciate your transformation :) 
For things like scars, they are found in the deep layers of the skin, so they won’t go away without slightly invasive treatments. You can probably find a provider in your area who can offer a Halo laser - you may need 1-2 of these treatments. This will get you the fastest results and it is usually easy to find someone who has the device for it. For skincare (after you’re fully healed), you’ll want to be on products that remove that top layer of dead skin and keep your skin smooth. My personal favorite is from a medical grade skincare brand called Jan Marini. You can see an aesthetician who can give you specific recommendations or if it want to keep it simple, you can purchase the Jan Marini Skincare Management System. Wishing you so much good luck on your self-care journey!
Diyanah Bani Hani, MD

Improve skin overall. Texture, blackheads, under-eyes? ISO recommendations. (Photo)

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