Laser Treatment for Orange Peel Textured Skin?

Question

I'm 28 years old. Seven months ago, my skin has literally changed overnight for the worse it has ever been and has not improved.I've seen many dermatologists and doctors who have done nothing but say nothing can be done cause they don't know what it is. My whole face is thickened, tight, red with pigmentation on my cheeks and has acne scarring all over the face with very large rough pores all over creating a thick orange peel texture.I tried a Vi-peel which did nothing, and just left scars. Would laser be an option? If so, which one?

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. 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

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Vivek Bansal, MD · Answer

I like fractional Co2, Pearl Fractional, and eMatrix.  Depending on your skin type, CO2 for lighter skin, eMatrix for darker skin. Thank you for your question and good luck.

Daniel Levy, MD · Answer

The skin changes you describe require a complete history and physical exam, and may require a skin biopsy as well as blood tests. These tests would allow your dermatologist to consider rare but possible causes for rapid development of “orange peel” texture such as: Autoimmune skin conditions (sarcoidosis, follicular mucinosis), scleroderma (“tight” skin), reactive skin conditions (xanthomas), as well as infectious skin conditions (lepromatous leprosy).

Shawn Allen, MD · Answer

It sounds like you have an unusual skin condition. You need to see a dermatologist and most likely have a skin biopsy to get a diagnosis. You may have a skin condition that is related to an internal process and treating from the outside may not be helpful or even mayy be harmful. Your condition sounds fairly unique and you should seek out leading dermatologists to get the diagnosis before proceeding further especially since you report scarring from procedures!

Laser Treatment for Orange Peel Textured Skin?

Answers (4)