Please help. Is there a procedure that will improve my skin texture? Chin texture in particular? (photo)

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

Thank you for your pictures and questions. You have two separate questions - rosacea and the texture of your chin. If your texture concerns were in the area of rosacea, for sure I would recommend IPL, photo rejuvenation. I have great success with this combination of patient concerns improving rosacea and skin texture. This improvement is verified via a Canfield camera system, VISIA that does a pre - and post treatment analysis. Photo rejuvenation when performed correctly should really help you with your rosacea concerns.
In terms of your chin texture concerns, micro needling or laser resurfacing can provide a lasting improvement. I'm assuming you do not want a temporary improvement regarding your chin texture concern.
Hope this helps!
Michael Kulick MD
ASAPS and ASPS member

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

For decades, high concentration solutions of glycolic acid and salicylic acid, Jessner's solution, and low concentrations (10%-25%) have been used successfully and safely (even in skin of color) for treating dilated pores, acne, superficial acne scars, oily skin, as well as a variety of skin color and texture problems. Likewise, for over two decades, professional medical microneedling has also been successfully used for treating many of these problems. In more resistant cases, both procedures may be needed to achieve optimal improvement. Make sure however that you consult with a board certified aesthetic physician with experience and expertise in the proper use of these peeling agents. Best of luck.

Thanks for your question - you're on a great track. IPL, particularly BBL (a great brand of IPL - some systems just aren't that good) is a great treatment for rosacea. There are also often things a good medical office can help you with diet, skincare and prescription topicals.

In our experience microneedling is desperately overrated by offices that find it to be a good profit center with almost no start-up or staffing costs. In rosacea it tends to increase, not decrease the root causes with no benefit. We use Halo laser which also makes small holes, but can decrease inflammation and vascularity.