What procedure(s) will erase the crepey skin on my cheeks? It makes me look so old. Mature, 57 year old. (photos)

Question

Along with procedures, which type of makeup provides the best coverage without looking older on skin like this?

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

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Although I cannot offer much in the way of makeup advice, I can offer other solutions. I think the fine lines and wrinkles, as well as the quality of the skin would be drastically improved with some regular microneedling treatments as well as a medical-grade skin care regimen. In addition, I think the combination of some mid-facial filler (Juverderm Voluma) might help to elevate the skin and improve the position of the tissues. An in-person consultation would be needed to examine you and determine the optimal treatment plan.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. I like the results that the LightPod Era Erbium Laser gives. The skin is tighter, more elastic, less lines/ wrinkles and diminished sun damage. Recovery is quite fast with the erbium laser. I hope this helps. Good luck!

Brian Widenhouse, MD · Answer

Thank you for your question, as part of the aging process collagen and elastin production slows down resulting in thin skin with fine lines and wrinkles.  At Port City Plastic Surgery we recommend a series of Microneedling with PRP every month followed by a skincare regime at home that includes retinol.  Another modality commonly used is fractionated laser that can help improve the surface of the skin while stimulating new collagen growth. Combination therapies are always the best way to approach a loss of collagen and elastin in the skin.  Best of luck!

What procedure(s) will erase the crepey skin on my cheeks? It makes me look so old. Mature, 57 year old. (photos)

Answers (10)

Answer: What’s the best treatment for my skin

Answer: What’s the best treatment for my skin

Answer: Treatments for thin, crepey skin

Answer: Treatments for thin, crepey skin

Recommended reading

Everything you need to know about Skin Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.

What procedure(s) will erase the crepey skin on my cheeks? It makes me look so old. Mature, 57 year old. (photos)

Answers (10)

Answer: What’s the best treatment for my skin

Answer: What’s the best treatment for my skin

Answer: Treatments for thin, crepey skin

Answer: Treatments for thin, crepey skin

Browse related questions

Recommended reading

Everything you need to know about Skin Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.