Can consecutive chemical peels improve my texture? (Photo)

Question

37f, medium complexion. I've developed this texture skin since being diagnosed with rosacea a year ago. My rosacea is under control, but it did run rampant while doctors said I couldn't have rosacea because of my age and being Black American. The texture covers the area where my rosacea papules flare up. It really bothers me. Thanks for your help.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your struggle with rosacea. It's true that rosacea can affect people of all skin colors and ages. As for the textured skin you're experiencing, it's likely due to the inflammation and changes in skin structure caused by rosacea. Here are a few steps you could consider:
1. Consult a Dermatologist: They can assess your skin condition and provide targeted treatments. This might include topical creams or gels, oral medications, or procedures like laser therapy or dermabrasion.
2. Skincare Routine: It's important to have a gentle skincare routine. Use a mild, non-abrasive cleanser. Avoid products that contain alcohol, witch hazel, fragrance, menthol, peppermint, or eucalyptus oil, as these can irritate rosacea.
3. Moisturize: Use a moisturizer daily. It can help to maintain the skin's natural barrier and reduce dryness and flaking.
4. Sun Protection: Sun exposure can trigger rosacea flares and can also worsen skin texture. Use a broad-spectrum sunscreen with an SPF of at least 30, and wear a wide-brimmed hat when you're in the sun.
5. Avoid Triggers: Common rosacea triggers include hot drinks, alcohol, spicy foods, stress, and extreme temperatures. Try to identify and avoid your personal triggers.
6. Consider Treatments: Treatments such as laser and light therapy, microdermabrasion, or chemical peels can improve skin texture. However, these should only be done under the supervision of a dermatologist or skincare professional.
7. Healthy Lifestyle: A balanced diet, regular exercise, and adequate hydration can also contribute to healthier skin.
Remember, it's important to discuss your symptoms and treatment options with a healthcare professional. They can provide advice tailored to your specific needs and condition.

Barbara Padilla, MD · Answer

Thank you for your question! Chemical peels are a great option for improving skin tone and texture. Chemical peels exfoliate the top layers of the epidermis and stimulate collagen production. Laser Genesis can also improve skin tone and texture and does not cause your skin to peel. The laser heats up the epidermis to stimulate collagen production to improve skin tone and texture.

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

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. Based on your concerns, I recommend beginning treatment with CO2 laser resurfacing. However, I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

John L. Burns Jr., MD · Answer

Resurfacing can be repeated although you'll want to wait several months between treatments.  I'd suggest a board certified dermatologist to treat your rosacae.

Nelson Lee Novick, MD · Answer

At least from the photos, the kinds of texture issue seen would likely respond to a series of superficial chemical peels with full strength glycolic or salicylic acid, Jessner's solution or low strength TCA. Alternatively, professionally performed manual micrneedling (no need for the added expense and risks of RF microneedling) can also be used for this purpose. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Albert Yang, MD · Answer

For the rosacea you could try topical medications such as benzyl benzoate. There are people also doing oral medications such as doxycycline that could help. For the pores you can try microneedling. Hope that helps

Can consecutive chemical peels improve my texture? (Photo)

Answers (7)

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