Chemical peel, laser resurfacing, or something else? (photo)
Doctor Answers 10
Crows feet and acne scars
Thanks for your question and photo. The two issues you have
identified, crows feet and acne scars are best treated with different modalities.
I know you wish to avoid botox, but looking at your photo I believe botox would
be the safest, simplest and most
effective treatment for your crows feet. (sorry!). However for shallow acne
scars you would potentially benefit from any form of "resurfacing". Laser,
chemical peel or dermabrassion. Deeper scars may benefit from excision or punch
grafting followed by resurfacing.
I hope this helps.
These lines are due to the muscles around your eyes. If you do not relax them with Botox they will always be there. Daily use of a retinol around your eyes will also help.
You might also like...
Treatment for wrinkles, acne scars and irregular skin pigmentation
Crows feet in young male laser - peel - something else
Wishing you the best in your journey
Halo laser skin resurfacing will be a good fit
Hello,Thanks for your questions. Halo laser is a combination of ablative and non ablative lasers which providers can fully control the settings according to your concerns. It helps to improve acne scarring, pigmentations, textures, pores, and wrinkles and safe to use for your age and any ethinicity. The deep chemical peels(such as TCA) also can help your conerns, but laser treatments will be much more effective. Best,Dr. Kevin Belasco
Close examination needed- lasers vs peels
It is not possible nor advisable to eliminate all of the Crow's feet which are dynamic wrinkles. However, CO2 Laser skin resurfacing with or without a small direct lateral brow lift would markedly reduce the wrinkles and may have a 5-7 day down time given your youth. Factors that worsen wrinkles - sun damage and smoking - should be avoided. Best wishes with your decision.
Peels versus Laser
Thank you for your question. While it is not possible to completely tell through the photograph, it appears as though you have actinic damage (sun damage) in addition to wrinkling from dynamic motion - natural facial expressions. For all of my patients in your age group with this presentation I have a three tier approach. I recommend initially skin care focusing on prevention of further actinic damage. This includes a retinol (usually 0.5%), a antioxidant (vitamin C), and daily sunscreen. This combination alone will work wonders for your skin. In addition, I recommend Botox treatments to the crows feet and if cost permitting the forehead. Crows feet in this age group are by far the most important to treat and treat regularly. This can be incredibly effective. The final tier is the "jump start". For a "jump start" I am a proponent of both laser and peels for resurfacing. In my practice, this tends to be most related to cost and downtime. Laser resurfacing (Co2) tends to be more expensive with a longer down time - however it can be the most efficacious. Peels are lower cost but require more expertise than one might expect. A TCA peel can provide significant improvement to pigmentation and fine wrinkles. It must be noted that both treatments come with significant risk of hyper or hypo pigmentation (a blanched look) or persistent redness. They should not be done in the summer months.