Which procedure would minimize the appearance of crepey cheeks? (photo)

So-called "accordion lines," also known as parallel laugh lines are a fairly common problem that I have been treating with gratifying results for many years. It is usually quite easily treated by the appropriate choice of a low viscosity, malleable, cohesive HA filler injected in the proper fanning technique to provide the necessary support below the skin to resist the muscular action responsible for the appearance of these lines with smiling. The results of treatment are typically immediate and treatment usually engenders little to no signficant downtime. You would be wise to consult with a board certified cosmetic dermatologist filler expert and be sure to ask to see his/her before and after photos of the treatment of this problem. Hope this helps and best of luck

Hello olga_daniel,This is an excellent question as everyone begins to develop crepiness of their skin as they age. You are asking early on before it has become severe which puts you in a much better position to prevent it from worsening. There are a variety of approaches to manage skin texture and fine lines that you are describing. For a dramatic result, you would ideally undergo laser resurfacing with an ablative laser, such as erbium-yag or CO2. You can also have similarly dramatic results with a phenol peel. In addition to resurfacing, you should make it a regular part of your skin care routine to use sunscreen every single day and avoid any sun exposure to your face if possible. Also start using a tretinoin, ideally work up to using nightly.I hope this helps,Cheers, Dr. Jourdan CarboyAlpenaura Plastic Surgery