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

Question

What is the best treatment for facial crepiness. Cheeks that have the accordion lines when smiling with crepiness.

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for your question and for providing the photo. Crepey skin on the cheeks, often described as having "accordion lines" when smiling, can be effectively treated with several dermatological procedures. The best treatment option depends on various factors, including the severity of the crepiness, skin type, and personal preferences.

Here are some common treatments that can help minimize the appearance of crepey cheeks:

Laser Resurfacing: Fractional CO2 lasers or erbium lasers can stimulate collagen production and improve skin texture, reducing the appearance of fine lines and crepiness.

Microneedling with Radiofrequency: This combines microneedling with radiofrequency energy to promote collagen and elastin production, leading to firmer and smoother skin.

Injectable Fillers: Hyaluronic acid fillers can add volume to the cheeks, which can help smooth out fine lines and crepey skin.

Chemical Peels: Medium to deep chemical peels can exfoliate the skin, promoting new skin growth and improving texture.

Topical Treatments: Retinoids and other topical treatments containing ingredients like hyaluronic acid and peptides can also help improve skin texture over time.

It's important to consult with a board-certified dermatologist to determine the best treatment plan for your specific needs. They can assess your skin and recommend the most appropriate procedure or combination of treatments.

Camille Cash, MD · Answer

You may want to consider Morpheus8.  This minimally invasive treatment combines RF technology with microneedling to improve overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.  I've included a video I hope you find helpful.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. To minimize the appearance of crepey cheeks and the accordion lines that become noticeable when smiling, several procedures can be effective. One highly recommended option is fractional CO2 laser resurfacing, which targets the outer layers of skin to stimulate collagen production and improve skin texture and elasticity. This treatment can reduce the crepey appearance and smooth out fine lines. Radiofrequency (RF) therapy is another option that helps tighten the skin by stimulating collagen and elastin production through controlled heat. For more immediate volume correction, dermal fillers can be used to add volume and support to the cheeks, which can smooth out crepey skin and reduce the appearance of lines. Additionally, microneedling combined with PRP (Platelet-Rich Plasma) can enhance collagen production and improve skin texture over time. I hope this helps and best of luck!

Nelson Lee Novick, MD · Answer

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

David Hansen, MD · Answer

Combining Morpheus8 and a medium TCA peel together for the face/neck/chest is the very best for tightening the skin and smoothing any crepiness.  It  is done under local with a little iv sedation  for complete comfort and is so effective.

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

Answers (9)

Answer: For "Accordion" Lines With Smiling: Consider A Cohesive, Malleable, Low Viscosity HA Filler

Answer: For "Accordion" Lines With Smiling: Consider A Cohesive, Malleable, Low Viscosity HA Filler

Answer: Morpheus8 and TCA peel together helps skin texture/tightness the most.

Answer: Morpheus8 and TCA peel together helps skin texture/tightness the most.

Recommended reading

Everything you need to know about Dermal Fillers

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

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

Answers (9)

Answer: For "Accordion" Lines With Smiling: Consider A Cohesive, Malleable, Low Viscosity HA Filler

Answer: For "Accordion" Lines With Smiling: Consider A Cohesive, Malleable, Low Viscosity HA Filler

Answer: Morpheus8 and TCA peel together helps skin texture/tightness the most.

Answer: Morpheus8 and TCA peel together helps skin texture/tightness the most.

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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