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.

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.

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.

Jourdan Carboy, MD · Answer

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

Manuel Diaz, MD · Answer

Nowadays there are many treatments to treat skin conditions and aesthetic procedures that help us change the things we don't like. In your case, there are several options, among the best, treatment with filler and treatment with micro-needles.

Good Luck!

Good Luck!

Tanisha Hutchinson, MD · Answer

Hello,
While there are many treatments in general for crepey skin, I think the best solution for you in particular would be radiofrequency microneedling. This stimulates collagen and elastin to make the skin tighter and more firm. This procedure is offered at FACE Atlanta.
Tanisha Hutchinson, MD

Leonard Grossman, MD · Answer

Most of the time, when patients form an accordion on their face, while smiling, it is due to loss of facial volume. It is a natural process of aging. In your best interest I would recommend an in person consultation with the Plastic surgeon or at least supply another set of photographs, which also show you smiling. Having the whole face exposed with the eyes blacked out would be the best way to go about it. I gave you my answer above based on my experience without the appropriate photographs. I hope this helps and good luck from Leonard Grossman MD organic Plastic Surgery

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

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