Can crepey skin on the OUTSIDE of arms look better with creams?

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Contrary to advertising claims, OTC creams, potions, lotions and elixirs are unlikely to be effective for crepey skin anywhere, whether on the face, limbs, or trunk. Even prescription strength retinoids, such as Retin A or Avage are unlikely to be particularly effective and better serve for preventive maintenance than treatment.It has also been my experience that relatively expensive, energy-based treatments, about which we hear so much of these days, such as fraxels, as well as radiofrequency and ultrasound treatments, yield subtle, variable and inconsistent results and appear to be backed far more by device manufacturer supported marketing hype than by hard science. The use of "Skin Boosters" is one potential approach to crepey, crinkly skin. In effect, this treatment consists of the injection of small amounts of low concentration fillers, intended to not only hydrate and smooth the skin from underneath, but through its biostimulatory effects, increase new, native collagen and elastic fiber synthesis (neocollagenesis, neoelastogenesis). In general, a series of such treatments, spaced at four week intervals is needed to realize optimal improvement.Unfortunately, there are currently no injectable products in the U.S. specifically approved for this purpose, although in my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I use Restylane Skin Boosters. In my Upper East Side Manhattan office, I employ Restylane Silk for this purpose. 

Without seeing pictures it's hard to tell. Generally, creams and at home skin care products do not provide dramatic results and are more for maintenance and to compliment results of more aggressive treatments. The ThermiTight procedure is an excellent treatment for loose arm skin.