Treatment for chest and neck redness, wrinkles and overall mottled appearance? (photos)

Question

What can I do for my chest and neck? I'm considering Fraxel restore and/or a peel. I'm also prone to skin cancer and have had treatment on a few pre-cancerous spots on my face in the last month. They all responded well to cryosurgery. I want to treat my chest aggressively because I expect my chest is the next place the spots will show up. Any advice is appreciated. I'm in the Orange County, California area. Thanks

Harold J. Kaplan, MD · Answer

Hi H.  We use several options for our Orange County patients that want chest rejuvenation.  We do offer fractional resurfacing, but that's not where we usually start.  First we use q-switched lasers and pulsed dye lasers to get rid of brown spots and improve the redness.For the skin laxity (crepey skin) between the breasts, we would use Sculptra and/or fractional laser resurfacing.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anil R. Shah, MD · Answer

The chest and neck are two of the trickier areas to treat as abnormal healing is much more common due to the fact that the skin is thinner and more delicate.  Redness is often best treated by a high grade IPl system although some lasers such as excel-v can be used for persistent reds.  Improving texture of the decollete area often involves several modalities to provide the maximal benefit:
Ablative laser resurfacing- Fractionated C02 resurfacing or erbium at a lighter setting can help build up collagen
Fractora- RF needling can help improve the texture and collagen creation in the skin here
IPL- can help improve the brown spots and discoloration of the area
Melanage or Cosmelan- Peels can help improve the appearance of the discoloration
Sculptra- Dilute Sculptra can help improve the texture of the skin and crepy appearance of the skin.

Elliot M. Heller, MD · Answer

Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited.

Jason Emer, MD · Answer

There are many options for this.  However, given both red/brown/wrinkles I would suggest a combination approach such as IPL for color, Clear+Brilliant and Micropen for wrinkling.  I get amazing results in my practice with this, and have very little downtime.  More agressive approaches include co2 laser resurfacing as well as pulsed dye laser in combination with others.  Best, Dr. Emer.

Treatment for chest and neck redness, wrinkles and overall mottled appearance? (photos)

Answers (9)

Answer: What is fraxel

Answer: What is fraxel

Answer: Chest and Neck Photodamage -- IPL combined with Clear+Brilliant and Eclipse Micropen

Answer: Chest and Neck Photodamage -- IPL combined with Clear+Brilliant and Eclipse Micropen

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Treatment for chest and neck redness, wrinkles and overall mottled appearance? (photos)

Answers (9)

Answer: What is fraxel

Answer: What is fraxel

Answer: Chest and Neck Photodamage -- IPL combined with Clear+Brilliant and Eclipse Micropen

Answer: Chest and Neck Photodamage -- IPL combined with Clear+Brilliant and Eclipse Micropen

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Recommended reading

Everything you need to know about Fraxel Laser

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