How to fix wrinkly and crepey skin? (photos)

Question

Within the past month I've noticed that skin is starting to look like the pictures attached (not my pics), very wrinkly and crepey. Its only noticeable when I bunch up my skin or when I'm bending over/propping my legs up. When I'm in a standing position or laying flat my skin looks normal and firm. I dont know if its loose skin from unintentionally losing weight (im underweight) or extra fat. I'm also not sure if it's aging skin either but I'm only 25! Should I consider skin tightening surgery?

Sheila S. Nazarian, MD · Answer

I have not found anything better than a combination of BodyTite and Sculptra for tightening the skin of the body.  Obviously, you need to meet with a Board Certified Plastic Surgeon to tell you if you are a good candidate and what your expectations should be.My best,Dr. Sheila Nazarian

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Fractional laser (fraxel / Clear + Brilliant) or fractional radiofrequency (sublative / viva) in combination with venus legacy or microneedling work great for this type of crepe skin. I suggest you find a cosmetic dermatologist with experience in off the face treatment.  Best, Dr. Emer.

Gidon Frame, MD · Answer

Body wrinkles are often caused by fat loss and the breakdown of collagen in the skin. Taking care of the surface of the skin can be addressed with retinol and retexturing activator from Skinceuticals.To build the collagen a radiofrequency device such as thermage and microneedling will help the skin to rebuild and strengthen. Fraxel 1550 will also assist with this concern. Only do this if you are not tanned and if your skin type is above a Fitzgerald IV, pretreat with hydraquinone for atleast 3 weeks. Another option is to put a layer hyaluaronic acid under the skin such as Skinboosters, aq or a diluted Radiesse, known as Radifill. Be sure to attend a clinic with experience and a medical doctor who is trained in this field.

Chaitali Nangrani, MD · Answer

Wrinkly and creepy skin on the face, needs evlauation. I would say that a majority of the time, the wrinkly skin can be improved by using Botox, and volume loss correction by Fillers. To tighten the skin, I would choose a laser. I like to use Lasers because they work.

How to fix wrinkly and crepey skin? (photos)

Answers (5)

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