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This is a big problem for women, especially women who smoke. Men because they shave and thereby exfoliate don't have this aging problem. Salicylic or glycolic peels are good for exfoliation, but the trick is to stop the muscle around the mouth from moving with Dysport or Botox, and fill the space with a thin filler like Belotaro or Restylane Refyne. That will do the trick. You should see a physician versed in this but it doesn't have to be a plastic surgeon. Hope this helps. JB
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. KaramanoukianRealself100 Surgeon
Thanks for your question, Depending on your needs and the extent of the wrinkles, there are many different peels that could used. There are also other resurfacing modalities such as dermabrasion and laser resurfacing that can be used on the face. Deciding which is best for you would require an in person consultation with a physician experienced in skin resurfacing. Best of Luck
Wrinkles around the mouth area can be challenging to treat and usually require a multi-pronged approach. I tell my patients that a combination of neuromodulators (Botox or Dysport), fillers, chemical peels and collagen-stimulating procedures (Ulthera or CO2 laser) will get the best results.I recommend that you have a consultation with a physician who specializes in aesthetic medicine. They can do an in-person examination and suggest what would get you the best results.
There is a wide spectrum of resurfacing modalities (skin-smoothing treatments) for facial lines, and it includes lasers, dermabrasion, and chemical peels. Depending on your ethnicity, treatment history, and physical exam, you may be a better candidate for some treatments over others. It is also important to note that there are other tools in the facial rejuvenation toolbox--for example, some chin lines respond best to Botox and lip lines can also be well addressed with a combination of fillers and resurfacing. Seek out a consultation with a Dermatologist, Plastic Surgeon, or Facial Plastic Surgeon to discuss your concerns and undergo a physical exam. Good luck!