Severe aging and deep wrinkles in cheeks in only 2 yrs. (27yrs to 29yrs rapid change) What can I do? (Photo)

Question

The 1st picture is me at 27. I had been on Yaz birth control pills for 7yrs then. When this picture of me & the horse was taken, I stopped Yaz, and got the MIRENA IUD. This is when things seemed to start going downhill-I started battling cystic acne, but could cover with heavy makeup.The 2nd pic is me at 28yrs &heavy makeup. The last 2 pictures are me now at 29yrs-I've been on accutane for 5mths, & been off for one week. I've just been shocked as I watch myself age. I don't know what to do?

Jason Emer, MD · Answer

From the photos you look beautiful and are in need of someone to help with age prevention treatments such as fillers, botox, peels or lasers.  All in moderation and small amounts to just enhance your natural beautiful appearance.  Many would kill to look like you, so at this point it is skin care and preventative cosmetic treatments.  Best, Dr. Emer.

Michael Eisemann, MD · Answer

Redundant skin of the cheek, neck and jowl is best treated with a facelift.  However, if there are only wrinkles a non ablative fractional CO2 laser treatment would be appropriate for skin tightening.

Jonathan Weiler, MD · Answer

Great question, I would tell you lots of things, 1 st visit with a skin care professional.....then develope a plan of medical grade skin care, peels and finally would recommend a  CO 2 resurfacing, these are things that cannot be done immediately because of your recent acutane usage but things that will make a significant difference over time, good luck!!

Jo Herzog, MD · Answer

The skin changes that you are seeing might be in part due to volume loss, maybe with weight loss and maybe even from severe dryness after accutane. If you ride you need protection from outdoor exposure. There are a lot of things that can be done now and others in future. You need good sun protection and to get on a good regimen that will protect and redydrate your skin without making you break out. I would not do peels or laser until 6 months after accutane but there are things that can be done to help your skin look more vibrant. Get with a dermatologist that you trust and discuss this.

Michael H. Gold, MD · Answer

Not many people are going to notice a major change in your appearance, but you do and that's the most important part. I would caution you on anything surgical at this point in your life and would stick with procedures which are non-invasive and skin care which can make a difference in how you look and how you feel. You are now off isotretinoin or Accutane for a week, so most would not recommend any procedure for a while — at least 6 months after the use of Accutane — it's sort of the cosmetic rule for invasive procedures because of potential risks of increased scarring.I would recommend going to a board-certified dermatologist or plastic surgeon and let them evaluate your skin, determine the most appropriate skin care routine for you, and then you all can determine if it will be beneficial to use a filler to treat the areas that bother you or whether a radiofrequency device can be used to make the skin look better – all things that can be done non-invasively and just off Accutane.Don't go crazy — it's not needed.

Darryl J. Blinski, MD · Answer

Best in person consultation. But fillers, skin peels, mini facelift are options for you to consider...

Syed M. Sayeed, MD · Answer

Hi Bonnie8552A common side effect of Yaz is weight gain. From the look of your pictures you have lost a bit of facial volume leading to the descent of your skin especially in the cheek area. Imagine a pillow with you take out some of the filling the case shrivels and develops fold lines. Not sure if you have lost weight since stopping the Yaz or you have had weight loss at all?You can always consider cheek volumizing with various fillers for example Voluma and Sculptra. You can also consider seeing a surgeon for a consultation where he/she may use your own fat which is taken out by liposuction and re-injected into your cheek area. While it is not known for sure why...fat grafting may improve overlying skin through a possible stem cell effect.Best of luck!

Severe aging and deep wrinkles in cheeks in only 2 yrs. (27yrs to 29yrs rapid change) What can I do? (Photo)

Answers (7)

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