I’m 42, don’t smoke and have aged a lot since 40. In the past, I have done chemical peels, lasers, and fillers. Recently, I did two light glycolic acid peels. I peeled a good amount. My skin looked ok for a couple weeks and then went back looking as it did before. What can I do that will really work? Is a lower face lift the best option? Is it possible that my skin is damaged from prior laser and chemical peels? I noticed the “orange peel” texture after a medium TSA done about five years ago.
Answer: The aging face Hi mrberney,
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Answer: The aging face Hi mrberney,
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January 12, 2018
Answer: Skin Boosters Work Well For Helping Smooth and Tighten Crepey Lower Facial Skin Unfortunately, the one photo provided of the lower third of the face does not permit any comments about sagging neck. Crepeyness, fine lines and overall suggestion of loss of elasticity are, however, evident in the lower third portion of the face shown in the photo. While a series of superficial chemical peels can be helpful in refreshing the skin, diminishing dullness and sallowness and increasing its sheen and reflectivity, this usually requires a series of four to eight peels and in my experience full strength glycolic acid peels (not mild ones) to achieve any real improvement. Other peels that may be used are varying concentrations of TCA, Jessner's solution and full strength salicylic acid. But again, all of these require a full series of peels to achieve more prolonged benefits, and not simply one or two treatments. That being said, the crepey and crinkly appearance are unlikely to be improved much by peels. Instead, the use of hydrating injections of hyaluronic acid in the form of Skin Boosters, Hydromax or Volite (all of which I use in my Israel satellite facility,where a far greater number of regulatory agency approved injectable products are available) are good choices for this. In my Manhattan practice, I would opt for Restylane Silk. Properly performed, you may experience some tightening of the skin, as well. Individual etched-in lines, may additionally be addressed with a filler, such as Belotero Balance, which possesses little to no significant tendency to give rise to the unwanted bluish/gray Tyndall Effect when injected superficially in the skin. Microneedling may further help to improve very superficial color and textural irregularities. If indeed the neck requires work, you may check out the archives of RealSelf.com for a discussion of The Nonsurgical 3D Vectoring Necklift. Make sure to consult with a board certified aesthetic physician. Best of luck.
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January 12, 2018
Answer: Skin Boosters Work Well For Helping Smooth and Tighten Crepey Lower Facial Skin Unfortunately, the one photo provided of the lower third of the face does not permit any comments about sagging neck. Crepeyness, fine lines and overall suggestion of loss of elasticity are, however, evident in the lower third portion of the face shown in the photo. While a series of superficial chemical peels can be helpful in refreshing the skin, diminishing dullness and sallowness and increasing its sheen and reflectivity, this usually requires a series of four to eight peels and in my experience full strength glycolic acid peels (not mild ones) to achieve any real improvement. Other peels that may be used are varying concentrations of TCA, Jessner's solution and full strength salicylic acid. But again, all of these require a full series of peels to achieve more prolonged benefits, and not simply one or two treatments. That being said, the crepey and crinkly appearance are unlikely to be improved much by peels. Instead, the use of hydrating injections of hyaluronic acid in the form of Skin Boosters, Hydromax or Volite (all of which I use in my Israel satellite facility,where a far greater number of regulatory agency approved injectable products are available) are good choices for this. In my Manhattan practice, I would opt for Restylane Silk. Properly performed, you may experience some tightening of the skin, as well. Individual etched-in lines, may additionally be addressed with a filler, such as Belotero Balance, which possesses little to no significant tendency to give rise to the unwanted bluish/gray Tyndall Effect when injected superficially in the skin. Microneedling may further help to improve very superficial color and textural irregularities. If indeed the neck requires work, you may check out the archives of RealSelf.com for a discussion of The Nonsurgical 3D Vectoring Necklift. Make sure to consult with a board certified aesthetic physician. Best of luck.
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Answer: Treatment approach for aging skin A great option for you would be laser resurfacing, that would address your fine lines, skin texture, and skin tightening. I would suggest combining it with dermal fillers for more lifting and volume replacement. If you are considering treatment of the lower jawline into the neck area, Infini RF would be a great procedure to look into. Your skin type would do well with many different modalities. I would highly recommend consulting with a board certified dermatologist, where he/she can help you with your overall skin care goals.
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Answer: Treatment approach for aging skin A great option for you would be laser resurfacing, that would address your fine lines, skin texture, and skin tightening. I would suggest combining it with dermal fillers for more lifting and volume replacement. If you are considering treatment of the lower jawline into the neck area, Infini RF would be a great procedure to look into. Your skin type would do well with many different modalities. I would highly recommend consulting with a board certified dermatologist, where he/she can help you with your overall skin care goals.
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