How can I improve the skin texture on my legs? I have wrinkles, keratosis pilaris, icthyosis and hyperpigmentation. (photo)

Topical  medications include tretinoin, urea, salicylic acid and growth factor products. A bleaching cream should be used with all. Non-ablative fractionated lasers, microneedle radio frequency (Profound)  and chemical peeling are effective.
Jeff Rapaport MD FAAD
Realself All-star

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

Thank you so much for sharing! Of course, an in person consultation would be best to give a more clear answer, there are a number of options for you to explore. The best and fastest treatments that I have found for patients with your particular condition is a combination of skincare and procedures such as microneedling (as suggested by others). You may find that tackling your skin issue with only one “weapon” may take very long or may not bring you the change you are looking for. With the guidance of a professional, of course, I would recommend trying a combination treatment plan. 

Thank you for your question. While there is no “cure” for your skin conditions, there are effective ways to manage their symptoms. RF microneedling is a collagen induction therapy that stimulates the body to produce more collagen. This essential protein provides support to the dermal structure, to smooth skin and create a more even tone. Fractionated laser treatments are also good for this purpose. In addition, there are topical products you can use daily at home to improve both the health and appearance of your skin. I recommend scheduling an appointment with a board-certified dermatologist who can assess you in person and create a customized treatment plan for your precise needs and goals. 

Thank you for your question, Wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like RF treatments, lasers, microneedling/PRP or sculptra to get increased collagen, tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Thank you to us with your question, there are quite a few options. You could use a non-ablative fractional laser, A series of Microneedling will definitely help with the skins texture, in combination with some bleaching creams. This could give a great result for you. Hope this helps.

Thank you for the interesting question.
In my practice when a patient presents with your concerns I give several options from topical products to treatments to surgical procedures.
Before any treatment or procedure is performed I recommend that my patients use Retinol and a bleacher to stabilize the pigment in the skin and this will also help with your hyperpigmentation.
You can then have Sciton Skintyte treatments done to tighten the areas, Verju treatments that are FDA approved for tightening and smoothing and/or Inmode radiofrequency micro-needling.
The surgical options would be Inmode Bodytite- radio frequency that will tighten the area Morpheus8 micro-needling and/or CO2 laser resurfacing.
I would search for a board certified Cosmetic Surgeon in your area and ask for photos to see results.
Good luck!!

I have found a combination of moisturizers that contain urea (Dermal Therapy Heel Care or Vite 20 ) along with topical retinol to be useful for KP and ichthyosis. Bleaching creams and permanent hair reduction with lasers also seem to help the hyperpigmentation present on your extremities when you have ichthyosis. All of these measures will diminish the problem but there is no cure for KP and ichthyosis. Best regards, Dr. Tkatch