How Can My Crepey Skin Be Fixed Without Worsening My Acne And Dermatitis? (photo)

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Although there are ablative laser treatments, there are also non-ablative lasers as well.  You will need to get your acne under control with a laser system like Spectra. During this procedure, a lotion is applied to your face which penetrates the pores. So when the laser is applied, it causes a chemical reaction that clears out the blockages causing the acne. The Fraxel Dual laser uses a couple of wavelengths that can actually stimulate the production of new collagen fibers beneath the surface to address fine wrinkles, as well as to improve the tone and texture of your skin. The results are far more predictable than the treatment options you mentioned. Here is a video of a patient who underwent Spectra and Fraxel Dual. The Fraxel Dual in this case was for her acne scars. But it did improve the overall appearance of her skin to the point where she was happy and was receiving compliments from other people

Dear patient, it is essential that you first get your acne under control. Judging by the picture you have provided, the best option for you would be erbium laser resurfacing. Good luck

 

One of the most effective (and least expensive) ways to reverse the effects of chronic sun damage to your skin is by using a combination of two prescription strength medications: tretinoin cream and 4% hydroquinone. I recommend you use the Obagi Nu-Derm System which uses both tretinoin cream and hydroquinone to visibly lighten crepey skin that is due to chronic sun exposure.Tretinoin cream promotes new collagen production and increases the numbers of newer, healthier cells in the skin. Tretinoin cream is also able to smooth rough skin and reduce mottled hyperpigmentation and it will help your acne as well.