Is it possible to treat successfully orange-peel like skin, large pores and a deep crease in the chin area with products? surgery? fillers? Botox?
As a rule ‘orange-peel’ skin – ie thick skin with severe sun and/or acne damage – will need prescription strength skin care followed by a phenol/croton oil peel or CO2 resurfacing laser.
However I would need to examine you to be sure this is necessary for your skin.
And I have a patient who had dreadful skin including severe scars who got amazing improvement with just topical skin care. Others who had great results with less aggressive peels. And yes, deep creases usually need filler. Hope this helps.
I prefer Fractional Co2 Laser resurfacing because the physics of the laser, when understood completely, can allow the doctor to create a controlled burn that is more precise than a chemical peel. It also emits heat which helps tighten the skin and build collagen. You also don’t have the risk of exposure to the acids and chemicals and depth of the burn is more precise as it is based on pure physics. You need to consult a plastic surgeon who can tell you if your skin type is safe for the procedure. If you are dark, he or she may need to be more conservative. Botox in the chin can shrink the pores when injected into the skin but the effect of the laser is probably much more dramatic.
A chemical peel is ideal for treating these epidermal based problems. TCA peel is a good start.
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