How Thin Wrinkled Eyelid Skin can be Improved after Previous Surgical Laser Treatments
More wrinkles 2 years post blepharoplasty and co2 laser resurfacing I am 30 years old I had a lower lid blepharoplasty and co2 laser resurfacing procedure two years ago. I am now 30 years old and have significantly more wrinkles than before the procedure mostly seen when I smile but they can also be seen when I am not smiling when the light hits just right. Is there any type of cream such as retin A or similar that can be used to help the creepywrinkled skin that is under my eyes now Other recommendations Thank.
You for your time. Thank you for your question! You are 30 years old and 2 years ago you had blepharoplasty and CO2 laser and you believe that your skin has become thin, wrinkly and more crepey than before. So you’re looking for options and this is something that we have seen for many years. Not necessarily specific to one type of laser. But just to go over to some of the history of the though process of why ablation is part of the rejuvenation of skin. For many years, prelasers, the standard.
Was chemical peels. So we would do chemical peels, superficial, medium or deep. And the idea was that if you took a certain level of skin, up to the upper levels of the dermis, then the new skin that comes in has an area of collagen called the grenz zone, it would be covered by fresher newer looking skin. Now in the mid90s, the CO2 laser became the first lasers to become the step beyond chemical peels. One of the key elements of that is the thermal energy delivery which provided a certain amount of tightness and a certain.
Amount of collagen stimulation. And from that point forward, there has been different permutations of different types of lasers, variations of the CO2 laser and with the ultimate goal of improving the appearance of wrinkles and generating more collagen. Now a certain group of people, even though they had gotten an improvement of wrinkles, I notice that the skin has gotten a little bit thin. Now moving on to this time frame, I have always asked my patients about their lifestyle in addition to the solutions we offer. We have to understand are there factors that are contributing to the skin to become.
Thin. These factors include such as lifestyle aspects such as smoking, excess sun exposure, not enough sleep, stress. All of the things are factors that can contribute to the skin becoming thinner. Now that being said, in terms of alternatives for improving skin quality under the eyes when you feel you can’t laser some more, a lot of our colleagues will keep using heat. Basically laser energy is converting light energy to heat and that heat induces a certain tissue response. So what we’re focusing now is regenerative medicine. And in our practice,.
We’ve been applying something called plateletrich plasma. This is a part of your own blood where we take your own blood and we spin it and we take the part has the platelet and growth factors that are necessary for healing. So when you think about healing, you think about a cut. A simple cut in your finger first becomes a little clot or scab and the skin heals over. This healing process is due to the platelets and growth factors in the skin. So in other fields of medicine in particular, orthosurgery or orthopedic surgery, the benefits of platleletrich.
Plasma for wound healing is already wellestablished. And right now, it is extremely popular for professional athletes to get injections of plateletrich plasma for areas that has had a lot of impact, stress and inflammation. In aesthetic field, we have been using this plateletrich plasma for many indications. We’re using it for acne scars and fine lines and wrinkles. In our hair loss division, we’re actually combining this with extracellular matrix to reverse and to thicken hair that is thicken. This is a remarkable technology that we have been developing over the past.
Couple of year and now we have had consistent results with this. So plateletrich plasma is something that we would consider for someone like yourself if you come to our practice. We would be injecting it and we would allow the skin to benefit from it. Usually we would wait for a couple of months and we would use some topicals. Topicals can be beneficial with a limitation. And so retenoids can be considered but you have to very careful about the strength and the type of retenoids that you use.
As an answer to your question, from my perspective, to help improve skin quality, the choices after you have exhausted the laser option become more and more limited. So plateletrich plasma is something that we have leveraged quite well and what’s nice, as opposed to laser, when you get laser treatment, it is something that you don’t want to do anytime soon after you’ve done laser because you will allow months of healing. Yet with plateletrich plasma, we can inject it several times during the year. And observe the benefit and make.
A decision whether it is worthwhile to try again. So consider that as an option, reflect on your lifestyle is about and see if there’s any way you can improve your quality of life. There are other things that I suggest to my patients which is more in the alternative medicine such as the use of fish oils and supplements. I do believe in the use of supplements particularly when I listen to my patients and their diet and see what we can do to enhance the supplement. Then be patient but I would not recommend additional laser but rather.