How Thin Wrinkled Eyelid Skin can be Improved after Previous Surgical Laser Treatments
More wrinkles 2 years post blepharoplastyand co2 laser resurfacing (I am 30 years old)é I had a lower lid blepharoplasty and co2 laserresurfacing procedure two years ago. I am now 30 years old and have significantly morewrinkles than before the procedure mostly seen when I smile but they can also be seenwhen I am not smiling when the light hits just right. Is there any type of cream (suchas retin A or similar) that can be used to help the creepywrinkled skin that is undermy eyes nowé Other recommendationsé Thank you for your time. Thank you for your question!
You are 30 years old and 2 years ago you hadblepharoplasty and CO2 laser and you believe that your skin has become thin, wrinkly andmore crepey than before. So you're looking for options and this is something that wehave seen for many years. Not necessarily specific to one type of laser. But just togo over to some of the history of the though process of why ablation is part of the rejuvenationof skin. For many years, prelasers, the standard was chemical peels. So we would do chemicalpeels, superficial, medium or deep. And the idea was that if you took a certain levelof skin, up to the upper levels of the dermis, then the new skin that comes in has an areaof 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 chemicalpeels. One of the key elements of that is the thermal energy delivery which provideda certain amount of tightness and a certain amount of collagen stimulation. And from thatpoint forward, there has been different permutations of different types of lasers, variations ofthe CO2 laser and with the ultimate goal of improving the appearance of wrinkles and generatingmore collagen. Now a certain group of people, even thoughthey had gotten an improvement of wrinkles, I notice that the skin has gotten a littlebit thin. Now moving on to this time frame,
I have always asked my patients about theirlifestyle in addition to the solutions we offer. We have to understand are there factorsthat are contributing to the skin to become thin. These factors include such as lifestyleaspects such as smoking, excess sun exposure, not enough sleep, stress. All of the thingsare factors that can contribute to the skin becoming thinner. Now that being said, in terms of alternativesfor improving skin quality under the eyes when you feel you can't laser some more, alot of our colleagues will keep using heat. Basically laser energy is converting lightenergy to heat and that heat induces a certain
tissue response. So what we're focusing nowis regenerative medicine. And in our practice, we've been applying something called plateletrichplasma. This is a part of your own blood where we take your own blood and we spin it andwe take the part has the platelet and growth factors that are necessary for healing. Sowhen you think about healing, you think about a cut. A simple cut in your finger first becomesa little clot or scab and the skin heals over. This healing process is due to the plateletsand growth factors in the skin. So in other fields of medicine in particular, orthosurgeryor 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 ofplateletrich plasma for areas that has had a lot of impact, stress and inflammation. In aesthetic field, we have been using thisplateletrich plasma for many indications. We're using it for acne scars and fine linesand wrinkles. In our hair loss division, we're actually combining this with extracellularmatrix to reverse and to thicken hair that is thicken. This is a remarkable technologythat we have been developing over the past couple of year and now we have had consistentresults with this. So plateletrich plasma is something thatwe would consider for someone like yourself