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Crepey Skin

Who remembers using crepe paper at school? That sort of thin, crinkly stuff that is all wrinkled and creased. Well, there’s a reason we refer to the skin as we age as “crepey” and it is one of the main culprits of an ageing neck. When your neck starts to age, it really makes your heart sink. It’s that moment when you realise you aren’t imagining it, ageing really has crept up on you when you weren’t looking. Crepey skin and wrinkles tend to go hand-in-hand, so I’ll cover them both in the same place here. The good news is, there’s a lot you can do to improve the appearance of crepey skin, especially if you are up for trying the latest and most effective skincare, supplements and tweakments. Scroll down for answers to all the FAQs about crepey skin.

crepey skin

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Suggested Products for Treating Crepey Skin

Which skincare products might you try, to see real results? Here is a selection of the ones I really rate - because they do a great job, and are a pleasure to use.


Alpha H Liquid Gold

This has to be one of my all-time favourite products. It’s a liquid chemical exfoliant made with glycolic acid and how it works is that...

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Altrient-C Liposomal Vitamin C

BLACK FRIDAY OFFER: 15% OFF  Vitamin C is key both to general health and to your skin but taking high doses can be a quick route to an...

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Calecim Professional Multi-Action Cream 50g

An extraordinary, cutting edge product derived from stem cells that produces tighter, smoother, firmer skin with fewer wrinkles. Calecim...

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Dermalux Flex MD

Alice says “I tried the Dermalux Flex at home during lockdown in spring 2020. I used it 4-5 times a week for 3 months and had detailed...

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Elequra Radiance Accelerator

This brilliant product makes the skin tone more even and genuinely brightens the complexion. Its innovative and effective formula makes...

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FAQ ABOUT Crepey Skin


Why does my neck look so old?

Necks are just different. The skin here is thinner than on your face, which means that it collapses more easily into wrinkles and folds, particularly given the way we twist and turn and stretch and compress our necks the whole time. Then there’s the fact that there are precious few oil glands in neck skin to keep the skin supple. It all gets much worse for women when we hit the menopause and, thanks to the reduction in oestrogen, the skin gets drier and loses elasticity.

What causes crepey skin?

In a word, photoaging. This is the effect of ultraviolet light (particularly UVA, which is present in daylight all year round) on your skin which, among other things such as its effects on pigmentation, breaks down the collagen and elastin in your skin. Collagen and elastin are proteins that keep your skin strong and springy, so when they break down, it contributes to sagging and wrinkling. Your skin also gets drier as you age as your oil glands produce less sebum (which seals moisture into the skin) than they used to. Drier skin wrinkles more rapidly and becomes rougher in texture than better-hydrated skin.

Why does my neck look crepey? It’s worse than my face!

The skin of the neck ages faster than the skin of the face for a few reasons – firstly, there are fewer oil glands in the neck than the face, so the neck skin has less of a protective, waterproof seal on it than the face does and can dry out more quickly – as mentioned above, drier skin wrinkles more quickly than better hydrated skin, and can become rough in texture. 

Secondly, the skin of the face gets moved around more than most of the skin on our faces does, just because of the way we twist and turn our heads,  particularly if we spend a lot of time looking down (for example, at phones, pads of paper and books, laptop screens etc) and compressing the neck. 

Thirdly, we often forget to use the same skincare and sun protection on our necks as we do on the rest of our faces because we simply don’t consider and prioritise them. This is understandable, but a crepey neck is quite noticeable so if we’re going to all the effort of protecting the skin on our faces, we may as well do it on our necks too. Fourth and finally, the skin of the neck is slightly thinner than the skin of our faces, so can collapse into wrinkles a little more easily. 

Is my phone making my neck look old?

Hmm, possibly. First, there’s the way that we spend so much time with our heads bent forward looking at our devices, which presses the wrinkles in the neck more firmly into place. (This can also cause upper-back problems and a hunched posture.) It’s what some people call ‘tech neck’. Next, there is the fact that devices such as phones, TVs and computer monitors give out blue light, also called high energy visible (HEV) light, which has the potential to age the skin in a similar way to UV light.

What are the surgical options for crepey neck skin and neck wrinkles?

The surgical option for neck wrinkles is to have a neck lift, which will tighten the loose and crepey skin and reduce its appearance (and the appearance of wrinkles) as well as redefining the jawline. But if you fancy something less invasive, read on for tweakment, skincare and home-use device suggestions for tackling a crepey and wrinkled neck. 

How to tighten neck skin without surgery?

There are many tweakments that can help improve the appearance of crepey skin on the face and neck. Here goes: 

  • Injectable moisture treatments such as Profhilo are one of the best things I’ve come across so far for dealing with a crepey neck. These work by placing a lightweight hyaluronic acid gel in the skin – hyaluronic acid is a molecule that can hold up to 1,000 times its own weight in water – which spreads to cover the whole of the treated area. The hyaluronic acid doesn’t instantly disperse, and remains in the skin for 30 days. After two treatments, a month apart, and waiting 8 weeks, you’ll start to see results – namely stronger, firmer and springier skin which is more resilient. If you’re lucky, you’ll see a certain degree of skin tightening too. All of these factors make the skin of the neck appear less crepey. 

 

  • Radiofrequency treatments have the effect of ‘shrink-wrapping’ the skin, which makes it sag less. This happens because the radiofrequency generates sufficient heat in the skin for the skin to think it’s been damaged, which makes the collagen molecules contract. The ‘damaged’ skin also creates more, new collagen to try to repair the damage it thinks has occurred, which helps to support and strengthen the skin. 

 

  • Microneedling is yet another treatment which inspires the skin to produce more collagen, thus strengthening it and making it firmer and less wrinkled and saggy, by creating thousands of tiny controlled wounds in the skin with very short and sterile needles. This induces a wound-healing response, flooding the skin with growth factors and new collagen, and the skin ends up stronger and younger-seeming. 

 

  • Radiofrequency microneedling treatments (such as Secret RF, Morpheus8, Profound RF, Potenza, Fractora and Intracel) combine the effects of radiofrequency with those of microneedling, as you might expect. The effects can be excellent on both the neck and the face, and you need very little downtime after a procedure. 

 

  • Fractional laser treatments are similar to microneedling in that they flood the skin with new collagen in response to many tiny columns of damage being made in the skin – but in the case of fractional lasers, this damage is done by producing tiny channels of heat-damage in the skin rather than piercing it with needles.  

 

  • toxins (aka the Nefertiti neck lift) involves injecting small quantities of toxins, or another wrinkle-relaxing toxin, into the muscles around the neck and jaw. This reduces the ‘pull’ of these muscles, enabling the skin tissues to move back into a more flattering shape around the jaw. It’s worth noting that this procedure is better at softening tight bands of muscle down the neck (that make the neck look stringy) than softening the horizontal ‘necklace lines’, and it doesn’t do that much for crepey skin, but if your practitioner suggests it, that’s why.
  • LED red light therapy is great for crepey skin. The wavelength of red light used by these clinical devices improves skin hydration, plumping it up and reducing wrinkling, and also improves skin firmness.
  • Skin peels will help to refresh the skin on your neck by removing the outermost layer of skin with gentle acids and encouraging fresh skin to grow in its place. A superficial peel can help to address wrinkles and fine lines on the surface of your skin, while a deeper peel can help to firm the skin up as well by stimulating collagen production.
  • HIFU, or high-intensity focussed ultrasound, is a procedure which aims pulses of ultrasound deep into the skin tissue to stimulate deep growth of new collagen, which helps to support the skin and structure it more. Ultherapy is a type of HIFU. 

Does the Nefertiti neck lift help with neck wrinkles?

Yes, the Nefertiti neck lift – named after the Egyptian queen famous for her sculpted jawline and beautiful neck – can improve the appearance of neck wrinkles, though it depends what sort of neck wrinkles you have. The procedure is better at softening tight bands of muscle down the neck, the ones that make the neck look stringy, rather than softening the horizontal ‘necklace lines’.

How the Nefertiti neck lift works is that the practitioner injects small quantities of toxins or other wrinkle-relaxing toxin into muscles around the neck and jaw. Releasing the ‘pull’ of these muscles enables the skin tissues to move back into a more flattering shape around the jaw.

Can vitamin C supplements help with my crepey neck?

Yes, they absolutely can, if they have a good enough delivery system. Altrient C, which we sell on our website, has a patented liposomal delivery system which allows the vitamin C to be delivered to your gut without being destroyed by stomach acids and made significantly less efficient – Altrient C has an absorption rate of up to 98%, whereas it’s 10-20% for your average vitamin C.

 

Vitamin C has very impressive results on skin health – I, having stopped all other forms of skincare other than continuing to use a basic moisturiser at night and a sunscreen during the day, saw a 22.8% improvement in my collagen levels and 64.3% improvement in my skin elasticity (both of which help to combat wrinkling and sagging skin) and a 30.2% increase in hydration, which both reduces the speed at which the neck ages and reduces the crepey, wrinkled appearance of the neck. And that was without using skincare, tweakments or home use devices. If you’re interested in supplements, this is well worth a go. 

Can I use fillers to cure a crepey neck?

Well, they won’t cure a crepey neck but fillers can help to improve the look of a crepey neck—a little. The difficulty is that, unless the wrinkles along the neck are deep horizontal lines, filling them in can make them look overstuffed, which looks unnatural and doesn’t provide a great result. I have tried a very soft type of injectable filler called Aliaxin in my neck wrinkles, which helped a bit. But what’s better for a crepey neck is to try an injectable moisture treatment, which you can read about in the next section.

What’s the best treatment for a crepey neck?

The best tweakment I have tried for a crepey neck is an ‘injectable moisture’ treatment called Profhilo, which places a lightweight hyaluronic acid gel into the skin. The gel spreads to cover the treated area and because it is lightly ‘crosslinked’ it remains in the skin for 30 days. During this time the gel hydrates the skin by holding water inside the skin tissues and stimulates the growth of new collagen and elastin. You need two treatments, 30 days apart, in order to see results, which kick in about 8 weeks after the first treatment. The results you can hope to see include stronger, firmer skin which is more resilient and which springs back into place more swiftly when you pinch it. And if you are lucky you will see a certain amount of skin tightening, too. All these elements help reduce the crepey appearance of ageing skin on the neck.

What are the best home remedies for neck wrinkles?

I wouldn’t advise any particular home remedies for neck wrinkles but I’d suggest you get going with a decent skincare regime that includes active skincare products that are able to make an improvement in the skin (see below for the types of products to use). You could also consider trying home-use beauty devices to improve the quality of the skin on your neck.

Can any home-use beauty devices get rid of neck wrinkles?

  • LED light therapy masks or devices – these, used on the red light setting will have the same benefits for your skin as clinical red light therapy treatment – although you may have to do more sessions to get the same results due to lower strength of the at-home devices. 
  • Sensica Sensilift – this is a device that uses radiofrequency energy to boost collagen production in the skin, thus firming it up and reducing wrinkling and fine lines in the neck (or wherever you want to use it).
  • Tripollar devices – this also uses radiofrequency to ‘shrink-wrap’ the collagen in your skin by generating heat that makes the collagen bunch together. The perceived damage in the skin means that your skin produces more collagen as a result, firming and tightening the skin in one go.

Will edible collagen supplements help my neck wrinkles?

It is well worth trying one of the collagen supplements that has decent data to show that it can improve the firmness and elasticity of the skin from the inside out. There’s a whole factsheet on collagen supplements here.

How can I treat crepey skin with skincare?

In a nutshell… use the same skincare on your neck that you do on your face! And protect it from the sun the same amount. Here are the key ingredients that will help:

  • Chemical exfoliant – I’d use a hydroxy acid cleanser or toner on my neck to remove the outermost skin cells. Not only does this make the skin appear fresher, but it allows subsequently-applied treatment products to sink more deeply and evenly into the skin now that they’re not fighting their way past extra layers of dead skin cells. Start gently, remembering that the skin on your neck may react differently, and may just react more, to products than the skin on your face. 
  • Hydrating serum – use one of these to boost your skin’s hydration so that it can stay firmer and sag less, as well as reducing the rate at which the skin becomes even more crepey. Plumping the skin up also makes it look firmer and fresher. Great for crepey skin on the face, the neck and the decolletage.
  • Antioxidant serum – I’d strongly recommend using some type of antioxidant serum, like a vitamin C serum, to freshen the skin, protect it against environmental damage that could age it further, and boost collagen production in the skin to firm it up that bit further. 
  • Peptide serum – using one of these can boost collagen production (matrixyl 3000 is a good peptide for this) and firm the skin up. Look up what the specific peptides you’re considering investing in do before buying – peptides are very wide-ranging in what they can accomplish and are focussed on. 
  • Retinoids – whether retinol or another, newer type, these are a great idea for helping to combat crepey skin. They can help to regenerate the skin by producing more collagen fibres and improving skin elasticity. Retinol also inhibits the action of enzymes called matrix metalloproteinases (MMPs), which break down collagen fibres, and increases production of TIMPs – the enzymes that inhibit MMPs. Retinoids can also increase deposition of glycosaminoglycans (hydrating molecules like hyaluronic acid) in the skin, so they can be hydrating – although don’t overdo them, or they’ll conversely dry the skin out through the irritation they cause and the huge reduction in oil production that they bring about. NB – go more slowly with retinoids on your neck than on your face. They are helpful but neck skin has less natural hydration than your facial skin, so gently does it. 
  • Moisturiser – a moisturiser will seal hydration into the skin and also seal the serums that you’ve just used into the neck. It’s so important to keep the skin of the neck well hydrated if you want it to be firmer and less crepey. 
  • Sunscreen – it’s so important, if you’re trying to treat a crepey neck, to make sure that you protect it against further ultraviolet damage with sunscreen. You don’t want to undo all your hard work that’s gone into hydrating and firming and smoothing the skin by just leaving it exposed to more damage. 

How can I prevent crepey skin?

Apply sunscreen, moisturiser and use a vitamin C (or other antioxidant) and retinoid proactively and protectively. These are all helpful for reasons I’ll go into below, and can help to reduce the rate at which your neck skin eventually becomes crepey. The same goes for using some of the home use devices or tweakments (this is known as ‘prejuvenation’), but skincare often feels like the easiest and most convenient thing to start with. 

How can I treat crepey skin with supplements?

 

  • Totally Derma is a collagen supplement, but unlike other collagen supplements it also contains a patented, therapeutic dose of hyaluronic acid, for hydration, and five key antioxidants including green tea extract and grape seed extract. The supplement is great for all-round health (including benefiting gut health) but also prompts your skin to make more collagen, so that it’s firmer and thicker and less likely to sag and wrinkle, as crepey skin is wont to do. 
  • Altrient C is a liposomal vitamin C supplement that can do wonders for crepey skin by boosting skin hydration, strength and elasticity, all of which help the texture and structural integrity of the skin. 

ASK ALICE

Alice answers your question. Want to ask Alice a question? Pop it in here and check back in a few days for the answer.


Hello, I am 48 and really starting to look old, especially when I look at photos. What do you recommend as the most effective way to look fresher and better without Botox or filler? Is it HIFU or profound or another treatment? Or would I really need...

Hiya, TTG editor Georgia here. Dr Strawford will be best placed to answer all these questions for you once he's assessed your face and talked to you about your exact concerns. He is an expert practitioner with a great deal of experience. The tweakments you mention – HIFU, Profound (RF microneedling), toxin, and filler – all do different things that work towards making you look fresher and younger, but not in the same ways. Toxin for example won’t do anything about sagging skin but HIFU will, Profound will stimulate collagen production to tighten and plump the skin, but won’t replace lost volume in the ways filler will. So it all...

Hi Alice, I’m currently on a weight loss journey and have lost 34 pounds. I now have a crepey jowl area under my chin and I just hate it. I have more to lose so I guess I’m better off waiting until I’m at a healthier weight. My beautician...

Hiya, TTG editor Georgia here. Yes, definitely wait until you’ve lost as much as you’d like to. Then, book in with an expert practitioner for a consultation to see what they’d advise, taking into consideration your recent weight loss and any implications that might have. It may well be that a course of skin-tightening treatments like radiofrequency or HIFU would do the job, perhaps with a couple of rounds of injectable moisturisers too, to improve that skin quality and smooth the crepey texture. If not, they can refer you onwards to a surgeon to discuss a surgical lift....

After following your guide I’m looking to book an appointment with Emma Deacon in Birmingham. I’m very nervous as it will be my first time having treatment. Can you advise which treatment works best on a crepey neck?

It's really daunting going for treatment but honestly, you'll be fine. I'd ask Emma once she's had a chance to have a look at your neck as she will know what might work best for you, and she may well suggest a few rounds of injectable moisturiser jabs. Read up about potential treatments for crepey necks and make a list of all the questions you want to ask before you go. In the meantime, use the same skincare on your neck as you do on your face, perhaps a vitamin C serum plus a hydrating serum or moisturiser in the mornings, with a retinoid at night, and make sure you're using SPF50 every day, from your hairline down your neck to your chest,...

What is the best treatment for the décolletage area, please? Creases are starting to appear.

Laser or radiofrequency microneedling would both be great choices, to refresh and remodel the skin – possibly followed by hydrating, skin-conditioning injectable moisturiser treatments. While you're deciding, and going forward, use the same skincare on your chest as you do on your face, perhaps a vitamin C serum plus a hydrating serum or moisturiser in the mornings, with a retinoid at night, and make sure you're using SPF50 every day, from your hairline down your neck to your chest....

I have lost a lot of weight and now have loose skin on my inner thighs. What would suggest?

Congrats on the weight loss – maybe a technology like radiofrequency microneedling or laser could help? I'd suggest booking a consultation with a great practitioner who does a good deal of work on the body, who can give you a realistic assessment of what sort of difference non-surgical treatments might make for you.

What is the best tweakment for crepey arms?

Hi, apart from lots of push-ups and tricep dips to nudge them into shape? I'm not entirely joking, because improving muscle tone really helps the way our arms look. Plus, maybe a retinol body lotion to improve the look and feel of the skin. There are devices that can help tone the muscles, but only one of them, the Evolve from Inmode, tightens the skin as well as the muscle beneath it. Injectable moisturiser treatments like Profhilo can help tighten slack skin on the body but bear in mind that's 'help tighten' rather than 'make your skin look 25 again'....

I was just wondering if there are any new amazing treatments yet for the crepey arms of a 65-year-old. They make me feel so self-conscious.

Ah, I'm sorry to hear that. It's worth exercising our arms with tricep dips and bicep curls because improving muscle tone really helps the way our arms look. Plus, maybe a retinol body lotion to improve the look and feel of the skin. There are devices that can help tone the muscles, but only one of them, the Evolve from Inmode, tightens the skin as well as the muscle beneath it. Injectable moisturiser treatments like Profhilo can help tighten slack skin on the body but bear in mind that's 'help tighten' rather than 'make your skin look 25 again'....

Hi Alice, I've just watched your video on Secret RF. I'm having the treatment in a few weeks. Did you think it's worth the money for the results seen? Thank you.

I only had one round of Secret RF when filming it (at my age, I'd need about three sessions to see proper results) so I only saw a bit of skin-smoothing. But I know from practitioners who have the device that they absolutely love it for the results it gives, so yes, I'd recommend it.

Sofwave vs Ultherapy – what are your thoughts? I am 56 and looking at trying to refresh my skin.

Sofwave sounds really interesting. Rather than focusing ultrasound energy to a point like Ultherapy does (which creates tiny hotspots), it uses something called parallel beam technology to heat the deeper layers of the skin and I'm told it can't 'melt' fat in the face in the way that Ultherapy is often accused of doing. I've tried Ultherapy three times in the past decade and had good results from it – I've not tried Sofwave yet but I'm sure I will in due course.

I was going to buy a Current Body LED face and neck mask. Is it worth the money? My skin looks good but I have a crepey neck and jowls. Thanks for your help.

I know a lot of people enjoy using these masks but I really don't think they're strong enough to make a noticeable difference to crepey skin – you need a clinic-strength LED light for that. You'd be better off with a skin-reconditioning treatment like injectable moisturisers, or in-clinic LED light sessions.

I'm thinking of Morpheus8 for my crepey neck (plus toxin for bands) but I've read some Realself reviews that were awful! I definitely don’t need to lose any fat in my neck and so probably need only skin tightening. I’m concerned I’ll lose...

Find a great practitioner and you'll be fine, seriously. Radiofrequency microneedling treatments like Morpheus8 are terrific for tightening and smoothing the skin. Yes, the ones with longer needles like Morpheus8 can go deep enough to give a fat-busting effect, but a good practitioner would only do that if it was needed, and after discussing and agreeing this with their patient.

Hi, just wondering if Profhilo would be a good match for me. I’m 64 with very thin saggy, dry skin. Would love to attain a dewy glow …. haha – can’t even recall what that’s like. Many thanks, Silvana

Hi Silvana, yes I'm sure that any injectable moisturiser treatment like Profhilo or Volite or Restylane Skinboosters would help. These treatments give skin a massive hydration boost, which helps the skin to regenerate itself from within and grow stronger and smoother and look more like it did when it was younger. You may need more rounds of treatment than average to achieve the results you're after – the older we are and the drier our skin, the more product it takes to work its magic on the skin. Follow this up with some high-quality skincare – there are lots of suggestions in the TTG shop....

I’m breastfeeding, but I have crepey skin on my neck that just seems to be getting worse. What tweakments would you recommend?

Stick with good skincare for the time being (vitamin C serum in the morning, plus hydrating serum or moisturiser, plus sunscreen) then try, with caution, a glycolic acid product like Alpha H Liquid Gold in the evenings once or twice a week (it's great on your face, too. Neck skin is always a bit more sensitive than the skin on our faces, which is why I say try it with caution). Once you're no longer breastfeeding, treatments like laser, broadband light and injectable moisturiser/ skinbooster treatments are great for the neck, but leave those for the time being. And also go easy on yourself, it's exhausting looking after a baby, and fatigue...

I’m looking to have a necklift – do you have any recommendations please?

Recommendations for specific surgeons would depend where in the country you are, but it may be worth first booking in with a cosmetic doctor to discuss possible non-surgical options before deciding on surgery. Find a brilliant practitioner near you here. And have a look at our page dedicated to crepey skin on the neck to find out more about treating this concern– depending on how lax the skin is, it may be that a course of injectable moisturiser or some skin-tightening tech like HIFU or radiofrequency is all you need....

I'm having Belotero Revive skin booster with Dr Granite. What was your experience with the treatment, did it work?

Hiya, it's TTG editor Georgia here answering your question on Alice's behalf. You can watch how Alice got on with Belotero Revive with Dr Granite in her Tweak of the Week video here. Results-wise, says she liked the way it can be used wherever the practitioner decides it's most needed – in her case, around the crow's feet wrinkles and her upper-lip-lines – and it gave a really nice hydrating and softening result in these areas.

What’s the best tweakment for crepey skin on my arms?

Hiya, editor Georgia here answering on Alice's behalf. You may want to look into Profhilo for the body – it's a new(ish) treatment that uses the same product and works in the same way as original Profhilo for the face, but with special treatment protocols for the body. Alice tried it herself recently on her arms and was impressed with her results – see her Instagram post on it here, and read more about Profhilo and how it works on crepiness here.  ...

What is the most effective filler for a 63 year old with a thin face and thin skin?

Hiya, editor Georgia here answering on Alice's behalf. One filler isn't necessarily more 'effective' than another. Each brand will have a range of filler products in its line that are better suited to various indications depending on their composition – like the lips vs. the jawline, for example – but what's best for your own face is impossible to say for anyone other than the practitioner assessing you. Use our practitioner finder to find a brilliant injector near you, and set up a consultation. They may even recommend a treatment other than filler. This is the only way to find out what will be most effective for your concerns....

Hi Alice – please let me know whether you have tried Belotero Revive for skin boosting and if so what you think of it. Thanks!

Hiya, editor Georgia here answering on Alice's behalf. Alice had Belotero Revive with Dr Alexis Granite at Skinesis Medical in London last year. You can watch the Tweak of the Week video here and find out more about her experience.

I had moisture injectables in my neck region, is this a similar thing to Profhilo? I can’t remember the brand but it wasn't Profhilo?

Hiya, editor Georgia here answering on Alice's behalf. Without being able to say for sure as you can't remember the exact name of the product you had injected, Profhilo is categorised as an injectable moisturiser, yes. Other widely-used products in this category include Sunekos, Juvederm Volite, Restylane Skinboosters, Belotero Revive and Texone Redensity 1. If none of these ring any bells it would be a good idea to get back in touch with the practitioner who did your previous treatment and ask what product they used, and how much you had injected. It's always good to note down exactly what products you had injected in your face and when,...

Does Profhilo work?

Hiya – editor Georgia here answering on Alice's behalf. Yes, Profhilo works if you're a suitable candidate. However, no tweakment is 100 percent guaranteed to give you the results you're after – it's also about being realistic with your expectations. Some people try Profhilo and don't see much of a result, so go on to try another injectable moisturiser like Teosyal Redensity 1, Restylane Skinboosters, Juvederm Volite or Belotero Revive, and are satisfied. There are a few on the market so it may be worth finding a practitioner who offers a couple of them and knows each product's ideal patient selection well....

I’m 64, had toxins and filler in the past and sometimes it’s gone well, and other times I look a bit crazy. I have good skin (use Skin & Me). I would like to try Profhilo on my neck and toxins in my lower face. Would this make me looked more...

Hiya – editor Georgia here answering on Alice's behalf. Unless you have a particular concern in the lower face that could be helped with toxin, I'd forgo that bit and do Profhilo on the face as well as the neck. This should give you a nice refresh all over, as it sounds like you look after your skin and don't have any specific concerns. Use our practitioner finder to find a great doctor near you.  

Can I have Profhilo when I'm breastfeeding?

Difficult one to answer - in that technically the treatment won't harm you. Not that there are studies to show this, as no companies want to use pregnant women as a test group for any cosmetic treatment. But legally, doctors should not treat a woman who is pregnant or breast-feeding with anything unless there is a medical need to do so.

Hi Alice. I’m considering fibroblast skin tightening treatments, any advice ?

Hi, I really wouldn't. 'Fibroblast' is not a particular machine or treatment, it's the name given to a range of treatments using a device called a  'plasma pen' which makes a series of small controlled burns on the skin in order to tighten, say, the eyelids or crepey cheeks. It's a treatment that you usually find in salons rather than medical skin clinics. Each burn shocks the collagen in the skin into contracting, and sets off the wound-healing process which generates new fresh collagen and elastin in the skin. (The cells within the skin that generate new collagen are called fibroblasts, hence the name of the treatment.) If you've...

I am 57, have regular Caci & RF treatments. I also use my Nuface Mini. Been reading up about Coolsculpting and considering it for jowl area. My skin is in pretty good shape overall and would love your advice. Also, I live in Brighton area, so...

Hi, it sounds like you are taking great care of your skin. I'd always suggest a consistent skincare regime with active ingredients like vitamin C serum in the morning to brighten and strengthen the skin, plus a hydrating sunscreen, and retinol or another kind of retinoid at night to stimulate collagen boosting and improve skin texture. CoolSculpting aka fat freezing or crylipolysis can be really helpful for shrinking fat below the jaw - you need an expert practitioner to assess your face and jawline and see if you would be a good candidate for this. They also need to explain the potential complications of the procedure, which is something...

I am considering Profhilo but another treatment called Pluryal has been recommended, which would you suggest?

Hi, all of these injectable moisture treatments such as Profhilo and Belotero Revive and Juvederm Volite are great for delivering a deep and lasting hydration which enables the skin to rejuvenate itself  (make more collagen, tighten up a bit etc) and Pluryal is a decent brand though I haven't tried it myself. It's different in that it contains a cocktail of antioxidant ingredients as well as hyaluronic acid, which makes it a bit more like a mesotherapy mix, but a properly hydrating one. Ask your practitioner why they are suggesting that particular brand, and if you are satisfied with the answer give it a try.

In your opinion is Dermalux able to tighten the skin enough I would not need Morpheus8 if I used it regularly?

Hi, short answer - no. these are two very different treatments. Yes they both work by stimulating collagen production in the skin, but they work in different ways. The Dermalux Flex is using red LED light to gently rejuvenate the skin, by improving hydration, prompting the development of more collagen and reducing inflammation in the skin so it takes down redness and also reducing uneven brown pigmentation. As you say, the benefits are cumulative, so you need to use it consistently - and the more the better. Morpheus8 and other forms of radiofrequency microneedling  cause huge immediate damage to the skin, by creating thousands of...

What do you think about Ulthera for skin tightening? Or just ultrasound in general?

I prefer Ultherapy (Ulthera) to other types of HIFU skin tightening as it has a visualiser in the device so the practitioner can "see" into the skin and position each pulse at the right depth so it hits the collagen layer, not the fat.

Hi, just wondering if you'd heard of Jalupro & Sunekos, and what your thoughts are? I've heard they're comparable to profhilo, but am unsure of how or if they differ?

Jalupro I don't know; Sunekos I've tried. It is made with concentrated amino acids to stimulate growth/repair in the skin, whereas Profhilo, Juvederm Volite, Teoxane Redensity 1, Belotero Revive and Restylane Skinboosters—which are all different brands of ‘injectable moisture treatment’, or ‘skinboosters’ as they are collectively known—use a fluid form of hyaluronic acid gel to hydrate the skin from the inside and encourage it to produce new collagen and elastin. So Sunekos and Profhilo (and the other HA Skinboosters) are aiming at similar effects, but via different routes. Sunekos didn’t work for me—I had four sessions,...

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