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Lines, Laxity & Structure

Crepey Skin

Finely wrinkled, thin, tissue-paper texture — commonly under the eyes, on the neck and décolletage.

01

What it is

Crepey skin is thin, loose and finely lined, with a crinkled tissue-paper quality. It differs from laxity: the skin is thinning rather than sagging under its own weight.

It appears earliest where skin is naturally thinnest — eyelids, neck, chest and upper arms.

02

Why it happens

  • Cumulative UV damage breaking down elastin (solar elastosis).
  • Age-related thinning of the epidermis and dermis, and reduced oil production.
  • Chronic dehydration and significant weight loss.

03

The layer involved

Structure

Thinned epidermis and elastin-depleted dermis

The goal is to thicken the skin — stimulating new collagen and elastin — rather than simply tighten it. Energy must be gentle enough for thin tissue.

05 · When we may need a medical assessment

Some things belong with a doctor first.

  • Rapid or widespread skin thinning, which can relate to long-term steroid use or medical conditions.
  • Crepey skin with easy bruising or tearing.

This page is general education, not medical advice. If anything here sounds like your skin, we will tell you honestly at consultation whether we can help or whether you should see your GP or dermatologist first.

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