Crepey skin is one of the most common skin concerns we see in dermatology, particularly on the body.
Patients often describe it as thin, wrinkled, or paper-like skin, most commonly appearing on the:
• Upper arms
• Abdomen
• Above the knees
• Inner thighs
• Décolletage
While crepey skin can develop gradually with age, it can also appear after weight loss, pregnancy, or collagen decline.
What Causes Crepey Skin?
Crepey skin develops when the skin loses collagen, elastin, and structural support.
Over time, this can cause skin to appear:
• Thinner
• Less elastic
• Looser
• More wrinkled in texture
Factors that contribute to crepey skin include:
• Aging and collagen loss
• Sun damage
• Weight fluctuations
• Genetics
• Dehydrated skin
Because crepey skin involves changes in the skin’s structure, topical products alone often cannot significantly improve the appearance.
Treatments That Help Improve Crepey Skin
Modern dermatology offers several treatments that can stimulate collagen and improve skin thickness and firmness.
RF Microneedling (The Greenwich Secret)
RF microneedling combines microneedling with radiofrequency energy to stimulate collagen production deep within the skin.
This treatment helps improve:
• Crepey skin texture
• Skin laxity
• Collagen production
• Overall skin firmness
Ultherapy Skin Tightening
Ultherapy uses focused ultrasound energy to stimulate collagen deep within the skin.
This non-surgical skin tightening treatment can help lift and firm areas such as:
• Arms
• Abdomen
• Above the knees
• Thighs
Over time, collagen remodeling helps the skin appear firmer and more supported.
Sculptra and Radiesse for Skin Quality
Biostimulatory injectables such as Sculptra and Radiesse stimulate the body’s own collagen production.
These treatments are often used to improve:
• Crepey skin on arms
• Skin thinning
• Mild skin laxity on the body
By stimulating collagen gradually, they help restore skin thickness and elasticity.
A Personalized Approach to Skin Tightening
At NicholsMD, treatment plans for crepey skin are customized based on skin quality, elasticity, and the areas being treated. Many patients benefit from combining collagen-stimulating treatments to achieve the most natural-looking improvements.
Book a Skin Tightening Consultation
If you are noticing crepey skin on the arms, thighs, or abdomen, advanced dermatology treatments may help restore smoother, firmer skin.