How To Stop Crepey Skin: Expert-Backed Solutions

Daniel Ezra, 14 January 2026

Older woman with gray hair closes her eyes and gently touches her cheek against a plain gray background.

Crepey skin is a common concern that differs from typical signs of skin ageing. Rather than deep wrinkles or volume loss, it is characterised by thinning, fragility and a delicate, paper-like texture that can affect both the face and the body. It often appears unexpectedly, even in skin that otherwise looks smooth or youthful.

Because crepey skin is linked to changes in skin quality rather than surface lines alone, it requires a more targeted, regenerative approach. In this article, we explore what causes crepey skin and introduce the most effective expert-led solutions, from professional skincare and injectable skin boosters to targeted treatments designed to restore hydration, resilience and long-term skin health.

Close-up of a smiling person’s face showing fine lines and crow’s-feet around one eye.

What Is Crepey Skin?

Crepey skin is characterised by its thin, fragile texture and a finely wrinkled surface that resembles crêpe paper in both texture and appearance. Unlike the deeper, more defined lines associated with expression or gravitational ageing, crepey skin has a diffuse, delicate crinkled quality that can affect large areas rather than isolated zones.

The most commonly affected areas include the under-eye region, eyelids, neck, décolletage, arms and hands. These are all areas where the skin is naturally thinner, more mobile or frequently exposed to environmental stressors. Interestingly, crepey skin can appear even in individuals whose facial skin remains relatively smooth or wrinkle-free elsewhere. This is because the underlying causes of crepey texture differ from those that drive other types of visible ageing, making it a distinct concern that requires a specific treatment approach.

Smiling mature woman rests her chin on clasped hands against a white background.

What Causes Crepey Skin?

Crepey skin develops through a combination of intrinsic ageing processes and external factors that compromise the skin’s structural integrity and moisture balance. Understanding these causes is essential for selecting the most effective treatments and prevention strategies.

Loss of Collagen and Elastin

As we age, the natural production of collagen and elastin (the proteins responsible for skin firmness, bounce and resilience) gradually declines. This breakdown weakens the skin’s support structures, leading to thinning, sagging and the development of fine, crepey texture. The process is inevitable but varies significantly in timing and severity depending on genetics, lifestyle and environmental exposure.

Sun Damage and Photo-ageing

Ultraviolet radiation is one of the most significant contributors to crepey skin. Cumulative sun exposure damages collagen fibres, impairs elastin function, and accelerates skin thinning over time. Photo-ageing affects both the skin’s surface and deeper layers, leading to loss of elasticity, uneven texture and increased fragility. Areas that receive frequent sun exposure, such as the neck, décolletage and hands, are particularly vulnerable.

Dehydration and Impaired Skin Barrier

When the skin’s moisture levels drop and its barrier function becomes compromised, the crepey texture becomes more pronounced. Dehydration exaggerates the appearance of fine lines and makes the skin feel rough and papery. A weakened barrier also leaves the skin more susceptible to environmental damage, further accelerating the visible signs of ageing.

Lifestyle and Hormonal Factors

Weight fluctuations, smoking, chronic stress and hormonal changes all play a role in the development of crepey skin. Significant weight loss can leave the skin with insufficient structural support, whilst smoking impairs circulation and accelerates collagen breakdown. Hormonal shifts, particularly during perimenopause and menopause, lead to decreased oestrogen levels, which directly affect skin thickness, hydration and elasticity. Over time, these factors compound, accelerating skin thinning and fragility.

Can Crepey Skin Be Prevented?

Prevention is always more effective than correction, but it is essential to set realistic expectations. Whilst it is not possible to completely halt the ageing process or reverse long-term sun damage, early intervention and consistent care can significantly slow the progression of crepey skin and preserve skin quality for longer.

The key lies in combining protective daily habits with professional treatments that support the skin’s regenerative capacity. Prevention also enhances the longevity and effectiveness of in-clinic interventions, making them a valuable investment for anyone concerned about maintaining smooth, resilient skin as they age.

Daily Habits That Make a Difference

A comprehensive prevention strategy begins with consistent, evidence-based skincare habits. Daily use of broad-spectrum SPF is non-negotiable, as ultraviolet radiation is the single most preventable cause of premature skin ageing. Sun avoidance, protective clothing and reapplication of sunscreen throughout the day all contribute to long-term skin health.

Hydration is equally important, both from within and on the skin’s surface. Drinking adequate water, maintaining a nutrient-rich diet, and using products that support the skin barrier help preserve moisture levels and prevent the exaggeration of fine, crepey texture. When combined with professional treatments, these daily habits create a strong foundation for lasting results.

Topical Skincare for Crepey Skin

Topical skincare plays an important supporting role in managing crepey skin, particularly in terms of hydration, surface texture, and long-term skin health. However, it is essential to understand both the potential and the limitations of over-the-counter and prescription products.

Key Ingredients That Support Skin Quality

  • Retinoids are among the most effective topical ingredients for addressing crepey skin. They work by stimulating collagen production, accelerating cell turnover and refining texture over time. Prescription-strength retinoids such as tretinoin are potent, though they must be introduced gradually to avoid irritation, especially in delicate areas.
  • Hyaluronic acid is a humectant that draws moisture into the skin, providing immediate plumping and smoothing effects. Whilst it cannot rebuild lost collagen, it improves hydration and temporarily reduces the appearance of fine, crepey lines.
  • Peptides and antioxidants offer long-term benefits by supporting skin resilience, protecting against environmental damage and promoting a more even, healthy complexion. Gentle exfoliation with alpha hydroxy acids or enzymes can also improve surface smoothness, though care must be taken not to over-exfoliate thin or fragile skin.

Limitations of Topical Products

Despite their benefits, topical products alone cannot entirely correct moderate-to-advanced crepey skin. They work primarily on the skin’s surface and uppermost layers, whereas larger structural changes in collagen, elastin, and tissue hydration drive a crepey texture. This is why professional, clinic-based treatments become necessary for those seeking more substantial and lasting improvement.

Expert-Led In-Clinic Treatments for Crepey Skin

For individuals with established crepey skin, professional treatments offer the most effective and scientifically validated solutions. These interventions work beneath the skin’s surface to stimulate regeneration, restore hydration and improve structural integrity. A combination approach, tailored to individual skin quality and concerns, typically delivers the best outcomes.

Skin Boosters: Deep Hydration and Skin Quality Enhancement

Injectable skin boosters play a key role in regenerative skincare by improving overall skin quality rather than adding volume. By delivering hyaluronic acid deep into the tissue, they enhance hydration, elasticity, and luminosity, making them particularly effective for early- to moderate-crepey skin.

Advanced formulations such as Profhilo use a hybrid hyaluronic acid to promote skin remodelling rather than volumisation, allowing the product to spread evenly and support tissue quality. This makes skin boosters especially suitable for delicate areas prone to crepey texture, including the under-eye area, neck and décolletage.

Often used as a foundational treatment, skin boosters improve baseline skin health and support subtle, natural and progressive results over time.

Expert-Led In-Clinic Treatments for Crepey Skin

For individuals with established crepey skin, professional treatments offer the most effective and scientifically validated solutions. These interventions work beneath the skin’s surface to stimulate regeneration, restore hydration and improve structural integrity. A combination approach, tailored to individual skin quality and concerns, typically delivers the best outcomes.

Skin Boosters: Deep Hydration and Skin Quality Enhancement

Injectable skin boosters play a key role in regenerative skincare by improving overall skin quality rather than adding volume. By delivering hyaluronic acid deep into the tissue, they enhance hydration, elasticity, and luminosity, making them particularly effective for early- to moderate-crepey skin.

Advanced formulations such as Profhilo use a hybrid hyaluronic acid to promote skin remodelling rather than volumisation, allowing the product to spread evenly and support tissue quality. This makes skin boosters especially suitable for delicate areas prone to crepey texture, including the under-eye area, neck and décolletage.

Often used as a foundational treatment, skin boosters improve baseline skin health and support subtle, natural and progressive results over time.

Why Combination Treatment Plans Work Best

A single factor rarely causes crepey skin, and it seldom responds optimally to a single treatment. This is why expert practitioners design individualised, multi-modal treatment plans that address hydration, collagen loss, texture and elasticity simultaneously.

Combination plans are typically staged rather than delivered all at once. A patient may begin with skin boosters to improve baseline hydration and tissue quality, followed by energy-based treatments to stimulate deeper remodelling, and then polynucleotides to support long-term regeneration. Maintenance treatments are scheduled to preserve results and adapt to ongoing changes in the skin over time.

At The Ezra Clinic, this holistic, regenerative approach is central to achieving natural, lasting improvements in facial and body skin quality. By considering the whole person – their skin type, age, lifestyle and goals – practitioners can create bespoke plans that deliver meaningful, sustainable results.

 

How to Find the Best Treatment for Crepey Skin

There is no one-size-fits-all solution for crepey skin. The most appropriate treatment depends on a range of factors, including skin quality, thickness, the areas affected, lifestyle and individual goals. A professional skin assessment is essential to determine the best course of action.

Early crepey skin may respond well to skin boosters and topical support, whilst moderate cases often benefit from a combination of injectables and energy-based treatments. Advanced crepey skin, particularly when accompanied by significant laxity, may require a more comprehensive, multi-stage approach that includes polynucleotides and possibly surgical options.

It is also important to focus on long-term skin health rather than quick fixes. Crepey skin develops over the years, and reversing it takes time, consistency and realistic expectations. A skilled practitioner will guide you through timelines, potential outcomes and maintenance strategies, ensuring that your treatment plan is not only practical but also sustainable.

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