If your skin looks thin, wrinkled, or “crinkly”—especially on the face, neck, arms, or stomach—you may be dealing with crepey skin. This is one of the most common concerns we see at Radiant Health & Hormone Therapy, and it often surprises people who otherwise feel healthy and active.
The good news? Crepey skin is not something you simply have to live with—and it doesn’t require surgery, injections, or toxins to improve. From our clinic in Sioux Falls, we help patients restore firmness, hydration, and resilience to their skin using advanced, non-invasive technologies, especially EXION, combined with a holistic approach to wellness.
What Is Crepey Skin?
Crepey skin gets its name from its resemblance to crepe paper—thin, fragile, and finely wrinkled. Unlike deeper wrinkles or folds, crepey skin is more about loss of skin quality than just expression lines.
It commonly appears on:
- The face and around the eyes
- The neck and décolletage
- Upper arms
- Abdomen and flanks
- Thighs and knees
Many people assume crepey skin is purely cosmetic, but it’s actually a sign that the skin’s structural support system has weakened over time.
What Causes Crepey Skin?
Crepey skin develops when several key components decline—often at the same time.
1. Loss of Collagen and Elastin
Collagen provides firmness and structure, while elastin allows skin to stretch and bounce back. As we age, production of both slows dramatically. Without them, skin becomes lax, thin, and fragile.
2. Decline in Hyaluronic Acid
Hyaluronic acid (HA) holds moisture in the skin. When HA levels drop, skin becomes dry, dull, and less plump—making fine lines and crepiness more visible.
3. Hormone Changes
Hormonal shifts—especially changes in estrogen—play a major role in skin thinning and laxity. This is why crepey skin often accelerates during midlife and beyond.
4. Sun Exposure and Environmental Stress
UV damage breaks down collagen and elastin over time. Even years after exposure, the effects continue to surface as skin loses strength.
5. Weight Loss or Muscle Loss
Rapid or significant weight loss, as well as age-related muscle loss, can leave skin without the underlying support it once had—leading to sagging and crepey texture.
At Radiant, we recognize that crepey skin is rarely caused by just one factor. That’s why our approach goes beyond surface-level fixes.
Why Creams Alone Aren’t Enough
Topical creams and serums can help hydrate the surface of the skin, but they cannot rebuild collagen, elastin, or muscle support deep within the tissue. Once crepey skin is noticeable, meaningful improvement requires energy-based stimulation that reaches the deeper layers of the skin.
This is where non-invasive aesthetic technology—especially EXION—makes a real difference.
EXION: The Gold Standard for Crepey Skin Treatment
EXION is a cornerstone of Radiant’s non-surgical approach to treating loose and crepey skin.
How EXION Works
EXION uses intelligent monopolar radiofrequency (RF) energy to safely heat deep layers of the skin. This energy stimulates fibroblasts—the cells responsible for producing:
- Collagen
- Elastin
- Hyaluronic acid
Clinical data shows EXION can increase the production of these critical skin components by up to 224%, making it one of the most powerful non-invasive skin rejuvenation technologies available today.
What EXION Improves
- Crepey, thin, or fragile skin
- Fine lines and surface wrinkles
- Loose or sagging areas
- Uneven texture and dimpling
- Dry, dehydrated skin
EXION can be used on both the face and body, making it ideal for patients who want consistent skin quality improvement across multiple areas.
Additional Non-Invasive Support at Radiant
While EXION is our primary solution for crepey skin, Radiant often combines it with other treatments for enhanced results.
EMFACE for Facial Crepiness and Laxity
EMFACE strengthens the muscles that support the face while also stimulating collagen and elastin. This added muscle support helps lift and firm skin naturally—without freezing facial expression.
EMSCULPT NEO for Body Crepiness
On areas like the abdomen, arms, or thighs, EMSCULPT NEO improves crepey skin by:
- Building muscle (which supports skin from underneath)
- Reducing stubborn fat pockets
- Stimulating collagen and elastin to improve skin texture
Because muscle loss is a major contributor to skin laxity, this approach supports both aesthetic improvement and long-term function.
How These Treatments Compare to Surgical Options
Traditional treatments for crepey skin often include:
- Surgical skin tightening
- Laser resurfacing with significant downtime
- Injectable fillers or skin boosters
While these may work for some people, they can involve:
- Higher risk and recovery time
- Temporary results that require repeat injections
- Treatments that address appearance but not skin health
Radiant’s non-invasive approach offers clear advantages:
- No surgery, no needles, no toxins
- Little to no downtime
- Natural-looking, gradual results
- Improved skin health—not just tighter skin
- Safe for ongoing maintenance
For many patients, this means feeling more comfortable, confident, and in control of their care.
What Results Can You Expect?
Most patients notice early improvements in skin texture and hydration within weeks. Over the following months, collagen and elastin remodeling continues, leading to:
- Firmer, thicker-feeling skin
- Reduced crepey appearance
- Smoother texture and improved elasticity
- More youthful-looking skin that feels healthier, not fragile
Because these treatments work with your body’s biology, results continue to improve even after sessions are complete.
Who Is a Good Candidate for Non-Surgical Crepey Skin Treatment?
You may be a great candidate if you:
- Notice thin, wrinkled, or loose skin
- Want improvement without surgery or injectables
- Prefer natural, regenerative treatments
- Have experienced skin changes due to aging, hormones, or weight loss
- Want results that look subtle and authentic
At Radiant, we treat both men and women, and customize care based on your skin, goals, and overall health.
How to Get Started at Radiant
Your journey begins with a personalized consultation at our Sioux Falls clinic. We’ll evaluate your skin, discuss contributing factors like hormones or lifestyle, and design a treatment plan tailored specifically to you.
From there, your plan may include:
- EXION treatments for deep skin rejuvenation
- Complementary facial or body treatments as needed
- Professional skincare to maintain results
- Functional or hormone support when appropriate
The Bottom Line
Crepey skin isn’t just a surface issue—it’s a sign that your skin needs deeper support. With today’s technology, surgery is no longer the only option.
At Radiant Health & Hormone Therapy, we use EXION and other advanced non-invasive treatments to restore collagen, elastin, hydration, and strength—helping your skin look and feel healthier from the inside out.
Ready to treat crepey skin without surgery?
Schedule your free consultation at Radiant Health & Hormone Therapy in Sioux Falls and discover a smarter, more natural way to restore firm, resilient skin.