Ah, the bouncy, smooth skin of youth!
Loss of skin firmness and texture can be due to a number of factors. As we age, skin loses elasticity and volume primarily due to a breakdown of structural components of the skin like collagen and elastin. Overexposure to the sun plays a role in this process as well. Smoking can be catastrophic. There are other reasons your skin may feel bumpy, for example, rosacea.
While we can't go back to perfect baby smooth skin, there is quite a bit that can be done to firm and improve skin texture. Our dermatologists evaluate what is best for each patient’s skin. Here are the prescription compounds we prescribe for skin firmness and uneven texture: (in no particular order): tretinoin, niacinamide, azelaic acid, hyaluronic acid, mandelic acid, etc.
In addition to your customized prescription compound, your docent may recommend other treatments such as gentle exfoliative acids. Diligent sun protection will also greatly help to prevent future damage.