Is a chemical peel strong enough to work as a wrinkle treatment? i am 65 and my wrinkles have been bothering me for several years. some of them are quite deep and i want to treat them before they worsen. i am worried about having major wrinkle treatment d

Unfortunately, : Unfortunately, a superficial chemical peel with ingredients such as salicylic acid or glycolic acid doesn't work well for wrinkles, but works better for discoloration and skin texture. A medium depth chemical peel with tca will work better for wrinkles but has significantly more downtime after the procedure. Another product to consider would be tretinoin cream (retin-a), followed by a chemical peel. Treatment with a resurfacing laser would be another option.

At : At your age, i suspect a great many of your wrinkles could actually be a result of both volume loss and photo damage. A strong chemical peel could make some improvements in superficial wrinkles, but deeper wrinkles usually indicate a loss of supporting fat. Some options for replacing volume include collagen stimulators such as sculptra or artefill or your own fat. Both artefill and sculptra work by creating a skin response of collagen rebuilding, so the end result is either all or nearly all your own collagen. When injected properly, you can achieve some substantial changes. The stimulating particles in sculptra eventually breakdown completely whereas the microscopic beads in artefill stay in the skin permanently. Obviously you will continue to age and your skin will lose more of its own collagen progressively, so no treatment will provide a permanent solution. If your primary problem is caused by excessive skin laxity, then your best option would more likely be a surgical facelift combined with volume replacement.

You have: You may have many options, but to realize the right one you must be evaluated by a pastil surgeon or a dermatologist. Tca or stronger glycolic acid peels may do the trick. Phenol peel which some still perform is an amazing tool in rejuvenation armamentarium, but with longer recovery.

Maybe: With your grade of wrinkles a chemical peel would not be strong enough. A fractionated laser might help, ipl, or rf or ultherapy can help. Microneedling can improve the appearance. Dermal fillers and Botox can help. Topical creams with retinoic acid will help. Prp is another newer treatment. You can see an aesthetic physician to help with your concerns.