Can Chemical Peels Remove Fine Nasolabial Wrinkles?

Most nasolabial creases need fillers but some that are fine lined can benefit from a medium TCA peel alone or in combination with a filler. Do not do a home kit TCA. It can scar and you need the expertise of your doctor for best results. 

Dear Saladsnowflake: Filler in the form of Perlane or Restylane might be more effective for the nasolabial area. Chemical peels are very effective at improving the quality of the facial skin. Medium and deep chemical peels can also remove facial lines. However, there is a price to pay with the deeper chemical peel in terms of healing and the risk of hypopigmentation. This makes it a lot easier to recommend the fillers.

Whenever I see a patient, I tell them that the nasolabial lines are filler country and that's because when they were first indicated, fillers were used to treat deep lines in the NL folds. Many fillers can be used, including the HA (Restylane, Juverderm), Radiesse and now even Sculptra, which has been recently approved for the treatment of such. Dependent on the patient's budget and needs, I use the different fillers interchangeably with mainly HAs and Radiesse being my workshorses in that... more