A mild Glycolic Peel may be what you need

David Shafer, MD answers: Chemical peel recommendation for fair skin with severe sun damage and wrinkles?

What type of chemical peel would you recommend for someone with very fair skin, severe sun damage, wrinkles on top of lips and crow's feet? What concentration would you recommend and are there any risks? Does chemical peel thin the skin? I am 40 years old and I notice on each side of my cheekbone that I have light purple veins running vertical down my face. I have been using renova A. Thank you.


David Shafer, MD
9 months ago

Sandrasue,

A mild Glycolic Peel (70%) may be what you need. The Glycolic peels are much more gentle on your skin than TCA or Phenol. You may need several treatments, but it will have a nice effect. For the crow's feet, I would suggest a touch of Botox as well as the peel for the maximum effect. The Botox will help relieve the stress on the skin from constant movement and will allow the underlying dermis to heal. Also, keep using the Renova A.

Good Luck.

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A: Consider Fraxel for wrinkles and sun damage

Ronald Shelton, MD
9 months ago

Chemical peels normally don’t improve wrinkles and a deep chemical peel would be out of the question at your age. It is rarely done these days. Chemical peels certainly don’t help the lines that are produced by muscle movement such as the upper lip lines and crow’s feet. Fraxel Re:store might be a more effective treatment for you. Chemical peels might lighten some sunspots (brown flat areas) but it won’t help the texture unless you have a medium-depth chemical peel, which induces a one week period of down-time with significant post operative care. Fraxel can improve texture, fine lines and brown spots with minimal down time.

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