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Repairing Fine Lines Caused by Sun Damage

I have fine lines below my eyes, where my cheeks would get sunburn summer after summer as a child. So, when I smile, I have lines. I am on Retin A (.05%) once nightly. My crow's feet are acceptable, just these fine lines from sun damage. I am early 40's with sensitive skin (cannot use Prevage, peels, or coffeebean based products due to severe reaction - pigmentation, excessive peeling,pruritis). Can I use Botox in that area or do I need to do something different?

Asked 36 months ago by yoko in manchester,tn
Sort 4 expert answers by:
+1

Botox on lower lid not advisable

First, everyone has lines when they smile. If the skin has some fine lines when static, I would consider a good skin care line that has Retin-A and hydroquinone, and possibly IPL or even carefully consider light peels. Botox in lower lid is not a good idea.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Botox, Obagi and IPL

Yoko I would have to look at your skin to give you my best answer. Than being said, based on your description I would suggest the following. Start with a skin analysis to determine the extent of your UV skin damage - the Visia system that we use at Spa Aesthetica is great for this. It determines the starting point and documents your progress with each treatment. I would then start you on a comprehensive skin care program, such as the Obagi system. Why is this important? Obagi has a... more
Daniel Reichner, MD
Newport Beach Plastic Surgeon
+1

Might need a combination treatment

Botox works well for wrinkles caused by muscles. Areas that respond to botox include the forehead, the area between the brows, the area around the eyes (the crows feet) specially with smiling. Some of the lines around the lips respond to botox as well. However, the small fine line that you may find in other areas that I did not mention would benefit with laser resurfacing procedures. Pretreatment can be done with hydroquinone to help with the potential of hyperpigmenting. Also a small... more
Farbod Esmailian, MD
Orange County Plastic Surgeon
+1

Botox, fillers or skin resurfacing

Botox will help with the crow feet area and the effect might extend medially for a little bit. I would not inject Botox close to the lid border or too medial. Resurfacing with a light laser treatment will help. I would test your skin reaction first with an application behind the ear. Good luck
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
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