Retin A for Wrinkles Around the Mouth?

Retin-A has been available via prescription for decades.  When a medication is on the market for this period, it generally indicates that it is "tried and true".  It is accepted among dermatologists and plastic surgeons alike that Retin-A helps to alleviate fine lines.  Coarse wrinkles, however, require a filler or surgery.  Sometimes coarse lines (glabellar furrows or wrinkles in the brow between the eyes) respond to Botox with or without a filler.  Smile lines are rarely treated with Botox, but may do well with a filler.  Good luck!

Retin A is a great way to maintain your skin-- studies show that regular use of Retin A helps with fine lines and wrinkles.  They also help build collagen over time.  They are safe, FDA approved and have been studied for over 40 years.  

For smile creases and deeper lines, though, fillers are much more effective.  Hyaluronic acid fillers such as juvederm and restylane are safe and effective for smile lines.

No matter what you choose, make sure you wear a sunscreen during the day.  Good Luck!

-Dr. Mann

I am a huge fan of retinoids for treating fine lines and wrinkles and facial discolorations including brown spots. But for deep smile lines you probably need a dermal filler. For a starter try either Juvederm or Restylane. These hyaluronic acid fillers work like a charm to smooth smiles lines away and have an excellent safety profile.