35% TCA Peel or IPL Laser for Wrinkles on Male Face?

Which one of these 2 procedures would you recommend for facial wrinkles for males? Especially under the eyes? I have a fair/light skin, age 37.

Doctor Answers 6

A few 35% TCA peels around the eyes do great

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IPLs don't do much for wrinkles around the eyes but the 35% TCA peels do great and usually need 3 peels at 2 weeks apart @ $350 each.  Be sure to use a prescription cortisone cream and a good sunscreen as well.

Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

TCA better than IPL for wrinkles in eye area

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IPL is a light based treatment that does not effectively address wrinkles. IPL works great for pigmentary issues, such as dark spots, or redness. TCA will address the dark spots as well as soften wrinkles around the eyes. Unless the wrinkles are very fine, it will not remove them completely. A follow up peel may be necessary to get to the desired result.

Jennifer Parker Porter, MD, FACS
Bethesda Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

TCA peel is better than IPL for wrinkles

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Technically speaking, IPL is not a laser but a light based treatment using a broad spectrum of scattered light to address brown spots and broken blood vessels.  TCA 35% would be more appropriate for wrinkles because it is a medium depth chemical peel, designed to regenerate your skin.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 104 reviews

Peels vs lasers

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For facial wrinkles (including the eyelid skin) the technique for improvement would be dependent on the depth of the wrinkles and the amount of sun damage to the skin (discolorations, sun spots, enlarged pores, acne scarring, etc). Although a peel may be good for finer wrinkles I have depended heavily in the last few years on the Fraxel laser (re:store and re:pair) and similar technologies for facial rejuvenation and resurfacing. You need a good evaluation by an experienced physician (preferably board certified plastic or facial plastic surgeon) and you should also have the services of a good medical aesthetician to prepare your skin and to teach you follow up maintenance of your skin to enhance and prolong the effects of the laser.

Theodore Katz, MD, FACS
Philadelphia Plastic Surgeon

35% TCA and IPL will not help wrinkles around the eye.

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Wrinkles around the eye are often muscle lines created by squinting into the sun.  Neither 35% TCA nor IPL will have an impact on muscle deep lines.  A combination of Botox followed by CO2 laser resurfacing is an outstanding treatment for the improvement of wrinkles around the eye!

Pamela Carr, MD
Sugar Land Dermatologic Surgeon

Neither TCA Peel or IPL will work for wrinkles

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I don't think a 35% TCA peel would likely give a noticeable improvement for eye wrinkles. IPL mostly just helps pigment spots and redness, it doesn't do much for wrinkles.

For wrinkles around the eyes, you may want to consider Botox. It is very simple, safe and effective. If you want a more dramatic result, you could also opt for a fractionated CO2 treatment; since you are fair you are likely a good candidate for that.

Anne Marie McNeill, MD, PhD
Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.