What can I do about my deep sleep wrinkles? They are on one side of my face. (photos)

It is not unusual to have more wrinkle on the left side of the face.  That's because the left side gets all the sun exposure when you are in a car.  There's no doubt n my mind that a facelift in your case would be the ideal procedure for you.  If will tighten you neck and smooth out your skin.  You are an excellent candidate.

Deeply etched lines and wrinkles are best treated with laser resurfacing, with the CO2 laser being the gold standard for delivering the best results.  The treatment is well tolerated with downtimes in the 5-7 day period with resolving redness/pinkness typically in 4-8 weeks.The attached link provides more information.I hope this helps.

Hello glamma54,Thanks for your question.To make the biggest change in your sleep wrinkles, you might want to consider laser resurfacing.  Other options include medium depth chemical peeling and microneedling with PRP.Radiofrequency (RF) skin tightening is always an option.Other than these options, medical skin care and sunblock are your best options, but they will take time to improve the skin and the improvements are not as aggressive.Drink water, get sleep, increase your Vitamin C, and avoid smoking for best results with any treatment.I would recommend that you consult with a skin care specialist (Dermatologist, Plastic Surgeon, Facial Plastic Surgeon) who has a lot of experience in aesthetic treatments of the skin for a discussion of your options.Good luck,Dr. Shah