Pelleve, Pixel, or Chemical Peel for Slight Sagging and Wrinkling?

I am interested in either Pelleve, Pixel, or Chemical Peel for slight sagging and wrinkling. Which would give the most bang for the buck? Does Pelleve cause fat loss in face like Thermage?

Doctor Answers 4

Which treatment for tightening skin?

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Pelleve is the only treatment of the three that would help sagging skin. Pelleve has never caused fat loss because the tempersture in adipose tissue is not raised as it is during Thermage.

Pixel and chemical peels can help with the superficial texture and color of the skin, and fine lines.

New York Dermatologist
4.7 out of 5 stars 10 reviews

Pelleve Effective for Slight Sagging & Wrinkling in Face

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I'm a Cosmetic Oculofacial (Speciaizing in Eyelid and Facelift Surgery) Plastic Surgeon practicing for 15 years with offices in Manhattan's Upper Eastside. In my practice, I use Pelleve for skin tighening of the face and neck, to reduce wrinkles and provide smoother skin, as well as increase collagen production over time. The technology with Pelleve appears not to affect the fat under the skin which is important to maintain a smooth contour. Pelleve is very effective and works for my patients who are not quite ready for a facelift. A chemical peel effectively reduces fine lines, wrinkles, sun damage, scarring, acne and improve the overall texture and tone of your skin.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.4 out of 5 stars 80 reviews

Pelleve and Chemical Peels

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In our practice, we prefer Pelleve for wrinkles and sagging skin.  There is absolutely ZERO downtime and, in fact, many patients request this treatment before a big event for the glow that they have afterward.  If patients also have sundamage or inconsistent skin texture, we will recommend light chemical peels to enhance results.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 34 reviews

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Pelleve or Fractional laser for sagging and wrinkling

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Pelleve helps tighten the infrastructure of the skin, the dermis. It does not resurface the exterior texture. Fractional Erbium laser can help the surface and improve the collagen in the dermis but doesn't tighten usually. Fractional carbon dioxide laser can help tighten and improve the surface but then there is at least one week if not more, of down time. Chemical peels that are superficial won't do either, but a medium peel can help improve the coloration of the skin and minimal help with fine lines. Many patients have both Pelleve and Fraxel laser to accomplish both dermal tightening and external skin color and textural improvement.
Pelleve does not cause fat atrophy.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

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.