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

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.

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.

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.