What is the best chemical peel/skin routine to get rid/lessen stubborn forehead wrinkles?

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I recommend getting a formal evaluation with a cosmetic dermatologist for skin care recommendations and treatment for forehead wrinkles. This area can be improved with lasers, microneedling/prp, peels, Botox and fillers. See an expert. Best, Dr. Emer

Botox or Dysport can certainly soften stubborn forehead wrinkles. However, I think a first good step would be to see a plastic surgeon along with his/her aesthetician.  Most plastic surgeons have an aethetician with a skin care practice incorporated into their practice.  So it's best to have a full evaluation by a plastic surgeon and his/her aesthetician before making a decision or treatment plan.

Dear hurky12: The best treatment for this problem depends upon the cause of the wrinkles. You may be lifting your brows strongly with your frontalis muscle, in which case the best treatment would be a small amount of Botox to relax this muscle. If they are present even at rest, they can be smoothed over with a number of different approaches, including Pellevé or another radiofrequency device, Ultherapy, or microneedling with PRP.  Chemical peels can help but probably not as much as the other modalities.

It sounds like you are using excellent skin care and are on the right track.  However, some wrinkles need to be treated with other preventative or treatment modalities.  Chemical peels work very well on the texture and fine lines of the skin and improve tone, texture, and pigmentation.  However, the forehead lines are dynamic - which means that they are constantly moving.  That is why Botox is the number one treatment for lines involving the forehead and glabella area.  I would consider Botox, chemical peels, and Fraxel and microneedling for your skin.  It would be best to consult a dermatologist who is an expert in all of these procedures to best guide you.  Best, Dr. Green

It is great that you are beginning to consider good skincare and an anti-aging regimen. Chemical peels are a great way to fight off signs of aging by turning the skin over at a faster rate, which in turn stimulates collagen production to diminish fine lines and wrinkles. There are a few important things to understand here - first, chemical peels have cumulative effect and are not something that you will notice immediately getting rid of lines and wrinkles; they need to be done regularly and over a long period of time. I would also recommend in-office peels (stronger) as a supplement to the weaker at home peels you can perform on a more regular basis. Our in-office Alpha Beta peel for example is a great anti-aging peel, however due to the strength, we do not recommend repeating more than once per month. Finally, peels alone will not keep lines and wrinkles at bay. While they will certainly help keep your skin looking healthier and younger and are an important piece of the skincare puzzle, other treatments such as lasers or injectables will likely be needed at some point if you intend to stay wrinkle-free.