What's the best treatment for fine lines and thin wrinkles? (Photo)

I would recommend a combination treatment.  The Botox would help with wrinkles around the eyes  (crow's feet) especially when you smile.  The wrinkles in the cheeks would need a tightening treatment to increase the collagen to soften the lines.  There are many options including lasers, RF devices, and microneedling, and PRP.  Because you have some age spots,  I would recommend a laser (I use Fraxel) which would soften the wrinkles and get rid of the age spots. 

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for sharing your question. Botox is an excellent way to reduce the appearance of fine lines and wrinkles around the eyes. This treatment involves several small injections around eyes to lines that are commonly referred to as “crow’s feet”. If you are more concerned about sun damaged and aging skin, I highly recommend a laser resurfacing treatment with a machine such as the Sciton Halo. This laser is a hybrid, fractionated laser that works to reduce the appearance of fine lines, wrinkles, brown spots, pore size, and even reverses sun damage. This is one of the most popular treatments in my practice because there is very little down time associated with the procedure and the results are fantastic. Many of my patients repeat this treatment once a year as skin maintenance. I recommend consulting with a board-certified specialist who has experience with both Botox injections and the Sciton Halo Laser. 

Botox works well to relax crow's feet lines and rejuvenate the eye area. This can be used in combination with skin resurfacing for best results. There are a variety of options for skin resurfacing and tightening. I typically recommend Venus Viva treatments, a fractional CO2 laser treatment, micro-needling or peri-orbital TCA peel.

These lines are natural expression lines and can be easily rectified with Botox. Botox will inhibit the expression in what we call the 'crow's feet' so that these lines will be temporarily diminished. Results last from 3-6 months. For a more natural approach and to address signs of sun damage you could try the 111SKIN Celestial black diamond eye cream which will help to reduce the fine lines around the area as well as puffiness and dark circles.

This can be improved with a combination approach of Botox and fillers for the lines themselves, lasers or RF for skin tone, sculptra with microneedling/prp for collagen building and skin care to help with skin rejuvenation.  Please see a cosmetic dermatologist for a long term treatment plan.  Best, Dr. Emer.

Although you only provided one photo while smiling, there clearly seem to be two components to the wrinkling you have: the dynamic crow's feet emphasized by smiling, and a more generalized crepey appearance overall within the same aesthetic unit and extending down the cheek somewhat, which I suspect is quite evident at rest (static crinkling), as well. The latter, the static component, can be addressed with the appropriate use of a filler designed for stimulating bio-remodeling, such as Skin Boosters, which I would use in my Israel satellite facility, where it is regulatory agency approved and Belotero Balance, which I would choose in my Upper East Side Manhattan practice. Fanned through crow's feet and upper outer cheek region, or injected in microdroplets in a grid pattern, this kind of treatment typically results in immedate, improved skin hydration and new, native collagen, both of which lead to skin tightening. Following this, Botox injected into the crow's feet regions themselves will handle the motion-related wrinkling you dislike. Finally, an at-home regimen of sunscreen and prescription-strength topical retinoids and alpha hydroxy acids should help to maintain and prolong the improvements achieved with the above and with time improve the overall clarity, tone and superficial texture of your skin. Make sure you consult with a board certified aesthetic dermatologist who can help you with each of these issues. Best of luck to you.

Hi and thanks for this question. I believe you're going to need a combination treatment. Botox will help the Crow's feet and relax the wrinkles. You will also need to smooth the tone of the skin with a chemical peel or laser.Best wishes, Dr. ALDO

Thank you for sharing your picture. The best option would be Botox/Disport(neurotoxins). You can achieve great results but it  lasts 3-4 months on average. 
Also, there are several wrinkle-free skin products as a good  alternative to neurotoxins.  The cosmetic ingredient Argireline and Leuphasyl is sometimes referred to as the “Natural Botox.”  Botox injections and Argireline are made of similar peptide compounds, as a result of that, they work in similar manner. The main difference is that Argireline does not penetrate skin as deep as Botox but still you can achieve up to 30 percent reduction in fine lines and wrinkles with thinner skin type. Leuphasyl works on the nerve cells in the treated area causing relaxation of the muscles and significantly potentiates the effect of Argireline. Those ingredients  are included in multiple skin care products such as "Labo 3D-Deep Botolium Premium"(utilizes both Argireline and Leuphasyl ) or "BRAD Biophotonic Ultra Elastin Lift"or "Glen Age Wrinkle Cream" 

Hi misleed7,Thank you for taking the time to write your question and send in your photograph! In my San Francisco office, fine lines under the eyes are a typical treatment request. Patients notice them in the mirror and they hate them! The bad news is these lines are difficult to treat. The skin under the eyes is very thin and it tends to accordion when we smile. The good news is that these wrinkles are usually not the real problem anyways! The real issue is patients feel they are looking older. And frequently the real thing aging their face is volume loss, dark circles and shadows under the eyes. So, when we treat the under eyes, mid-face, and cheekbones with dermal filler, patients may see some mild improvement in the wrinkles, but they definitely look fresher and more youthful. We use a combination of Juvederm Voluma for the mid-face and cheekbones, and Restylane for the under eyes to achieve these results. I hope this was helpful!Good luck and stay beautiful.