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Retin A can help increase dermal collagen and improve photodamaged coloration issues such as lentigines (brown sun spots) but it can not replicate the improvement seen from fraxel repair laser resurfacing which can induce improvement in lines, texture and color and even tightening.
I disagree. I vote for the deep Fraxel. Obviously, you can use Retin A at home for a fraction of the cost of a deep Fraxel treatment. And if you were to have deep Fraxel, most doctors would want you to use Retin A beforehand to "precondition" your skin to achieve the best results. Since your question does not address cost, I vote for the deep Fraxel having a greater effect than Retin-A alone. But a moderate depth chemical peel could likely produce similar results at even less cost.
Retin A does stimulate some small amount of collagen production in the dermis, but it is only effective for very superficial wrinkling. Retin A also causes epidermal cell turnover and freshens the epidermis and temporarily reverses some sun damage while it is being used. Deep Fraxel can affect the deeper dermis and generate more collagen production. It also helps renew the epidermis.
Retin A better......................................................................................................
Fraxel Repair and Fraxel Restore induce new collagen production and whether it is this or nerve ending rejuvenation within the new collagen causing the tingling is not known, but it is a common symptom in laser resurfacing and surgical reconstruction.
Lower eyelid dark circles are not easily treated. There are different causes for redness and pigmentation of the lower eyelids and we are not certain of the biologic reasons for any of them. Why do people with bad allergies and those who are tired get dark circles? Is sluggish blood flow...
If your surgeon approves the surfacing then you can consider laser resurfacing with Fraxel or other lasers. Some people have lost the elasticity of their eyelid skin and some eyelid surgeries have a risk of removal of too much skin and the lower eyelid could pull down. If laser resurfacing...