Retin A for Wrinkles Around the Mouth?

I am a 40 year old east Indian female. I was on birth control pills for about 10 years. I stopped taking them last year, and I lost quite a lot of my hair and lost weight. I have used Retin A regularly for 15 years. I now have smile creases. Will Retin A correct this in time or should I have injection fillers? Is it a good thing to use topical creams for wrinkles regularly?

Doctor Answers 4

Retin-A uses

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Retin-A has been available via prescription for decades.  When a medication is on the market for this period, it generally indicates that it is "tried and true".  It is accepted among dermatologists and plastic surgeons alike that Retin-A helps to alleviate fine lines.  Coarse wrinkles, however, require a filler or surgery.  Sometimes coarse lines (glabellar furrows or wrinkles in the brow between the eyes) respond to Botox with or without a filler.  Smile lines are rarely treated with Botox, but may do well with a filler.  Good luck!

San Diego Plastic Surgeon

Retin A for fine lines, Fillers for deeper lines

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Retin A is a great way to maintain your skin-- studies show that regular use of Retin A helps with fine lines and wrinkles.  They also help build collagen over time.  They are safe, FDA approved and have been studied for over 40 years.  

For smile creases and deeper lines, though, fillers are much more effective.  Hyaluronic acid fillers such as juvederm and restylane are safe and effective for smile lines.

No matter what you choose, make sure you wear a sunscreen during the day.  Good Luck!

-Dr. Mann

Margaret Mann, MD
Cleveland Dermatologic Surgeon

Retin-A might help with wrinkles around mouth

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While Retin-A may help wrinkles around the mouth don't inadvertently lick your lips with it on. I am pretty sure you aren't supposed to ingest it.

John P. Di Saia, MD
Orange Plastic Surgeon

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Smile creases are best treated with dermal fillers

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I am a huge fan of retinoids for treating fine lines and wrinkles and facial discolorations including brown spots. But for deep smile lines you probably need a dermal filler. For a starter try either Juvederm or Restylane. These hyaluronic acid fillers work like a charm to smooth smiles lines away and have an excellent safety profile.  

Patricia Farris, MD
Metairie Dermatologic Surgeon

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.