Best Treatment for Upper Skin Wrinkles and Pebbly Skin?

I have never smoked.

Doctor Answers 1

Comprehensive treatment for upper lip wrinkles

I assume you meant upper lip wrinkles. It's a combination of dynamic, static and textural changes that should be addressed. Daily sun protection and smoking cessation (if you are a smoker) goes without saying. Avoid drinking out of a straw, playing wind instrument, and whistling will minimize the dynamic wrinkle of upper lip.

Regular application prescription-strength retinoid is the foundation. Fillers using hyaluronic acid (Restylane or Juvederm) and soon to be available Evolence Breeze will address the loss of volume and static wrinkles. In a hand of very experienced board-certified dermatologist or plastic surgeon Botox injector, 1-2 unit of Botox can make bring about a dramatic difference though one may experience undesirable changes in phonation.

Fractional co2 laser is a new standard of care for static wrinkle and textural changes due to sun damage, smoking, prior acne scarring for upper lip and the entire face. Before you commit to fractional co2 laser resurfacing, do your research and seek out a board-certified dermatologist or plastic surgeon who has performed at least 50 cases of your skin type. Run away if no discussion took place during your initial consultation of possible risks, complications, or steps to minimize them.

Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

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.