News | Published May 9, 2013

Ask Dr. Peterson

Dr. Peterson,

I’ve followed the usual advice about taking care of your skin by moisturizing, hydrating, eating well, and minimizing sun exposure. But wrinkles and blemishes have still set in. What can I do to minimize the signs of aging? I’m curious about both the steps I can incorporate into my everyday routine as well as options for long-term benefits.

Eating right, using sunscreen with SPF 30 or higher, and quitting smoking are great ways to begin the fight against facial aging, and have many other health benefits as well. If you find that this isn’t enough, there are many options. Your daily routine should include a facial cleanser that isn’t too drying, as well as a moisturizer. Topical treatments containing alpha hydroxy acids, known as AHAs, and retinols can help improve the appearance of fine wrinkles. Topical antioxidents such as Vitamin C can help correct pigmentation problems as well as stimulate collagen production.

If your daily routine isn’t doing the trick, consider microdermabrasion, which can help improve skin texture, or a chemical peel, which can help promote collagen production, diminish pigmentation, and generally brighten your appearance.

Deep lines and wrinkles often require more aggressive treatment. Botox® and Dysport® are injectable products that relax muscles underneath wrinkles, making the skin look smoother. Fillers such as Juvederm® or Restylane® can be used to plump the area under wrinkles, making them less noticeable. Sculptra® can be used to promote collagen production and fill out wrinkles. Results last for months to years, depending on the treatment.

For long-lasting improvement in facial aging, surgery may be the best answer. A face and neck lift can help remove wrinkles as well as redefine your jawline. Eyelid surgery can help the appearance of tired, aging eyes. If you do decide to have surgery, eating right, quitting smoking, avoiding sun exposure, and having a good skincare routine are all essential to getting and maintaining a great result for years to come.

If you have questions for Dr. Peterson, email them to us at