Wrinkles won't stop

I am a very light skinned women who is often mistaken as being white and I am 46 years old, but I feel I look older.  I have wrinkles on my forehead, laugh lines and around my eyes.  I have tried so many creams and can't find anything that I feel helps.  Could you please tell my what type of cream would be good to erase wrinkles from around my eyes, on my forehead and laugh lines?  My skin is dry and I don't know what else to do. PLEASE HELP!!!!!!!!!!!!

[Dr Santos]

Hi,

How are you? Wrinkle treatments include medications and  a variety of skin resurfacing techniques, injectables, fillers and surgical procedures. Depending on the wrinkles present, each works a little differently and has its own set of potential results and side effects. Topical retinoids may be able to reduce fine wrinkles, splotchy pigmentation and skin roughness. Retinoids must be used with a skin-care program that includes sunscreen and protective clothing because the medication can make your skin burn more easily. It may also cause redness, dryness, itching, and a burning or tingling sensation.  Nonprescription wrinkle creams, on the other hand, may result in slight to modest improvements in wrinkles. These creams contain lower concentrations of active ingredients than do prescription creams. Therefore results are limited and usually short-lived.

Other options include:  dermabrasion, microdermabrasion, laser, chemical peel, botulinum toxin type A (Botox),  and soft tissue fillers. Discuss which option is best for you with your doctor. Take care and regards.