This study is being done to find out if the use of botulinum toxin prior to a medium strength combination chemical peel (Jessner's peel followed by 35% Trichloroacetic acid peel) will improve the appearance of crow's feet wrinkles when compared to a chemical peel alone. Botulinum toxin type A is a purified substance, derived from a bacteria that block muscular nerve signals. Jessner's Peel, a combination of resorcinol (14g), salicylic acid (14g), and lactic acid (85%) in ethanol (95%), is a superficial chemical peel. These two products/procedures have been FDA approved to improve the appearance of facial wrinkles.
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Posttreament Results of Chemical Peel if Botox A is Added as Pre-treatment
Timeframe: Baseline and 12 weeks
Change From Pre- to Post-treatment Scores of Chemical Peel if Botox A is Added as Pre-treatment
Timeframe: Baseline and 12 weeks