A 58 Year Old with Sun Damaged Skin

A 58-year-old white female presents to the office with complaints of wrinkles and light brown “sun spots” on her cheeks and forehead. The patient reports that people often mistake her for a much older woman. She admits to frequent sunbathing during the summer months until age 40 with little to no use of sunscreen and feels that her skin changes may be related to this prior sun exposure. She reports feeling overwhelmed by the number of over-the-counter anti-wrinkle creams and would like to know which cosmeceuticals are most effective and will truly help her appear her stated age.