Background: Dermatology visits for the prevention and treatment of aging skin are increasing as patients live longer. The clinical sequelae of photodamage, including wrinkling, pigmentary changes, roughness, laxity, and telangiectasia, can all result in the appearance of aged skin. Antioxidant complex treatment has been formulated with ingredients known to improve the appearance of fine lines, wrinkles, and skin barrier function. Objective: To assess the efficacy and tolerability of antioxidant complex treatment in fine lines, wrinkles, and signs of photodamage. Methods: Thirty-four female subjects (Fitzpatrick classification I-IV) completed a 12week controlled clinical usage study. Antioxidant complex treatment was applied to the face, neck, and d ecolletage each morning. Efficacy was assessed using visual grading of facial and periocular skin, cutometry, and digital photography. Clinical evaluations and subject self-assessments were conducted at baseline and weeks 4, 8, and 12 using 10-point scales and skin condition assessment. Cutaneous tolerability was evaluated clinically and subjectively using a 4-point scale.Results: Significant improvements in all parameters and skin condition were seen as early as week 4 (P # .05). There was an 18% improvement in overall appearance by week 12 (P # .05) compared to baseline. Mean scores for fine lines and coarse winkles improved by 27% and 15% respectively (both P # .05 vs baseline). Significant improvements were also seen in uneven pigmentation, firmness/elasticity, toned/resiliency, skin radiance, tone, and tactile roughness/smoothness (10%, 11%, 18%, 21%, 16%, and 47%, respectively; all P # .05 vs baseline). By week 12, subjects reported a 43% improvement in overall facial skin appearance and 24% reduction in mean scores for facial lines and wrinkles (both P # .05 vs baseline). Improvements were also reported in overall skin tone, firmness, dryness, appearance of pores, appearance of brown spots/facial discoloration, skin radiance, and texture (37%, 35%, 35%, 28%, 24%, 39%, and 38%, respectively; all P # .05 vs baseline). There was a 71% reduction in erythema and 94% reduction in skin dryness by week 12 (both P # .05 vs baseline).Conclusion: Antioxidant complex treatment is effective and well-tolerated when treating photodamage and improves the appearance of fine lines and wrinkles.