The best results for skin rejuvenation are achieved when all causes of aging are addressed.

• You simply cannot talk about rejuvenation if you are tanning and smoking.
• Proper diet is essential.
• Sun damage must be corrected with topical retinoids and laser. I have found Pearl and Fraxel to be the best.
• Dynamic wrinkles should be addressed with Botox, and the sooner you start, the better. The benefits of Botox become cumulative and once the skin is too loose, Botox does not give as great of a result.
• I use a combination of fillers such as Juvederm, Restylane and Perlane, Radiesse, and Sculptra to achieve natural fullness and more youthful contours. We lose volume in our face with age, so it must be restored. If you do a face lift without volume correction, you will just look tighter, not younger.

I suggest a physician board-certified in an aesthetic field like dermatology or plastic surgery to benefit from the extensive training these specialties must go through in order for you to get the best result. No one solution is right for everyone and all treatments should be individualized.

Depending on what you are treating, there are several treatments available.

For red issues - broken vessels, rosacea, ruddiness - nothing beats Intense Pulsed Light (IPL) or FotoFacial Treatments. It takes several treatments to get the end result, but in addition to significantly reducing the red, the treatments also reduce pore size, stimulate collagen and overall improve the texture of the skin.

For photodamage, fine lines and wrinkles, ActiveFX fractional skin resurfacing does a splendid job - keep in mind there is some downtime with this, but the results are very good.

Chemical peels on a regular basis are extremely helpful in keeping the skin healthy and you don't have to have your face falling off to get good results.

Bottom line though, you need to be using effective clinical products on a daily basis to improve and maintain. These products should physiologically change the structure of your skin to be effective. Don't rely on treatments alone to achieve your goals.

Also... Do your research, get referrals before letting anyone treat your skin. The equipment is only as good (or dangerous) as the person using it!