Diane Bowen, MD - Account Suspended

It depends on what you are trying to address...if your concern is uneven complexion then going with the photofacial first.  If it is maintaining good collagen and elastin to prevent facial aging I would suggest microneedling.  

In my office we do a procedure called Fractora that combines microneedling with radio frequency and we have found that it addressess uneven complexion at the same time.  This may be something you want to see if a provider near you offers.  

Best wishes for beautiful skin!

Yes it is safe to have a facial one week after having fillers done.  I would encourage you to inform your esthetician on any and all services you have received since your last facial.  

Best wishes

In my opinion you will need a combination of laser (IPL) to target the uneven pigmentation that already exists and bring it to the surface for exfoliation.  At home skin care regimen needs to be followed to support your efforts with laser and peels.  Some key ingredients include retinol and some kind of lightening agent as well as a vitamin C serum.  SUNSCREEN, SUNSCREEN, SUNSCREEN.  Those brown spots will continue to come back as you are exposed to sun, even through your windows as you drive.  It will be imperative for your to use Vitamin C and sunscreen to prevent any future damage.

Best wises for even skin tone!

In my opinion radio frequency would be a better option for non-surgical tightening.  I agree that it is up to the provider to ensure proper treatment at the right settings and frequency.  A board certified plastic surgeon would be a good option as they specialize in facial rejuvenation.  Keep in mind with radio frequency there will be multiple treatments required to achieve optimum results.  

Best wishes for beautiful (firm) skin!

There are many ways to help with skin care maintenance.  I would suggest you visit a medical spa and have an esthetician complete a consultation with you.  During this consultation they should discuss with you your medical history, current medications you are taking, lifestyle choices including what types of at home skin care products you use.  In regards to uneven skin tone there are options that include IPL (intense pulse light) laser treatments you can do to address uneven tone, as well as certain chemical peels containing lightening agents.  I always stress the importance of at home skin care regimen to support what you are doing with your esthetician.  If complexion is your concerns that there are specific ingredients you should be one including retinol and a vitamin C.  

Best wishes for beautiful skin!