Your physician would be able to answer your question in terms of his preferences. However, I would normally use a combination of BBL (a type of IPL from Sciton) and Halo Laser or Erbium Laser depending on the severity of the wrinkles.
Treatment for multiple concerns
You may want to try a combination treatment of IPL and fractional laser. IPL can address the pigmented lesions, broken blood vessels and permanent hair reduction (as long as the hair is not gray or very light blond). The fractional laser can reduce the lines and wrinkles as well as rejuvenate the skin by promoting collagen production. These treatments would require little to no down time.
Treatment of facial age spots, medium wrinkles and broken blood vessels
All three of your skin problems are very common. I would use BBL (a brand of IPL) to treat the age spots and the small blood vessels around your nose. Treating the medium wrinkles depends on your down time or the amount of time you have off work. If you have a couple of weeks then I would recommend a deep resurfacing with an Erbium laser, but if you only have a few days or a week then I would lean toward the fractional treatment.
Combining modalities may be ideal
Resurfacing lasers, such as fractionated CO2 lasers, will address wrinkling and some brown dyscolorations, but broken blood vessels may need to be cleaned up with a KTP or V-beam laser. Excel V is ideal for blood vessels. IPL can offer brown discoloration improvement and Pearl may be able to address some tightening.
Without photos it is difficult to commit what will be best, resurfacing maybe an option, depending on your downtime.
Video below for more information on lasers.
Dr Davin Lim
I would opt for a resurfacing treatment, such as a fractional laser, which can address all 3 problems you listed to some extent. IPL is better for sun spots, but will not address wrinkles. Depending on the size of blood vessels on your nose, you may need s touch up with the excel V laser to "spot" treat that area.
lasers often work best in combination, so keep that in mind! Good luck.
Dr. Vanden Bosch
Which one of the Doctor's lasers is best for you?
I would vote for the Fraxel, especially if the doctor agrees with me! Take his or her advice!
Dr Beverly Johnson