Best Laser Treatment for Wrinkles, Sun Damage, and Skin Tightening?

Thank you for your question. I would suggest Ultherapy for facial skin tightening. Ultherapy deposits focused ultrasound energy below the surface of the skin to stimulate the body’s creation of new collagen. As a result, skin will actually begin to lift and tone over time. Collagen is a natural protein that gives skin its youthfulness by keeping it firmed, toned and elastic. Plus, the treatment is completely non-invasive and does not require downtime. I have seen excellent results with the treatment.

The best laser treatments for wrinkles, sun damage and skin tightening will be1. Precision Tx Lazerlift to treat the skin from below2. Picosure Lens Array to treat the skin from abovePrecision TxLazerLift uses a Nd:YAG 1440nm wavelength laser with a thermaguide which makes treatment very safe. Patients complain they do not like their jowls, double chin, turkey neck, sagging skin and wrinkles. The laser will laser away the fat at the jowls, neck and chin, tighten the deep fascia and skin and rejuvenate the skin and provide patient with a younger defined lookPicoSure Lens Array treat the skin from above. It uses the powerful photomechanical effect of the world's first picoSure (Trillionth of a second) pulse and the Focus Lens Array concentrate the PicoPulse into microscopically areas of high fluence (less then 10% of the skin surface) in a low fluence background. Because of this higher power can be used and yet safe and result in younger beautiful skin.The patients I have treated are amazed at the results. They look 5-10 years younger with beautiful skin and described by patients as dazzling.All this is done in the office in one hour under local anesthesia with minimal pain and downtime. Patient can do this on Friday; the dressings will be removed on Saturday and may go back to work on Monday. This is better then the surgical FaceLift.Best,Dr. Yeo

There are a whole host of fractional ablative devices presently on the market with more coming soon. They all claim wrinkle improvement, skin tightening and removal of sun damage with a minimal postoperative recovery and low risk. There has been one peer reviewed article published last month (May 2009) in Journal of Drugs in Dermatology that compared 8 of these fractional resurfacing laser. The main points raised in this study include:
1) The CO2 lasers were found to be superior to the Erbium devices for treatment of wrinkles; and
2) CO2 DOT therapy was the overall winner in the independent-investigator evaluation of baseline and 3 month post treatment photos.
In regard to down time, both of these machines should have equal down time with more oozing from the Sciton Profractional due to it being an Erbium laser which is less able to stop bleeding as compared to the CO2 Dot therapy device.
In terms of risk, since this is fractional ablative technology, they would be similar and include, change in skin pigment, onset of cold sores particular if there is a history of these in the past and you have not received prophylactic medication, and patient dissatisfaction. However, if you chose a physician who has the experience, training and can show their own patent's photos, not the laser company stock photo's your risk is negligible with these devices
Good Luck and God Bless!