Which procedures other than facelift or Botox would minimize the appearance of fine lines, sagging skin and large pores? (photo)

Both do different things. CO2 lasering is the gold standard in minimizing wrinkles, decreasing pore size, and toning skin. There is no evidence to suggest it dissolves fat. Also, because it affected the elastin fibers by shortening them, it tightens the skin.Needling is limited in that it affects only the superficial layer of skin. I can improve fine lines and pores but has no real affect on the elastic fibers.
Hope this helps.

The one, three-quarter face smiling photo is unfortunately insufficient for a proper evaluation. However, generally speaking, in the hands of an experienced, board certified cosmetic dermatologist filler expert, the use of appropriate HA fillers can both contour the face, I..e. create a more feminine ogee curve, as well as diminish smile lines, improve the under-eyes and define the jawline and provide lift where necessary. These treatments typically yield immediate results and engender little to no significant post-treatment downtime.
On the other hand, ablative CO2 laser treatment is an aggressive approach that runs the risks for infection, scarring, permanent dyspigmentation, and even a permanent abnormally glossy orange peel appearance; it also typically engenders significant post-treatment downtime. .
You would be wise consult with an experienced, board certified cosmetic dermatologist filler expert. Best of luck.