Which procedure would help me achieve a more rejuvenated appearance? (photo)

Hello there Holly,
You look attractive and beautiful. I would treat you with a combination of Profound RF (microneedling with radiofrequency), platelet rich plasma (prp), Sculptra foundational volume replacement, and laser skin resurfacing, all performed at one sitting in our office under local anesthesia (with a little medicine to make you very comfortable.). This is my most aggressive non-surgical treatment to maximize rejuvenation with minimal downtime and natural long lasting results. Results from this treatment continue to improve over a nine month time period. At that time I would re-evaluate whether your under eyes would benefit from eyelid surgery. Whatever you decide, please take care to select your treating physician very carefully based on their skill, experience, care, knowledge, board certification, and most importantly their natural artistic vision. Good luck and be well.
Michael Persky, MD
Encino, CA

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon