Erbium/CO2 or RF microneedling?

Thank you for your question. The concerns you mentioned are due in part to collagen loss, which occurs naturally over time. Less collagen leads to skin laxity and the formation of static lines in the lower face. The best solution is to restore collagen levels, which can be done with a fractional laser or RF microneedling. I encourage you to schedule a consultation with an experienced, board-certified dermatologist for an in-person assessment and customized treatment plan.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Thank you for the question.

If it is largely fine lines that you are looking at, often combining fractional Co2 or Erbium with injectable fillers gives excellent results.

RF needling is not a bad option either but I tend to use it as a maintenance tool.