Fraxel Laser Vs Affirm CO2 Laser Rejuvenation?

There is no simple answer to this question. Let's first address the age spots. There are many different treatments for age spots including:  bleaching creams +/-Retin-A (or similar), 20% TCA Peel, IPL (photofacial), Laser peel (erbium or co2). Of these options, the laser peel is a bit of an overkill for age spots alone, but effective and becoming more commonly used. A light TCA peel can have good results and costs $200 or less. Usually only one treatment is needed. It will have minimal effect on wrinkles.  Photofacial is great, especially if one has redness (telangiectasia) as it can treat both. Topical creams help reduce the appearance of age spots and is great for those with light ones and as a maintenance routine. For wrinkles there are many different options as well. For fine lines, one can consider: multiple glycolic peels, 35% TCA peel, laser resurfacing, and topical creams (Retin-A, etc). The TCA peel is extremely effective, has 5-7 days downtime, if not more, and is generally less expensive than the laser peel. I prefer the carbon dioxide laser over the erbium as more heat is generated and therefore more skin tightening. This is especially the case for moderate lines, where skin tightening is needed.