What is best for sun damage on chest: Fraxel vs Halo vs VBeam vs IPL?

you should start wit ha cosmelan peel (we can send to you) and then 2 weeks later do fraxel + BBL. wrinkles and pigmentation will improve.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) 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 or moxi 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/pixel8 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.

For treatments on the face and body, I always prefer a combination of HALO and BBL together.
With the BBL, I can bring the discoloration to the surface and treat redness. With using HALO, I can then clear out the remaining pigment and minimize redness. In addition to improvement of fine lines, poor texture of the skin.

After the initial treatment, maintain with Forever Young BBL 2-3 times a year for continued regeneration.

I like the BBL for the treatment of reds and browns in the skin. The Halo can help with some of the texture and early wrinkling. You could even consider some Sculptra to the area to help further with the wrinkle reduction.

Andrew Campbell, M.D.
Quintessa