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Of these two treatments, I'd say Laser Genesis, but without seeing you in person, it is truly impossible to say if the effects will be enough. It's going to depend on the state of your skin and the depth of any fine lines and wrinkles. I would suggest that you schedule a consultation with a board certified plastic surgeon to be examined in person and discuss your options.
These two procedures are absolutely NOT comparable. Laser Genesis is used for surface improvements - reds and some minimal browns on the skin's surface, and textural improvements. Some pore minimization can occur simply because the rest of the skin looks better (truly, pores cannot be shrunk with anything! but they can look less obvious). Laser Genesis will not help with deep wrinkles or lines. Venus Freeze is for skin tightening and smoothing for the face and neck. It will have zero effect on tone or pores because it has no laser or light component to it; it's only radio frequency. You should seek an in-person consultation with a board-certified dermatologist or plastic surgeon who can help guide you with treatment options. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
No. I don't think that Laser Genesis is a good option for your hands. It won't restore plumpness and most of the age spots on the hands are deeper than the surface area that this laser treats. You would have better luck with either a filler or fat grafting.
Melasma lies deep within the skin's layers so it won't be affected positively by the Laser Genesis as that is a very superficial treatment for surface reds and browns. If your Med Spa doesn't know the answer to this question it concerns me that you aren't being treated at the right place... A...
You wan to wait until all of the flaking subsides before using TriLuma. This will take at least a week. Possibly two. Hope this helps.