Can I use the DermaWand to reduce vertical wrinkles above my upper lip or will it make them worse?

This would be a question best suited during a formal consultation with a board certified physician. Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling(/RF)/PRP, aerolase, and ...

Thermage does very well for skin tightening and when used properly will not cause any long term consequences on the skin or facial fat.  Best, Dr. Emer.

Thank you for your question. This is something you should ask your surgeon. For my patients, I generally do not recommend facial treatments after fat grafting for 4-6 weeks, other than their daily skin care products and gentle cleansers like Clarisonic.