It is not clear from your question whether you are looking to treat vaginal atrophy or skin atrophy on your face. Vaginal hormone replacement is both very effective and safe over the long term, however, if you choose not to use it there are excellent alternative available with use of the MonaLisa Touch C02 laser or Tempsure Vitalia radiofrequency treatments. If you are looking to treat facial atrophy, then many options exist, including hyaluronic acid fillers, growth serums, retinols, C02 laser. Ideally, you would be able to find a doctor with expertise in all these areas, but if not available in your area, you may need to consult a gynecologist for the hormone treatments/vaginal laser and a cosmetic doctor for the facial treatments. Best, Dr. Tkatch