From peels to lasers and everything in between, here's what you need to know.

By Rebecca Norris
January 12, 2021
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Woman getting a facial treatment
Credit: Getty / Nastasic

You have an effective anti-aging skincare regimen down, but if you're looking for increased results, it's time to check in with your dermatologist. During your appointment, he or she will likely raise the topic of an in-office treatment (or series of treatments) to help you take your routine to the next level. Feeling hesitant? It's understandable to be weary of these—they're absolutely an investment, but they are also performed under the hand and supervision of a medical doctor, and ultimately, the results speak for themselves. To prepare you for that conversation, we went ahead and and asked two renowned dermatologists to share the anti-aging services they most often suggest to their patients—and here's what they had to say.

Botox

As far as in-office treatments go, this is arguably the most popular one on our list. Comprised of neurotoxins that inhibit muscle movement, "Botox injections reduce fine lines and wrinkles on the face and neck," explains Dr. Anne Chapas, the founder of Union Square Laser Dermatology. "Neurotoxins also increase skin's pliability and elastic recoil, which are the biomechanical changes that mimic those of more youthful skin." Timing is key here, she continues: "I recommend people consider using neurotoxins when they begin to notice fine lines at rest," Dr. Chapas says, noting that early injections, commonly applied in the forehead or around crow's feet, actually prevent lines from deepening. "If you have long term, deep-set burrowed wrinkles, neurotoxins may not be able to completely erase them—which is why it's important to start these treatments before the wrinkles are deeply etched." Results last between three to six months (depending on the area) and pricing usually starts around $650 per treatment—but the final cost is dependent on the number of areas of application.

Aquagold Microneedling

This microneedling treatment uses 24-karat gold needles to create micro injuries in the skin, which "result in cell turnover and increased collagen production as the body goes through the natural healing process," cosmetic dermatologist Dr. Michele Green explains. "The unique delivery through the micro channels allows the ingredients (a mixture of Botox, Restylane, and antioxidants) to penetrate 600 microns deep to rejuvenate and tighten the skin." It's the ultimate option for those who want results fast—or don't want to adhere to the rigor of multiple appointments. "If you're seeking a way to easily revitalize the skin in as little as one session, the Aquagold Microneedling treatment may be right for you," Dr. Green affirms, adding that results typically last between three to six months. Just be prepared for the cost: Pricing typically starts around $1,500.

Chemical Peels

A texture-improving treatment, chemical peels are another popular introduction to in-office services. They're common for a reason: Put simply, they work, and they do their job well across a myriad of skin types to boot. "Chemical peels can range from superficial to deep and can be customized to suit your skin type, specific concerns, and allowable downtime," Dr. Green offers, noting that they are best for those who have have a rough or dull texture, acne scarring, or sun damage. It's not a one-and-done process, though—chemical peels perform best when they're a regular part of your complexion upkeep, especially since noticeable results won't last beyond a week. "The more peels you do, the better your results," Dr. Green adds, noting they range anywhere from $500 to $600 per treatment.

Clear+Brilliant Laser

This safe, fractional laser improves skin texture and pore-size appearance and promotes firmness and elasticity, as well. "The laser's energy creates millions of microscopic treatment zones in the upper layers of the skin, replacing damaged skin with healthy, younger looking tissue," Dr. Green explains, noting that it addresses early signs of aging on the face, neck, and body. Ultimately, though, anyone hoping to improve the appearance of their skin can benefit from a treatment, which tallies in around $500 per session. Results become evident a week post-laser—and last for up to six months (which makes the price tag worth it).

Dermal Fillers

Dermal fillers are collagen-replenishing hyaluronic acid fillers, like Restylane and Juvéderm. They are designed to plump the skin, says Dr. Green, adding that they instantly smooth wrinkles or add volume to a sunken area. They are commonly used under the eyes or in shallow facial folds—but they can also plump lips and cheeks. They have long-lasting effects (expect plumpness to last between three months to two years, depending on the filler used and the area treated), but come at a cost. Expect to pay between $950 and $1,200 per syringe, depending on formula you choose.

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