Top dermatologists explain your options for the most appropriate in-office procedures.
Looking for a little something extra? Consider supplementing your at-home regimen with a noninvasive procedure in a doctor's office or spa to accelerate the results a bit. Top dermatologists explain your options.
While many doctors are reluctant to recommend injectables, lasers, or even peels at this stage of the game, Susan Taylor, a dermatologist in Philadelphia, says that regular, seasonal facials can help keep pores clear and prevent blackheads.
If you're seeing fine lines around the eyes or have a number 11 etched between your brows, nothing beats the wrinkle-relaxing powers of botulinum toxin type A injections, such as Botox or Dysport (about $400 and up per session; you may need a few a year). "I call the treatments I give to my 30-something patients 'baby Botox,'" says Neal Schultz, a Manhattan dermatologist. These treatments consist of tiny injections in a few spots to smooth and prevent the deepening of lines. If, however, you're more concerned with uneven tone or breakouts than fine lines, Taylor suggests chemical peels (at $100 a pop; you may need six) to "remove discoloration, lighten any dark spots, and smooth the texture of the skin."
Again, Botox and Dysport top the list for their ability to erase existing lines and help prevent new ones from forming. Fillers, such as Restylane and Juvéderm Voluma XC (prices and duration of results are comparable to botulinum toxin type A injections), run a close second, though, as they do what you might think: They fill droopy areas, like cheeks, producing a more lifted look.
Because this is the decade of dwindling collagen loss—as well as the time when sun abuse from the past becomes noticeable in the form of dark spots—many dermatologists recommend laser-resurfacing treatments, such as the no-downtime Clear+Brilliant or the more intensive Fraxel Dual. (Prices range from the high hundreds to the low thousands, depending on where you live.) Both can help jump-start the production of fresh collagen as well as lighten discoloration in one session.