Use this comprehensive guide to choose the right thing for you.
When it comes to skincare, one size doesn't fit all. With so many tools available, each targeting a specific issue, choosing the wrong one means wasted time, money, and worst of all, risking damage to your skin.
Let's start off by understanding ourselves: answer the questions below to pinpoint exactly what our skin needs most.
Now that we've discovered our concern, let's find the right solution. Click the link to explore available products and procedures, how they work, pros and cons, and what to expect in terms of cost and results:
In this guide
Start with your concern
Tools for Expression LinesSmile lines, frown lines, dynamic wrinkles or rhytides
Tools for Fine LinesCrinkling lines, static wrinkles or rhytides, atrophic crinkling rhytids
Tools for Sagging SkinLoose skin, turkey neck, skin laxity problems, cutis laxa
Tools for Excess FatChubby cheeks, double chin, jowls
Tools for Skin TextureDry skin, enlarged pores, clogged pores, bumpy skin, uneven coloration or skin tone
Tools for Skin MaintenancePreventative tools, prejuvenation, rejuvenation tools
Specialized concerns aren't covered in this guide. Speak to a dermatologist about the condition first, before layering anti-aging treatments on top of it.
How to filter quickly
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- Suitable for home-based self-application
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- Treatments delivered in-clinic
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- Effective but invasive procedures
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- Wallet-friendly options
01Smoothing Expression Lines
Expression lines are wrinkles that appear dynamically when we move our face: smiling, frowning, or raising our eyebrows. These wrinkles are caused by repetitive facial expressions, as the skin gradually loses elasticity and folds along muscle movements.
While they're a natural part of aging, the right kind of treatment can help soften these lines and prevent them from becoming more permanent:
1Botulinum Toxin (Botox) Injections
- How it works
- Botox temporarily relaxes the muscles that cause dynamic wrinkles, smoothing the overlying skin by preventing movement of the targeted facial muscle.
- Pros
- Fast-acting and effective, Botox is a quick treatment that delivers visible results within days. Results are usually long-lasting (3–6 months) with minimal downtime.
- Cons
- Must be done by a professional and repeated periodically, with cost adding up over time ($200–500 per session, depending on the brand and number of units administered). May permanently change facial expressions when used repeatedly.[1]
- Best for
- Wide wrinkles located around a specific region that only appear when the face moves.
2Surgical-grade Radiofrequency (RF) Microneedling
- How it works
- Surgical-grade RF treatments combine radiofrequency energy with microneedling to deliver heat deep into the skin layers. This stimulates intense collagen remodelling and immediate tissue tightening to lift the skin.[2]
- Pros
- Powerful, long-lasting results, treating both surface wrinkles and deeper skin layers, with the potential to address severe wrinkles and sagging.
- Cons
- Must be done by a professional, with a higher upfront cost ($800–2,000 per session) and potential downtime from redness or swelling, depending on the individual.
- Best for
- Chronic, deep expression lines that are always noticeable and worsen when we smile or frown.
02Getting Rid of Fine Lines
Fine lines, or smaller wrinkles, are creases caused by a natural loss of collagen, elastin, and moisture in our skin over time. While their appearance is a natural part of aging, unprotected sun exposure, smoking, sleep deprivation, alcohol use, prolonged stress, or vitamin deficiency can exacerbate the thinning of our skin and its loss of elasticity.
Along with a healthy lifestyle, these tools can effectively smooth out lines and restore the skin's appearance:
1Home-use Radiofrequency (RF) Devices
- How it works
- RF devices deliver heat energy to the dermis through contact with the skin, stimulating cells to increase collagen and elastin production. This strengthens the skin's structure and reduces the depth of wrinkles over time.[3]
- Pros
- Non-invasive and suitable for regular use. RF devices can improve skin texture and firmness gradually with minimal side effects, and they're safe for darker skin.
- Cons
- Results take time and require consistent use. There's an upfront cost for a quality device ($700–2,000).
- Best for
- Fine to moderate wrinkles that don't go away even when the skin is well-hydrated.
2Microneedling Treatments
- How it works
- Microneedling creates tiny punctures in the skin, triggering a healing response that boosts collagen production. This may be combined with RF, adding heat to enhance results.[4]
- Pros
- Penetrating the skin through microneedles, the treatment stimulates deeper skin renewal to improve both texture and elasticity.
- Cons
- Must be done by a professional to be safe, which can be expensive ($300–1,000 per session) and requires downtime due to its invasive nature. Home microneedling devices are less powerful and carry risks of infection, scarring, and hyperpigmentation.
- Best for
- Stubborn wrinkles, or areas with a combination of wrinkles and uneven texture.
3Chemical Peel Treatments
- How it works
- Using acids, this treatment exfoliates the skin to remove dead cells and reveal the smoother, fresher skin underneath. The process also stimulates collagen over time.[5]
- Pros
- When applied at the first onset of wrinkles, this treatment is effective for surface-level fine lines and discoloration.
- Cons
- Not effective for deeper wrinkles, and may cause irritation for sensitive skin. Results are temporary and require regular upkeep.
- Best for
- Use as a complementary treatment alongside other tools.
4Retinol and Peptide-based Skincare Products
- How it works
- Retinol serums and creams promote cell turnover and collagen production, while peptides support skin repair. These products improve skin hydration over time to minimize the appearance of static wrinkles.[6][7]
- Pros
- Affordable and easy to integrate into a daily routine, these products are great for prevention and maintenance.
- Cons
- Takes time to see results (3–6 months) and may cause irritation for sensitive skin. In general, creams and serums have limited skin penetration, resulting in limited impact on deeper wrinkles.
- Best for
- Use alongside other treatments.
03Tightening Sagging Skin
A common sign of aging, sagging skin usually appears around the lower face and neck. Also known as crepey skin, it's caused by the gradual loss of collagen, elastin, and facial fat, which reduces skin firmness and leads to drooping along the jawline, cheeks, and neck.
Whether from natural aging or weight loss, loose skin can be addressed by tightening or lifting to restore our natural contour:
1At-Home Radiofrequency (RF) Devices
- How it works
- RF devices deliver electrical energy through the skin, which is converted to heat energy in the dermis. In the short term, the heat contracts collagen for an immediate skin-tightening effect; in the long term, it stimulates the body to produce more collagen.[3]
- Pros
- Non-invasive and safe for regular use. RF devices can improve skin texture and elasticity alongside an immediate face-tightening effect within days.
- Cons
- The tightening results are noticeable but short-term. There's an upfront cost for a quality device ($700–2,000).
- Best for
- Mild sagging around the jawline and cheeks, where wrinkles are also present.
2At-Home EMS or Microcurrent Devices
- How it works
- EMS and microcurrent devices send pulses to stimulate facial muscles, mimicking the electrical signals sent by the central nervous system to tone and lift muscles. Stronger muscles can provide better support for the skin and reduce the appearance of sagging.[8]
- Pros
- Non-invasive and easy to use at home, with affordable options ($100–500). In general, EMS is stronger and better for slimming larger areas, while microcurrent suits smaller areas around the eyes.
- Cons
- Results take time and consistent use, and these treatments may not address loose skin or wrinkles directly, requiring other treatments alongside.
- Best for
- Early-stage sagging, or as a complement to RF or professional procedures.
3Ultherapy High-Intensity Focused Ultrasound (HIFU)
- How it works
- Ultherapy uses focused ultrasound energy to stimulate collagen production in deeper skin layers, tightening the skin and lifting sagging areas over time.[9]
- Pros
- Non-invasive with long-lasting results, penetrating deeper than RF devices. Usually one to two treatments are sufficient.
- Cons
- Must be administered in a clinical setting or by a professional, at a higher cost ($2,000–4,000 per treatment), and may be slightly uncomfortable during the session.
- Best for
- Moderate to severe sagging, especially in the neck and jawline.
4Clinical-Grade RF Microneedling
- How it works
- Delivering RF energy through microneedles that penetrate the skin, these devices target deep tissues to stimulate collagen remodelling for long-term lifting and tightening. Surgical-grade RF can significantly reduce sagging.[2]
- Pros
- Compared to surgery, RF microneedling provides drastic results with minimal downtime, with long-lasting effects after a few sessions.
- Cons
- Must be administered by a professional, at $800–2,000 per session.
- Best for
- Significant improvement to loose skin without surgery.
5Surgical Facelift and Thread Lifts
- How it works
- In a surgical setting, a facelift involves repositioning the skin and underlying tissues, while a thread lift involves inserting dissolvable threads under the skin to physically lift sagging areas.[10][11]
- Pros
- Providing drastic, immediate lifting effects, both procedures address sagging skin and deep facial structures, can be tailored to specific areas, and provide a tighter contour than our original appearance.
- Cons
- Thread lifts have non-permanent results (1–2 years) costing around $1,500–4,000, while a surgical facelift comes with significant downtime for recovery at a high cost of $10,000–20,000+. Both require a skilled professional to avoid complications, and carry the risks associated with invasive procedures.
- Best for
- Severe sagging that cannot be reversed with non-surgical methods.
04Removing Excess Facial Fat
We might notice puffiness in the face that isn't associated with water intake or feeling bloated. This excess facial fat may cause a double chin or darkened shadows around the nasolabial folds. Unlike sagging skin, it's usually associated with softer, wider wrinkles without folding skin.
Some of us may not like the heavier, rounder appearance, and several clinical procedures can sculpt the face and reduce unwanted fat:
1Clinical Monopolar Radiofrequency (RF)
- How it works
- Monopolar RF is a clinical device that delivers focused heat energy into the deeper tissues of the fatty layer to target fat cells. This heat breaks down fat cells and contracts collagen to help contour and tighten the skin. Note that home-based RF devices cannot deliver enough power to reach the fat layer and cannot be used as a substitute.[12]
- Pros
- A non-invasive procedure targeting fat and cellulite, applicable to various areas with no downtime.
- Cons
- Results require multiple sessions (4–8) at $300–800 per session.
- Best for
- Mild to moderate fat deposits around the chin and cheeks.
2Cryolipolysis (CoolSculpting)
- How it works
- Fat cells in targeted areas are frozen, causing them to break down and be eliminated by the body over time. It's a popular non-invasive treatment for stubborn fat pockets.[13]
- Pros
- With no significant downtime, this treatment offers long-lasting fat reduction of up to 25% and is great for targeting localized fat.
- Cons
- Temporary numbness or discomfort may be experienced during treatment, and multiple sessions can be needed for noticeable results, at $750–1,500 per treatment area.
- Best for
- Mild to moderate fat deposits around the chin and cheeks.
3Ultrasound-based Fat Reduction
- How it works
- High-intensity focused ultrasound delivers energy deep into the tissue to break down fat cells while tightening the skin. It's a dual-purpose treatment ideal for contouring and lifting.[14]
- Pros
- Non-invasive with no downtime, giving lasting results in one or two sessions. Addressing both loose skin and excess fat makes it more cost-effective.
- Cons
- Needs to be done in a clinical setting, may cause discomfort during treatment, at a higher cost of $2,000–4,000 per treatment.
- Best for
- Targeted fat reduction and skin tightening in smaller regions.
4Liposuction
- How it works
- Liposuction is a surgical procedure to physically remove excess fat directly from targeted areas. While traditionally associated with body contouring, it's also effective for areas like the chin and cheeks.[15]
- Pros
- Fat removal is permanent and done in one procedure, with drastic results visible immediately.
- Cons
- Its invasive nature means downtime and potential risks, and it may leave loose skin requiring additional tightening treatments. Performed by surgeons, it can cost $3,000–7,000 depending on the area.
- Best for
- Significant fat reduction in larger areas.
5Fat-Dissolving Injections
- How it works
- Taking Kybella, the FDA-approved injectable, as an example: fat-dissolving injections use deoxycholic acid to break down fat cells in specific areas. Over time, the body naturally eliminates these cells.[16]
- Pros
- Non-surgical with no downtime, giving permanent results once the fat is dissolved.
- Cons
- Multiple sessions may be required (2–6) costing $400–2,000 per session. There may be temporary swelling or bruising.
- Best for
- Small, localized fat pockets under the chin.
6At-home Sculpting Tools
- How it works
- Devices like gua sha tools, facial rollers, and EMS devices may improve lymphatic drainage and reduce puffiness. They cannot reduce fat, but may slim down a puffy appearance.[17]
- Pros
- Affordable at $5–200, these tools can complement other treatments by reducing water retention.
- Cons
- Limited effect on true fat reduction, with temporary and subtle results. Some people dislike the dragging sensation on the skin.
- Best for
- Puffiness due to water retention.
05Improving Skin Texture
Uneven skin texture can come from multiple factors: aging, acne, clogged pores, buildup of dead skin cells, genetics, and lifestyle habits. To address these concerns, various products, procedures, and devices work by exfoliating, resurfacing, or stimulating the skin's natural renewal process, leaving it smoother and more radiant.
Let's explore the most effective solutions to refine and rejuvenate our skin's surface:
1Microneedling Treatments
- How it works
- Microneedling creates micro-injuries in the skin, stimulating collagen and elastin production. If paired with RF energy, it boosts the skin-tightening effects and helps resurface uneven areas.[4]
- Pros
- Improves both texture and elasticity to treat acne scars and large pores, offering long-lasting results after a few sessions.
- Cons
- Requires professional treatment ($300–1,000 per session) and results in downtime from redness and sensitivity. Home microneedling tools increase the risk of infection, scarring, and hyperpigmentation.
- Best for
- Acne scars, large pores, and overall texture improvement.
2Laser Resurfacing
- How it works
- Using fractional or CO2 lasers, this treatment removes layers of damaged skin while stimulating collagen production. Fractional lasers target specific areas, while CO2 lasers resurface the entire face for deeper rejuvenation.[18]
- Pros
- Dramatic improvement for deep scars and uneven texture, with long-lasting results over a few sessions.
- Cons
- Requires significant downtime (~2 weeks) for recovery, at a high cost ($1,000–3,000 per session). As an ablative light-based approach, it's not suitable for darker skin tones due to the risk of pigmentation.
- Best for
- Severe acne scars and rough patches on lighter skin tones.
3Non-laser Light Treatments (IPL)
- How it works
- Intense Pulsed Light (IPL) uses broad-spectrum light to target pigmentation, redness, and acne scars. By heating the skin, IPL also stimulates collagen production for smoother, more even skin.[19]
- Pros
- A non-invasive treatment that refines texture over time with little downtime, reducing redness, discoloration, acne scars, and spider veins.
- Cons
- Requires multiple sessions for optimal results ($300–600 per session), and can cause discomfort during treatment. Not suitable for darker skin tones or tattooed areas.
- Best for
- Acne scars, redness, and discoloration contributing to uneven texture.
4Dermabrasion and Microdermabrasion
- How it works
- During dermabrasion, the skin's top layer is mechanically exfoliated using a rotating tool. Microdermabrasion is a gentler, non-invasive version using crystals or a diamond tip.[20]
- Pros
- Immediate results for smoothing out rough skin, with affordable options available ($75–200 per session).
- Cons
- Effects are relatively temporary and require ongoing sessions. Not suitable for deep scars.
- Best for
- Mild texture irregularities and minor scars.
5Blackhead-Eliminating Devices (Suction or Vacuum Extractors)
- How it works
- These handheld devices use suction to remove blackheads and impurities from pores, leaving the skin clearer and smoother. Some combine suction with light therapy to address acne bacteria.[21]
- Pros
- Physically removes blackheads and clogged pores with minimal trauma to the skin, gentle enough for regular use. Affordable options available ($30–150).
- Cons
- Overusing the device can irritate the skin or enlarge pores, and it requires a gentle technique to avoid bruising.
- Best for
- Blackheads, clogged pores, and mild skin texture concerns.
6Retinoids and Exfoliating Acids
- How it works
- Retinoids in topical products speed up cell turnover, reducing rough patches and improving skin texture over time. Exfoliating acids like glycolic or salicylic acid remove dead skin cells and unclog pores.[22]
- Pros
- Affordable and easy to use, at $10–100 per product, improving texture gradually with minimal side effects.
- Cons
- May take a long time to see results (3–6 months) and can cause initial irritation or dryness depending on the person. Limited effect on deep scars.
- Best for
- Early-stage texture concerns, like dullness or mild roughness.
7Chemical Peel Treatments
- How it works
- Chemical peels use acids to exfoliate the top layer of skin, revealing smoother skin underneath. They range from mild at-home peels to deep professional treatments.[5]
- Pros
- Improves rough texture, fine lines, and discoloration, at an affordable price point.
- Cons
- Deeper peels require downtime and can be costly, with results needing maintenance. On sensitive skin, they may cause further irritation.
- Best for
- Surface to medium-level roughness, dullness, and enlarged pores.
8Home-based Radiofrequency (RF) Devices
- How it works
- RF devices stimulate collagen production through heat generated from electricity, improving skin elasticity and helping smooth rough texture over time.[3]
- Pros
- Non-invasive and pain-free, offering improvements in both skin texture and contour tightness.
- Cons
- Results require consistent use. The clinical treatment combining RF and microneedling is more effective for deep scars.
- Best for
- Mild to moderate texture issues, and smoothing fine lines.
9LED and Near-Infrared Light Therapy Devices
- How it works
- LED masks, facial wands, or attachments use specific light wavelengths to target skin concerns. Red light stimulates collagen production and reduces inflammation, while blue light targets acne-causing bacteria; near-infrared light penetrates deeper into the tissue.[23]
- Pros
- A non-invasive, pain-free method to reduce redness and inflammation over time, convenient for home use. Priced at $100–1,000, the device trades off price against power output, intensity, and proximity to the skin, all of which directly affect effectiveness.
- Cons
- Results are gradual and require consistent use. Only specific wavelengths have clinically validated evidence (red: 630–700 nm, blue: 400–470 nm, NIR: 760–1,400 nm).
- Best for
- Reducing redness and minimizing the appearance of pores.
06Maintaining Skin Health
Like going to the gym, it's essential to focus on maintenance when it comes to skincare. The goal isn't just to fix problems, but to preserve the progress we've made and keep our skin looking healthy for years to come.
Here are some key practices and skincare products for optimal maintenance:[24]
1Daily Sunscreen Use (SPF 30 or Higher)
- Why it's essential
- UV damage is one of the primary causes of premature aging, leading to wrinkles, sagging, and discoloration. Daily sunscreen use protects your skin from harmful rays, preventing new damage.
- Pro tip
- Use a broad-spectrum SPF to shield against both UVA and UVB rays, and remember to reapply when outdoors.
2Incorporate Antioxidants
- Why it's essential
- Antioxidants like Vitamin C and E neutralize free radicals, which can damage collagen and accelerate aging. They also brighten the skin and promote an even tone.
- Pro tip
- Look for serums with 10–20% Vitamin C for maximum effectiveness, and use in the morning under your sunscreen for added UV protection.
3Prioritize Hydration
- Why it's essential
- Well-hydrated skin is more resilient and less prone to fine lines and wrinkles. Moisturizers with hyaluronic acid or ceramides help lock in moisture and strengthen the skin barrier.
- Pro tip
- Use a heavier moisturizer at night to repair and hydrate the skin while you sleep, and don't forget to drink plenty of water throughout the day.
4Retinoids for Long-Term Anti-Aging
- Why it's essential
- Retinoids are one of the most studied and effective ingredients for reducing fine lines, improving texture, and stimulating collagen production.
- Pro tip
- Start with a low concentration (0.025%) if you're new to retinoids, to minimize irritation. Apply at night and follow with sunscreen during the day, as retinoids make your skin more sensitive to sunlight.
5Non-Invasive Maintenance Tools
- Why it's essential
- At-home devices can help maintain professional treatment results by continuing to stimulate collagen and keeping skin firm.[25]
- Recommended tools
-
RF devices | The most effective at-home method for improving skin elasticity and softening formed wrinkles.
LED masks | Red light supports collagen production and reduces inflammation; blue light is most established for acne.[25]
Electroporation devices | Used alongside serums or ampoules, these use brief electrical pulses to create temporary openings in cell membranes, helping active ingredients penetrate deeper.[26]
EMS and microcurrent tools | Mimicking the body's natural signals, these send pulses to muscles for toning and a firmer appearance.
6Holistic Lifestyle Habits
- Why it's essential
- Skin health is a reflection of overall wellness. A balanced diet, regular exercise, and stress management all contribute to looking healthy from the inside out.
- Pro tip
- Eat foods rich in omega-3s, antioxidants, and vitamins; get 7–8 hours of quality sleep each night to allow your skin to repair; and avoid smoking and limit alcohol, as both dehydrate the skin and accelerate aging.
Still not sure what's best? Let your skin tell you.
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