The strongest treatments are performed by a doctor. They penetrate farther into skin than topical options, and over time can smooth bumps, diminish discoloration, help treat fine lines, and zap acne. Make sure to have them done by a board-certified dermatologist, or an aesthetician working under the guidance of one.
MICRODERMABRASION Doctors use a tool to sand away dead skin, which causes tiny bits of injury that spur cell production, according to Jacob. The tips vary in coarseness, and some new devices spray fluid to hydrate newly exposed skin. You might feel slightly sunburned for a day or two afterward.
DERMAPLANING An expert uses a blade to shave off facial fuzz— plus a layer of fading cells. The upshot: velvety skin with no downtime.
IN- OFFICE PEELS A chemical solution containing high doses of AHAs and BHAs is applied for several minutes, then removed. Results depend on strength, but they eventually make skin radiant and smooth. Post-peel redness lasts from a few hours to a few weeks.
FRACTIONAL LASERS They’re the most efficient way to buff skin and kick-start collagen production. But they also require the most downtime. The most common ones, like Fraxel, send light into skin to trigger the wound response, cuing a surge in cell production. Expect swelling and redness for a day or two, and peeling on dark spots for about a week before resurfaced skin makes its debut.