Nonablative lasers (Excel V+, Clear & Brilliant, Fraxel Dual, LHR) create controlled thermal damage to the underlying dermis while sparing the epidermis of the skin. Certain wavelengths are used to target pigment (melanin) in the skin, treating sun damage and brown discoloration. Other wavelengths are used to heat the deeper layers, thereby stimulating collagen production and improving the appearance of texture and wrinkles over the course of several months. Fractionated ablative lasers (Fraxel Repair) remove a portion of the outer layer of skin (epidermis) while heating the underlying tissue (dermis). This stimulates collagen production to improve the appearance of texture, wrinkles, and scars. As the epidermis heals, the skin often has a tighter appearance. This type of laser has more downtime than nonablative options but requires fewer treatments and generally yields greater results. Microneedling also stimulates collagen production but does so by creating thousands of controlled “micro” injuries to the skin. RF Microneedling (Genius RF) creates the same minute injuries but additionally delivers radiofrequency into the deeper tissue to further enhance collagen production and remodeling. During your consultation, one of our experienced providers while help determine which procedure is best for you.