Laser.

"There's a Fraxel-type laser over the counter you can use from Tria. I've used this device on myself and it actually seems pretty effective. I was shocked by how similar the experience was at home compared to in the office, and I think this is an amazing option if you have the income and want to make the investment and you're looking to help volume, especially for crepey skin. This might be the most effective reactive treatment you could do at home that could be very meaningful for you."

"The Tria is an FDA-cleared at-home fractional laser, a 1,140 nanometer non-ablative fractional laser, the same category of laser technology used in fractional clinical laser treatments, just adapted and FDA-cleared at a lower energy level for safe at-home use. After an 8-week treatment and then a 12-week treatment on her forehead over 6 months, the texture in her brow area was much smoother, she had lumps and bumps before, and the furrows and lines were so much smoother. She's calling the 6-month Tria laser treatment a win and will continue to use it. She doesn't think this device is for everybody: if you're looking for in-office clinical results like an ablative or fractional clinical laser treatment, you're going to be disappointed. It works better for people who've had an in-office treatment and want to maintain it, or who have more subtle signs of photoaging. If you have long-standing deep signs of photoaging, deep wrinkling, really severe dark spots, and lots of texture, this probably isn't the device you want. She recommends the Tria as an anti-aging home skin care device for those more subtle signs of aging, and says it fits perfectly into her maintenance routine in between office treatments."

"I usually recommend for an at home laser device the Tria laser which is a real diode laser. [...] This particular laser is the reason I recommend it is it also has a three time contact sensor. So it's going to make sure that you have the right skin contact, there's no inappropriate contact with your skin and you're targeting the right target before it shoots the laser, which adds a couple of security checks for you. The reason that I like it is because it is an actual laser, a diode laser that's going to be ideal for darker hair with lighter skin. [...] Because it is a laser, I would patch test it first. [...] Patch test it, sit, wait 24 hours, look how your skin responds, and then do the rest of your body or whatever it is that you're trying to treat after ensuring that your skin is going to respond appropriately. Make sure you do not have a tan to minimize any risk of burning because it's a true laser. [...] When starting off with the device, start off at the lowest level of power. Do not try to go to the highest level of power thinking you can tolerate it and then regretting it later. Low and slow, consistency over intensity."