& Cost

How it works




side effects

Recovery time

What’s new

How long results last


$90 to $200

Controlled spray of crystals is directed onto skin, removing dead cells.

Virtually painless.

Does not affect the most obvious signs of aging, like wrinkles, mottled or sagging skin. Has no affect on acne scars or pigmentary problems.

Hyper-pigmentation, perforation, bleeding, irritated skin & infection.


Skin may look sunburned.

Do-it-yourself kits.

30 days


$175 to $800


Purified form Neurotoxin Complex (botulinum toxin type A) is injected into muscle, temporarily paralyzing it.

Relatively painless.

When you stop receiving treatments, you may end up with deeper wrinkles than when you started.

Drooping of the eyelids, headaches, flu-like symptoms, and nausea. High doses and frequent injections of botulinum toxin have been linked to the formation of antibodies.

None. Sometimes results will not be seen for several days.

Approved by FDA for frown lines between eyes only.

1 to 3 months

Collagen injections

$195 to $600

Injectable (bovine) collagen is a liquid made from the connective tissue of cows or pigs that is injected into and under the skin.

Collagen is actually part of the natural support structure of your skin.

Because it can cause allergic reactions, a skin test is recommended 30 days before the procedure.

Swelling, bruising, allergic reaction (rash, hives, joint and muscle pain, headache, and, in a few cases, severe reactions that include shock and difficulty breathing).


Synthetic collagen.

2 to 6 months

Restylane and Hylaform

$350 to $600

Hyaluronic Acid gel is a filler that is injected into the skin to restore  natural volumes underneath the wrinkle.

Good for filling out nasal-labial folds (deep lines on both sides of mouth).

It is a new medical procedure only on the market since 2004. Requires local anesthesia.

Pain, redness, swelling, itching, discoloration, and tenderness at the point of injection. Moderate acne-like formations may appear.

Redness usually disappears after a couple of days.

Treatment is new.

6 to 8 months

Autologous fat injections

$900 to $5,000

Fat from another part of the body—usually the abdomen, thighs, or buttocks—is injected into the face.

Since the fat is taken from your own body, it’s completely natural.

Takes several injection/ operations for a permanent effect to be noticed. Procedure is performed in operating room, under sedation.

Swelling and bruising following the operation.

It will take about a 1 to 2 weeks for most of the swelling to go down.

New alternative is ALLODERM (prepared skin from other people).

This comes as a non-allergenic sheet of dermis so that it can be placed under creases to fill them in.

8 to 18 months

Chemical peels

$180 for a light peel; $2000+ for a deep peel

Literally peels away skin. Comes in three categories: light (superficial), medium, and deep.

Light peels are low-risk if done properly. Can be done without anesthesia.

A deep (phenol) peel is a serious medical procedure, requiring full sedation and hookup to a heart rate monitor.

Scaring, infection and permanent uneven changes in skin pigmentation.

None for light peel: 10 to 14 days for medium peel. With deep peel, may take 3 to 9 months.

Do-it-yourself facial-peel kits.

3 months for light peels; 1 year for medium; up to 10 years for deep peel.

Laser resurfacing


Sometimes called "laser peel”,  A carbon dioxide (CO2) laser is used to remove areas of damaged or wrinkled skin, layer by layer.

This surgical method produces less bleeding, bruising and post-operative discomfort than is typically seen with other resurfacing methods.

Burns, swelling, scarring, and obvious lightening or darkening of the treated skin.

Can activate herpes virus infections ("cold sores"). Slight risk of scarring.

6 to 12 months.

Newer lasers, that are gentler on the skin but may not be as effective.

Up to 10 years

Thermage $2000 to $5000

Lower layers of skin are heated with radio waves while cooling spray protects outer layers. The result is overall tightening of skin as deeper layers produce more collagen.

Results can be dramatic, but more than one session may be required.

For unknown reasons, procedure works on some people but not others.

The procedure is fairly uncomfortable and requires painkillers.

Skin will be red and swollen for up to a week. Will take 3 to 6 months to see results.

Approved by FDA in 2002 to remove wrinkles around the eyes, now being used to treat the whole face.

Up to 2 years