There are a lot of elements that lead to the aged appearance of the skin. There are four major factors that play a part: pigment, fine lines and wrinkles, skin laxity, and volume loss. Pigmentation from sun damage is one of the worst culprits to making you look older. When our skin is exposed to light, the light is absorbed by the pigment and does not bounce back, giving an aged appearance. A photofacial with a BBL (Broad Band Light) or IPL (Intense Pulsed Light) device helps to break up the pigment. Fine lines and wrinkles can be addressed with a resurfacing laser such as the ProFractional, Fraxel, or MicroLaser peel. A combination of the ProFractional laser and MicroLaser peel (such as the Manhattan Peel-performed in the offices of Plastic Surgery & Dermatology of NYC, PLLC) is the gold standard in anti-aging laser treatments. The Skin laxity requires a laser that will help to firm the skin. There are both non-invasive and minimally invasive devices that can be used to treat laxity. Devices such as the SkinTyte laser, LazerLift, and Smartlipo can help to tighten loose skin. For volume correction, fillers or fat grafting would be required.