Fine Lines & Wrinkle Treatment in Scottsdale, Area by Area
Crow’s feet, smile lines, forehead, lips and neck: what works for each, and why the cause comes first.
The right wrinkle treatment in Scottsdale depends on where the lines are and what’s causing them. Crow’s feet, forehead lines, smile lines, lip lines and neck lines each respond to something different, so this page goes area by area. I’m Nurse Bea, an Aesthetic Registered Nurse and Licensed Aesthetician, and this is how I plan fine line and wrinkle treatment with clients.
Treatments here are done by me or by a certified aesthetic registered nurse who is also a Certified Laser Technician on my team, following my protocol.
Schedule your free consultation — new clients hold their spot with a $50 deposit, credited to treatment or products, or refunded on request. Call (480) 405-0100 · 7054 E Cochise Road B100, Scottsdale, AZ 85253.
What causes fine lines and wrinkles?
Sun is the biggest cause, on top of natural aging. Exposure to UV light breaks down collagen fibers and leads to the production of abnormal elastin, and one study found UV exposure seems to be responsible for 80% of visible facial aging signs.
Other things speed it up too: women’s skin loses about 30% of its collagen during the first five years of menopause, and chronic poor sleep quality is associated with increased signs of intrinsic ageing.
Before any in-office treatment, I want to know what’s causing your lines to show up faster. Living in Arizona, you’re already prone to premature aging; our sun is strong enough that Arizonans are diagnosed with melanoma at a rate 28% higher than the rest of the United States. Then there’s stress, lack of sleep and hormones. Knowing the main causes lets me plan the right treatment. Without that, people go in blindly with treatments that promise to fix the problem: some get lucky and some don’t, and in my experience most clients get better results and waste less money when we start with the cause.
The other half of the foundation is your skin itself. Starting with a good skincare routine, tretinoin and sunscreen, and getting your skin healthy before any in-office treatment, whether that’s microneedling, laser or filler, gives better and faster results in my experience.
Which treatment works for which area?
It depends on whether a line shows when you move, stays when your face is still, or comes from a fold. Lines from repeated expressions respond to Botox; lines that stay at rest respond to collagen-building treatments like laser and microneedling, plus a retinoid at home.
| Area | What usually causes it | What I use here |
|---|---|---|
| Crow’s feet | Squinting and smiling, plus sun | Botox, laser, microneedling, tretinoin and sunscreen |
| Forehead and frown (11) lines | Raising brows and frowning | Botox, laser, microneedling, tretinoin and sunscreen |
| Smile lines | Smiling, gravity and flattening cheeks | RF microneedling, microneedling or laser |
| Under-eye wrinkles | Repeated expressions, sun | Home care, microneedling, RF microneedling (eye-area needles) |
| Lip lines | Pursing, smoking, sun | Microneedling, TotalSkin Solution, Botox before a special occasion |
| Neck lines | Loosening skin, sun | By severity: home care, microneedling, Ultra laser, TotalSkin Solution |
What helps crow’s feet?
Botox for the lines that show when you smile, and laser or microneedling for the fine lines that stay. Crow’s feet are fine lines that form on the outer corners of your eyes, and they’re one of the areas Botox Cosmetic is FDA-approved for.
For crow’s feet I usually combine treatments: Botox to soften the movement, a Laser Facial or microneedling for the texture, and tretinoin plus daily sunscreen at home so the result lasts. More on Botox in Scottsdale.
What helps forehead and frown (11) lines?
The same combination: Botox for the movement, and laser or microneedling for the lines that stay when your face is relaxed. Botox Cosmetic’s FDA approvals cover forehead lines, frown lines, crow’s feet lines, and now platysma bands.
Lines that have been there for years usually need more than Botox alone, because the skin itself has creased. That’s where collagen-building treatments and a retinoid come in.
What helps smile lines?
Collagen-building treatments: RF microneedling for deeper folds, and microneedling or laser for the finer lines around them. Smile lines (nasolabial folds) may appear only when you smile or laugh, then disappear as your face relaxes when you’re younger, and deepen with time.
Filler is often offered first for deep folds, but in my experience it should be the last resort before surgery. If you do the collagen-building treatments first, you might not need filler at all, and the result lasts longer; if you do end up getting filler, you’ll usually need less and get a much better result, because your skin now has more collagen and elastin to support it. We don’t offer filler yet.
In a small study, improvement of nasolabial folds was seen with RF microneedling, especially at deeper settings, which is why Genius RF microneedling is my first choice here. When the fine lines around the folds need work too, I pair it with the laser as the TotalSkin Solution: Genius RF microneedling and the Lutronic Ultra laser in the same appointment. More on RF microneedling.
What helps under-eye wrinkles?
Home care, microneedling, or RF microneedling with special needles made for the eye area. Over time, repeated contraction of muscles underneath the skin can cause dynamic wrinkles under the eyes.
For some under-eye lines, home care is enough: sunscreen every day and a retinoid introduced slowly. For deeper lines, I use microneedling or Genius RF microneedling with the eye-area needles, and we decide at your consultation which yours need.
What helps lip lines?
Microneedling or the TotalSkin Solution for the lines themselves, and Botox if you want them softened within about two weeks for a special occasion. Habits such as smoking and sun exposure can create deeper lip wrinkles.
The Botox lip flip is an off-label use: Cleveland Clinic notes that Botox for lip lines and neck laxity aren’t FDA approved. That’s common in cosmetic practice, but you should know it.
What helps neck lines?
It depends on how severe they are: microneedling, the Ultra laser or the TotalSkin Solution, or for milder lines, home care alone. That home routine is a peptide neck cream (we carry the Derma Made Neck & Chest Renewal Cream), a retinoid and the Omnilux Neck & Décolleté LED mask.
Truly loose, sagging neck skin is a surgical conversation, not a med spa one, and I’ll tell you if that’s where you are.
Does Botox get rid of wrinkles?
It softens the lines that come from movement, for a few months at a time. Cleveland Clinic says the effect from Botox injections lasts around three to four months, so it’s a treatment you repeat.
Botox relaxes the muscle; it doesn’t rebuild the creased skin. That’s why lines that stay at rest need the treatments below as well.
Can laser or microneedling smooth fine lines?
Yes. Both work by building collagen: with non-ablative laser, heat from the laser promotes collagen production, which helps reduce the appearance of lines and wrinkles, and microneedling works by stimulating your body to make collagen.
Our laser is the Lutronic Ultra, a 1927 nm thulium laser; in a small 2023 study of the 1927 nm wavelength, statistically significant improvements in melanin index, skin elasticity and wrinkles were noted. For deeper lines, a review found RF microneedling superior to Er:YAG fractional ablative lasers for treatment of rhytides on the lower face. If you have both deeper lines and fine texture, the TotalSkin Solution combines the two in one visit. More on laser skin resurfacing and microneedling.
How do I get rid of fine lines at home?
A retinoid at night and sunscreen every morning do the most. Prescription tretinoin is FDA-approved for use in the mitigation (palliation) of fine facial wrinkles, and over the counter, topical retinol improves fine wrinkles associated with natural aging.
Sunscreen is the prevention: the AAD recommends broad-spectrum protection and an SPF of at least 30, and in a 4.5-year trial, the daily sunscreen group showed no detectable increase in skin aging. If tretinoin is right for you, our Medical Director can provide it here.
How much does wrinkle treatment cost in Scottsdale?
The consultation is free, and your plan depends on the area and the cause. The Laser Facial is currently $495 a session and Medical microneedling currently $349, each less per session when you buy a series; for Botox, new clients get an introductory price.
RF microneedling is currently $900 a session and the TotalSkin Solution currently $1,200 a session, each less per session in a series or package, and nobody here works on commission. New clients hold their spot with a $50 deposit that goes toward treatment or products, or is refunded on request.
Looking for wrinkle treatment in Scottsdale?
We’re at 7054 E Cochise Road B100, Scottsdale, AZ 85253, on the Paradise Valley side of Scottsdale. We see clients from Phoenix, Arcadia, North Scottsdale, Fountain Hills, Cave Creek and Tempe; hours are Monday to Friday 10am to 6pm and weekends 11am to 5pm, by appointment.
Schedule your free consultation or call (480) 405-0100. Not sure where to start? See how a consultation works.
More questions I get about fine lines and wrinkles
Some do, if they contain a proven ingredient: in a controlled trial, topical retinol improves fine wrinkles associated with natural aging. Most creams without a retinoid only moisturize, which makes lines look softer for a few hours.
It might, but the evidence is still thin. Cleveland Clinic notes most experts say that they don’t know yet if RLT is effective for all its claimed uses, so I treat LED as an add-on, not the main plan.
Yes, and for crow’s feet and forehead lines that’s often what I recommend: Botox for the movement, and laser or microneedling for the lines that stay. We plan the order and timing at your consultation.
Written by Beatrice Moorefield, RN, LE, LSO — aesthetic registered nurse, licensed aesthetician, skin health educator, and founder of Skin With Bea Esthetics, Scottsdale.
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