Hi there, which do you recommend for an over-55 year old – Tixel, microneedling or HIFU for nasolabial folds? Don’t mind a bit of downtime or pain. Don’t want to use fillers. Thanks!

Hiya, TTG editor Georgia here. Of those three, Tixel – in its most intensive mode, which is the ablative mode – would be most likely to have a good crack at softening nasolabial folds if you want to avoid filler. There’s quite a bit of downtime though, and (as with anything) you’d need a full-face treatment to contract the skin upwards away from gravity’s pull. Find a great practitioner who can advise you on what will be best for your particular face.