The best anti aging treatment for you is one that specifically addresses your particular signs of aging.
In general, you can divide the signs of aging up into discolorations and dilated blood vessels on the skin, wrinkles that accentuate with movement such as those of the forehead and crows feet, wrinkles at rest such as those on the cheeks, and volume loss which leads to accentuation of the smile lines, hollowness of the cheeks, heavy eyelids, and contributes to jowl formation.
If you study your face and identify the main areas of aging, each concern can be targeted. Discolorations such as sun spots and dilated blood vessels can be treated with chemical peels and lasers. Fine wrinkles at rest can be treated with lasers and chemical peels too. I prefer using lasers for anything other than very fine wrinkles. Wrinkles that accentuate with movement can be treated with Botox or Dysport. Volume loss can be treated with fillers such as Restylane, Juvederm, Radiesse, and Sculptra. Sometimes, volume cannot be completely restored, and the skin needs to be tightened. If only slight to moderate tightening is required, then Thermage can be used. If the skin needs significant tightening, a facelift is often required. Aside from surgery, heavy eyelids can sometimes be treated with Botox and Thermage.
You can use your age as a guide to what procedures you may consider, too. The Wall Street Journal had a nice article on this on October 12, 2010, called “Wrinkle Erasing for Starters“. They suggest that people in their 20s and 30s focus on good skin care. I agree and would go further to say that everyone needs good skin care which includes sun protection as their foundation.
They go on to say that one may consider Botox and fillers like Juvederm in their late 30s and 40s. By the 50s, they suggest that one consider a combination of treatments including laser resurfacing and fillers for wrinkles at rest. Once people are in their 60s, they write that one may consider laser resurfacing or plastic surgery.
These are generally good guidelines, but the timeline is not exact. I have treated many patients in my Los Angeles based practice in their late 20s and early 30s for sun damage and wrinkles with Botox, chemical peels, and lasers; and I have treated many patients over the age of 60 unwilling to have surgery with just fillers and Botox.
Although there are many other details about treating signs of aging, this provides a basic outline to consider your options.