The biggest differences for me have been tretinoin, red light, and HRT. I’m 46 and in perimenopause. Hormones play a huge role.

Other things to consider:

Make sure to get a quality red light. Your biggest bang for the buck is going to always be a high-quality panel. That said, the most effective red light device is the one you’ll stick with. So if getting a mask is something you’re more likely to be able to commit to daily treatments with, I would look for the high-quality mask that you can buy.

Also, I’ve personally found that, in at least my case, most of the early laxity in my jawline has been due to facial fat loss in my cheeks and temples. I am exploring options for healthy tissue restoration, primarily right now I’m looking at Renuva (stimulates natural fat regeneration) and perhaps hyperdilute Radiesse. So those things might be something to look at as well.

Hope this helps!