Best Laser Treatment for Scars and Large Pores?

Hi mz,

I have had much success in treating pore size, acne scars, and chicken pox scar skin surface irregularities with Fraxel re:pair laser.  Patients have had very impressive improvement in skin texture and scars after one treatment.  My patients are all told that they may require more than one treatment (2-3) to reach their desired results depending upon the extent of the scarring.

Though I have no personal experience with Pearl, the deep Pearl laser has shown good results.  The older Pearl is too superficial of a treatment to effectively treat scarring.  I have no experience or opinion on Laser Genesis.

Good luck and be well.

Dr. P

Laser may not be the solution in your case.  Generally, large pores, chicken pox scars, and acne scars have a low width to height ratio, thus making it difficult to treat with lasers alone.  Fraxel is not a cure for every scar.  It really depends on the depth of the scar and the quality of the skin.

In any case, not everyone with a laser is a scar specialist.  Insist on going to a skin specialist who is actively involved in the management of  scars.

In your case, I would recommend a combination of subcision, chemical peels, and topical creams as a first line for treatment.

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