Best Laser Treatment for Scars and Large Pores?

Fraxel Restore is one of the best lasers for skin resurfacing. Fraxel laser works great for acne scars, pigmentation, fine lines, and wrinkles. Depending on the condition treated, Fraxel can be done in a series, or a single treatment.

More aggressive treatments are necessary for acne scars, which mean more swelling and redness for up to 1 week. Side-effects are temporary and include itching, dry skin, and peeling.

Fraxel Restore is good for all skin types and guarantees immediate results.

Thank you for the excellent question.  The answer is complicated because acne and chickenpox scar treatment is best tailored to the individual skin type and the individual scars.  The best scar treatment is usually a multimodal approach.  Some of the best tools for scarring include physical modalities such as subcision, microneedling, PRP, injectable filler and dermabrasion combined with resurfacing lasers (such as Fraxel, CO2 or erbium).  All of these techniques and lasers have their own advantages and disadvantages, so be sure to have an in person consultation with a scar specialist well versed in all of these procedures and technologies.   I hope this helps.

Great question! Although there is not just one best laser, there are a variety that fits each person's specific needs. The Laser Genesis treatment targets large pores, while the Fraxel treatment works great for improving acne scars. As always, it is best to visit an office for consultation.Best wishes,Barbara L. Persons, MD, FACS

Shrinking your pores can
take several treatments. Chemical peels, prescription retin-a creams, and
lasers such as the Ematrix and Fraxel can all help with improving pore
size. There is also another in-office treatment called photodynamic light
therapy. This not only helps improve poor size but can target up to 75%
of your precancer skin cells, thus decreasing your risk for squamous cell
carcinoma.

While virtually every laser company likes to think that their specific laser reduces pore size, there is NO laser that actually does so. Pore size is best reduced by proper cleansing with a salicylic acid cleanser and a Clarisonic skin brush. This cleansing regimen will reduce pore size by removing its contents.

Instead of a laser, the Intense Pulsed Light from Lumenis has been demonstrated in multiple clinical studies to further reduce pore size. This effect is secondary to destroying or minimizing the size of a hair. Remember that a “pore” always contains a hair so the smaller the hair and the less “stuff” that is in the pore, the smaller it appears.

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.

Unfortunately none of the treatments mentioned will completely correct the type of scars you describe. They may make some improvement but the scars will still be visible.
Also be prepared for some downtime after these treatments.
There really isn't a great solution for facial scars from acne or chicken pox. Laser, dermabrasion, injectable fillers and excision have all been tried with limited results.
Be sure to consult with a board certified plastic surgeon or dermatologist.
I hope this helps and good luck!

I recommend the SmoothBeam® Laser is an amazing treatment that can treat both active acne and acne scarring. The SmoothBeam® can target the actual oil gland that can be causing the breakout and tell it to produce less oil, Amazing. It can also help to build up the wall of the actual scar in order to smooth the appearance of your skin.
The other lasers that are commonly used for acne scarring are IPL and/or Vbeam. These treatments are both great when we need to help the discoloration left from a breakout. Ideally targeting anything more red or purple.
Generally, any laser that we do to treat active acne or acne scarring is best done in a series. Each individual’s skin is very different, and this treatment plan can be determined with one of our experts.

Thank you for your question. You can treat acne scars by doing a series of treatments via LightPodNeo Aerolase laser or PicoSure laser. You could benefit from laser skin resurfacing which stimulates your body to fill in under the scars with collagen.  Hypertrophic scars can be treated with steroid injections that will diminish their appearance. It’s difficult to tell without a in person evaluation. I recommend getting a in person consultation from a board-certified dermatologist.