34, large pores & atrophic scars - recommendations for texture & discoloration? (Photo)

Given your concerns about large pores, atrophic scars, and discoloration, and considering the treatments you've already tried, here are some additional recommendations that might help improve your skin texture and address discoloration:

### Skincare Routine
1. **Cleansing**: Use a gentle, non-comedogenic cleanser twice daily to keep your skin clean and reduce irritation.
2. **Exfoliation**: Incorporate chemical exfoliants like alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs) to help with skin cell turnover. Products containing glycolic acid or salicylic acid can be effective.
3. **Retinoids**: Use a retinoid (prescription-strength tretinoin or over-the-counter retinol) to promote collagen production and cell turnover, which can help with both texture and discoloration.
4. **Moisturizing**: Use a non-comedogenic moisturizer to keep your skin hydrated without clogging pores.
5. **Sun Protection**: Daily application of a broad-spectrum sunscreen (SPF 30 or higher) is crucial to prevent further sun damage and discoloration.

### In-Office Treatments
1. **Microneedling with PRP (Platelet-Rich Plasma)**: This treatment can stimulate collagen production, improving both scars and skin texture.
2. **Fractional Laser Resurfacing**: Fractional CO2 or erbium lasers can be very effective for atrophic scars and large pores. These lasers create micro-injuries that promote collagen remodeling.
3. **Radiofrequency Microneedling**: This combines microneedling with radiofrequency energy to tighten skin and improve texture.
4. **Chemical Peels**: Since you’ve tried medium depth peels, you might consider deeper peels (under the supervision of a dermatologist) for more pronounced results.
5. **Laser Treatments for Discoloration**: Since IPL has not provided satisfactory results, other laser treatments like Q-switched lasers or fractional lasers specifically targeting pigmentation might be more effective.

### Lifestyle and Home Care
1. **Diet and Hydration**: Ensure a balanced diet rich in antioxidants, vitamins, and minerals. Staying well-hydrated is also important for skin health.
2. **Avoid Irritants**: Be mindful of products that may irritate your skin, especially around sensitive areas like your nostrils.
3. **Consistent Routine**: Stick to a consistent skincare routine, as it can take time to see significant improvements.

### Consult a Dermatologist
Given the complexity of your skin concerns and the treatments you’ve already tried, it’s advisable to consult with a dermatologist. They can provide personalized recommendations and may suggest newer treatments or combinations of treatments tailored to your specific needs.

### Potential New Treatments
1. **LED Light Therapy**: Can help reduce inflammation and promote healing.
2. **Topical Treatments**: Products containing niacinamide can help with both texture and discoloration. Vitamin C serums can also be effective for brightening skin and reducing sunspots.

### Note
Always patch-test new products and treatments to ensure they do not cause adverse reactions. It's important to introduce new elements into your skincare routine gradually.

By combining professional treatments with a diligent at-home skincare routine, you can effectively address large pores, atrophic scars, and discoloration over time.

I would recommend a series of 3 to 5 microneedling sessions. Microneedling can help reduce the appearance of pores and scars by increasing collagen and elasticity. Pairing treatments that you are already doing like HydraFacial, chemicals peels as well as microneedling will definitely get you the results you are looking for!

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. Given your concerns with large pores, atrophic scars, and uneven skin tone—and considering the treatments you’ve already tried—microneedling would be a highly effective next step.Microneedling works by creating controlled micro-injuries in the skin to stimulate collagen and elastin production, which helps: Refine large pores, improve the texture and depth of acne scars and evens out tone and reduce mild pigmentation over time. The best next step is always a personalized consultation with a skilled provider, where you can talk through your goals and have a full facial assessment to create a treatment plan that’s just right for you.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. You, like most people have a variety of skin concerns. The pink and red issues are due to dilated blood vessels. These as well as the brown discoloration are best treated with IPL treatments. Usually the browncan be removed in 2-3 treatments. The red typically requires a couple more than that. The brown is usually due to sun exposure. So, to keep it away, the most important thing is home skin care and sun protection. As far as the depressed scars, the best thing for that is filler. There is only one FDA approved filler for acne scars. That is Bellafill. It works beautifully.
Good Luck

Yes I think the issue is you need a good maintainence routine for your skin, help with texture and pore skin for year round use. Also maintain healthy diet so your skin does not suffer from too much inflammation. Try to find a good medical grade vitamin A topical, gentle moisturizer cervae, sun block, an aha toner.