What do you recommend to improve the texture, scars, and pores? (Photo)

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

One would think that after failed fractional laser treatments and still treatments with another gizmo that worsened the condition that you would by now be disillusioned with the all the relatively expensive, "next big thing" energy-based devices" being hawked out there. I have cautioning my regular followers for years now not to be sucked in by the heavy marketing hype and social media buzz surrounding these here-today-gone-tomorrow fad devices. "Buyer beware" would be a sound piece of advice to keep in mind, particularly with having been disappointed twice already by all the "bells and whistles" out there with fancy-sounding names.. On the other hand, professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) has a nearly quarter of a century track record for safety and efficacy for treating superficial skin surface color and textural irregularities and enlarged pores in all skin types. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Your skin texture appears fairly smooth in these pictures. Not sure what the appearance was pre-operatively, but overall your skin looks good. If you wanted to gain better texture and further reduction of scarring, Exion RF AI micro-needling might offer further improvement. I am not sure any further significant improvements can be achieved given your treatment history already. However, the Exion micro-needling penetrates the skin to mechanically break-up fibroblasts that stimulate collagen and elastin remodeling. While this heals, it smooths the texture of the skin. Since several laser treatments have already been done, your results might be limited as you appear to have nice skin texture already. Most patients achieve great results after 3 - 4 treatments spaced a week apart. Optimum results are seen at 3 months after the last treatment.

Hello; to start with, you still have redness on your skin and you need to be very careful. Performing traumatic procedures; sometimes repeatedly increases skin damage. It is necessary to act very safely and slowly in this regard. That's why, I wouldn't recommend for you Fraxel treatment; after your fractional carbon dioxide laser treatment. Injections that will restructure your skin and enhancing collagen stimulation will be the right option. Radiesse technique; which is an injection that we frequently use together with or after laser for acne-scar treatments. First of all, I advise for you to have Radiesse method can be done and wait for six months. The related skin must rest, repair and recover for itself. In the meantime, you should use right products and moisturize in a very well way. You should carefully protect your skin from the sun by using creams with an high protection factor. During this process, you should never have traumatic treatments applied on your skin, even if, it is a basic skin care.

Two options you can consider are SkinPen which is microneedling to improve the appearance of texture, fine lines, and wrinkles. Another is Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. See a medical skin care specialist near you to learn more.