How can I most effectively treat scarring, enlarged pores, sebaceous filaments and general skin texture? (photos)

Question

I'm looking for your advice on the best potential treatment(s) to target my problem areas: scarring & enlarged pores on cheeks, large pores and sebaceous filaments on nose, general skin texture. What might you recommend for best results? Thank you in advance!

Jason Emer, MD · Answer

at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging and to improve your texture.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Leonard Grossman, MD · Answer

Regular use of micro encapsulated retin-a will help your skin a great deal with very little intervention otherwise. You should start with 0.25% retin-A used at night time only. You should see significant results In just 3 weeks. I hope this helps and good luck from New York City plastic surgery

How can I most effectively treat scarring, enlarged pores, sebaceous filaments and general skin texture? (photos)

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