Will Fraxel work for large pores beside nose?

Yes the Fraxel Restore (1550nm) can reduce pore size. Other
fractionated lasers may offer similar results. You should have four Fraxel
treatment sessions of at least 26% coverage to ensure the best result. Skin
preparation with tretinoin is important before you begin the laser treatments,
and it could help pore size as well. Regular exfoliation treatments can help to
maintain your improvement. Best wishes, Ken Dembny

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I have not found other treatments that effectively reduce pore size. Although many of my patients have obtained smaller pore size after being treated with Fraxel Restore or Fraxel Repair, not all will receive the same good results. No one can be promised that their pores will respond as other patients who had good results.

Pores are the openings for our hair follicles. They also contain our sebaceous (oil) glands. As we age, they tend to become enlarged. Having rosacea can add to this. The truth is, that they are very hard to treat and make smaller. Having said that, I do believe that multiple fraxel treatments (Fraxel Restore, 1550nm wavelength) can be helpful. For my patients, I put them on Retin-A (Tretinoin) which can help to shrink the oil glands and decrease pore size and I offer resurfacing - either the Fraxel laser, or the Lumenis Deep FX CO2 laser.

Fraxel is an amazing laser and works best on pigmentation, sun damage, acne scars, and overall facial rejuvenation.  Some patients have diminished pore size.  I have found the Ematrix Laser is an excellent way of minimizing pore size.  It is important to find a board certified dermatologist with a great deal of experience in lasers and cosmetics for the best results.

Fraxel laser treatments, including Fraxel Dual, can help to reduce pore size. As collagen is remodeled during the healing process, the pores are restored to their more youthful size. Other treatmetns for pore size include topical retinoids. Retinoids do not shirnk the pore, but can help the pore appear smaller by reducing the contents of the pore.

Both ablative  (Carbon Dioxide) and Non-ablative fractionated lasers (like the Fraxel 1550 nm laser) can reduce pore size and it may be evident with even a single treatment session, though multiple sessions may be required.  As a dermatologist,  I have not been impressed by other modalities ( including retinoids and exfoliants ) to help this problem though they will certainly provide other benefits to the skin.