Which is the best to to permanently reduce ice pick scars and large pores? Microneedling didn't work! (Photo)

Question

I've done 6 rounds of microneedling with no improvement in the pore size on my forehead, cheeks and nose. Which tx is the best to make these pores PERMANENTLY smaller? Which is the best: TCA? Fraxel? Microdermabrasion?

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

You need a formal consultation with a laser and acne scarring expert to evaluate the best treatment options for you.  There are many that will be needed in combination for improvement.  Best, Dr. Emer.

Which is the best to to permanently reduce ice pick scars and large pores? Microneedling didn't work! (Photo)

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Everything you need to know about Scar Removal

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Which is the best to to permanently reduce ice pick scars and large pores? Microneedling didn't work! (Photo)

Answers (2)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.