What's the best treatment for visible pores on nose and cheeks? Microneedling, intracel, Venus viva, chemical peels? (photos)

Question

I am 35 year old female and concerned with my visible pores. They are mainly visible on my nose and cheeks. My skin is normal to dry. I’ve never had acne problems. How can I help reduce the size of my pores? I’ve attached photos. Please note my pores are much more visible in person.

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

Nima Shemirani, MD · Answer

Hi @anh1085. Microneedling is a great option for enlarged pores. I recommend 3-6 sessions for optimal results.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

pores will need constant treatment they cannot be removed completely. 
at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging and keep the pores minimized (see my IGTV and link). regular clear and brilliant or moxi will help keep them shurnk.

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.

Charles M. Boyd, MD · Answer

Thank you for your question. Enlarged pores are best treated with CO2 fraxel laser and microneedling. Both of these treatments are usually done in a series of 3-6 sessions. Chemical peels and hydrafacials can help the appearance of the pores, but generally laser or microneedling treatments are a longer lasting solution to reduce pore size. Best of luck!

What's the best treatment for visible pores on nose and cheeks? Microneedling, intracel, Venus viva, chemical peels? (photos)

Answers (4)

Answer: Large Pore Treatment

Answer: Large Pore Treatment

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What's the best treatment for visible pores on nose and cheeks? Microneedling, intracel, Venus viva, chemical peels? (photos)

Answers (4)

Answer: Large Pore Treatment

Answer: Large Pore Treatment

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Recommended reading

Everything you need to know about Skin Rejuvenation

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