I have a large pore/“hole” on my face. What can I do? (Photo)

Question

I have what appears to be a large pore/“hole” in my face. What procedure do you recommend that would result in minimal scaring?

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach will give the most improvement. I recommend lasers, microneedling/PRP, Peels like Cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

I have been treating issues like this for well over two decades using TCA CROSS. It is a simple, relatively inexpensive technique with over a twenty-three year track record of efficacy and safety in all skin types. Make sure to consult a board certified cosmetic dermatologist and best of luck.

I have a large pore/“hole” on my face. What can I do? (Photo)

Answers (3)

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