Can laser repair holes in skin and enlarged pores after microneedling, or is it too risky and likely to worsen this condition?

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

In my opinion, CO2 laser would be the best solution to decreasing pore size. If you are concerned about making it worse, you can start with a less invasive IPL laser to get some improvement. Hope this helps

This is a great question and there are a combination of treatments to help the concerns of repairing/minimizing pores. The Co2 Resurfacing treatment is a great option which will not only help with the pores but also the fine lines and any hypopigmentation. After this treatment I would recommend maintaining the skin with dermal infusions every 4 to 6 months.  

Enlarged pores can be addressed using a variety of treatment options. Laser resurfacing is often a good choice, as long as the laser used is customized to your precise needs and skin tone. You might also consider a different collagen induction therapy, such as fractionated laser or RF microneedling. These treatments are typically very effective in treating enlarged pores when they are administered by an experienced, board-certified dermatologist. However, customization is the real key to success. In my practice, we offer more than 45 laser options so we can tailor treatments with the precision necessary to achieve an optimal outcome for all our patients.

Hello and thank you for your question!
There are a couple different laser therapies that I would recommend, Laser Genesis and Pearl. Both of these will improve the appearance of your skin as well as the texture and tone. They vary in level of aggressiveness, and the option you choose will depend on your personal preference.

Laser Genesis is a great option for improving skin texture, enlarged pores, and tone as well as treating hyperpigmentation.  Our office uses this laser to treat facial redness and other forms of hyperpigmentation. This is a non-invasive laser that gently heats the dermal layer just below the surface of the skin. This stimulates the production of new collagen, which will be used to reduce the appearance of pigmented lesions.  It will also help with the overall tone and texture of your complexion as well as with minimizing pore size.

If you would prefer a more aggressive approach, I would suggest the Pearl laser. The Pearl reaches a deeper level of skin cells in order to completely renew the outer layer of skin. By doing so, it completely removes the top layer of skin cells in order to reveal the healthy, vibrant layer underneath. This does come with more downtime as your skin has to take a little longer to heal itself, about 3-4 days. Your skin will look and feel as if you have a sunburn, and as such you will need to apply ointment to it until it peels.

Both of these are great treatments for your concerns. I would suggest that you look up medical providers in your area who offer one or both and set up a consultation to determine which treatment would be best for you.

Hope this helps!

There are numerous ways to address these concerns and customizing your treatment to your precise needs, skin tone and desired outcome is likely to yield the best results. Your microneedling may have been too aggressive or you may not have been given the ideal skin care regimen to aide healing. I encourage you to schedule an in-person assessment with a board-certified dermatologist with extensive experience in treating these concerns. Through a personal evaluation and discussion of your concerns and goals, you should be able to tailor a treatment plan to your precise needs. While many procedures do involve collagen induction therapy, it is likely you need a different technique to achieve the results you want. For example, a series of light, fractionated laser treatments, combined with intense pulsed-light may be the ideal combination depending on your examination and skin type.

Hello and thank you for your question. I encourage you to schedule an assessment with a board-certified dermatologist who can evaluate you in person and determine the best treatment for you. There are numerous laser devices to choose from today and while some do work on the principle of collagen induction therapy, that is not your only option. At the same time, lasers that work by stimulating the body’s own healing process can be highly effective when they are administered by an experienced provider. I am confident that with a qualified doctor designing your treatment plan, you can see the positive results you want. 

While microneedling is an effective method of skin rejuvenation for many patients, it does not produce the best result for everyone. In my practice, we offer more than 45 different laser devices that allow us to customize treatments with the precision necessary to achieve an optimal outcome. We also perform RF microneedling, which combines the needling process with controlled radiofrequency heating to enhance the outcome of the procedure. I encourage you to schedule an in-person consultation with a board-certified dermatologist who has expertise and experience in treating a broad range of skin concerns. Through a comprehensive examination and tailored treatment plan, you should be able to achieve better results. 

Hello, a combination of treatments can surely help. Laser can help minimize pores but it should be added a skinbooster vital with ialuronic acid. So you can have a double result: the laser and the ialuronic acid cross linked which doesn't increase volume but closes the pores. 
Virgilio De Bono MD 
Dermatologist 

There are multiple options that can help you achieve the skin that you desire. I would recommend finding a provider that you will trust for a complete treatment regimen. A multi treatment approach tailored to your skin and close follow up between treatments will be very important for you. I would start with a home skin care regimen with medical grade products. These alone will enhance your skin texture and tone while reducing oil glands. In office treatments with IPL and Resurfx (Photofractional - Erbium Laser ) are a terrific option to even discoloration and assist with texture change. Adding chemical peels and maintenance Hydrafacials to the treatment regimen will enhance your results. 
Great skin takes patience and time. Consistency with a daily routine is always the game changer.

Good Luck. Wishing you the Best,
Dr. Tonya Boudreaux