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

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!