I Have a Layer of Rough Skin with Open Pores, Black Spots, and Frown Lines, How To Treat These Issues?

I have a layer of rough skin with open pores, black spots, and frown line from my nose to my mouth on both sides. I developed age spots or liver spots over the years and i'm only 27 years old. up until 4 years ago i had an overall silky smooth face like the actress Megan Goode (see pic). I believe that the numerous face products i have tried have contributed to the horrible state of my skin. What strength chemical peel can i use to get back to having a silky smooth-like-a-baby-bottom face again?

Doctor Answers 2

Fraxel Laser For Treating Rough Skin, Open Pores, Black Spots and Frown Lines

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Research shows that open pores are highly linked to high levels of oil secretion as well as the width of your facial hairs. Most likely there are hormonal factors that are contributing to this. The black spots are probably the result of hyperpigmentation, which can also be related to hormones as well as sun exposure, which is a common trigger for excess melanin production. The frown lines is caused by the deterioration of collagen and elastin in your skin. This again is likely to be precipitated by UV rays from the sun which damages these protein fibers.

Because the origins of these skin issues lie beneath the surface, lasers can certainly help. Fraxel Dual, which is safe for your skin color, deliberately applies heat to the dermal layer so that it can produce new collagen. It may or may not be able to address the frown lines, which really depend on how deep they are. 

Lasers use a single wavelength to achieve specific objectives. This helps the results become more predictable as opposed to a chemical peel.  In your own research, you might want to also consider the Spectra laser, which produces an exfoliating effect, similar to a chemical peel, but is highly targeted.

Most importantly, choose a board certified dermatologist. The right skills and level of experience are far more important than the tools themselves. 


Redondo Beach Dermatologic Surgeon
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Skin issues

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It sounds like your skin has been affected by excessive sun exposure, changes brought on by pregnancy, or unhelpful skincare products. I recommend you see a dermatologist or plastic surgeon who can help you figure out a daily skincare regimen that is suited to your skin, and a series of aesthetic medical treatments that will give you back your silky skin. While chemical peels may help, you may also want to consider photofacial rejuvenation and laser resurfacing.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.