TCA Cross. Can it be applied to enlarged pores that are still clogged such as imbedded blackheads?

Question

I have lots of sebaceous filaments on my nose, most are not bothersome but some have really enlarged the pores and stand out, they still have gunk in them but have created a large pore. Can TCA be applied if there is still stuff in the pore if that makes sense? Thank you for your advice.

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

Thank you for your question.A combination approach will give the most improvement. I recommend lasers, microneedling/PRP, Cosmelan, peels and skin care. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

TCA Cross. Can it be applied to enlarged pores that are still clogged such as imbedded blackheads?

Answers (2)