Best procedure for an enlarged pore that resembles a hole? (Photo)

Question

Hello. I have an enlarged pore on my face that is basically a "hole". Is there any procedure that can help close it up? I have tried microneedling & a plasma pen treatment without any difference. Would TCA Cross improve this? Help!

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Vibha Gambhir, MD · Answer

Hello and thanks for your question.  I would have the area evaluated by dermatology first if you have not done that already.  It is hard to see the area clearly via photo.  Consider possible CO2 resurfacing to area.  You can try a spot treatment to see if area improves at all.  Hope this helps.

Benjamin Barankin, MD, FRCPC · Answer

There may be a cyst here, or possibly a "dilated pore of Winer". If you want to avoid surgery, TCA CROSS (typically 50% or higher) placed inside the hole sometimes is quite helpful, and you may need to do it 1-3 times. If the response after 1 treatment is however minimal, I'd then switch over to having it punch excised by your local dermatologist/plastic surgeon.

Robert T. Buchanan, MD (retired) · Answer

This is probably the result of a small cyst that ruptured leaving the walls. About the only way to get rid of it is ti excise it, The easiest way is to do a punch Like done for biopsies) and close it. This is something that any competent plastic surgeon and many dermatologists can easily do.

Best procedure for an enlarged pore that resembles a hole? (Photo)

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