Ematrix vs Fraxel restore for enlarged pores? (Photos)

Question

Hello, I'm 33, have pale yellow and little oily skin. I want to reduce the pore size on my face. • Do you think which treatment is best for me if pore is my only concern? • Which one has longer downtime period? • How many treatments should I have? • Is the result permanent? If not, how often do I have to get it done? Kind Regards, May

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

For large pores, you'll want to do a combination of treatments and actually recommend the clear + brilliant laser with salicylic acid peels and microneedling/PRP for this condition. There won't be any downtime, but it may take a series of treatments. Find a doctor with expertise in lasers.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

I prefer fractional laser over eMatrix for treatment of large pores.
If you develop PIH, I recommend either Scler-X or Pigmentation Correction Complex from KareSkin.
Best
H Karamanoukian MD FACS

Michele S. Green, MD · Answer

I treat pores with a combination of Clear & Brilliant which has no down time, PRP with microneedling which has a day of redness, and eMatrix which has a few days of redness.  The more downtime generally the faster the process to have it resolve. Please consult an expert with lasers.  Best, Dr. Green

Davin Lim, MBBS, FACD - Account Suspended · Answer

You have various options, eMatrix can reduce pore sizing however I personally like the Fraxel system for this. In particular the 1927 - Fraxel Dual. The other system, namely Clear and Brilliant is actually a diode driven Fraxel laser. With Clear and Brilliant you will need a series of 3-6 sessions. I often combine this with a Vitamin A cream in between. Another option is RF Micro needling with PRP. All the best, Dr Davin Lim. Brisbane. Australia.

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