What's the best treatment for orange peel skin texture and large pores?

Question

I had acne as a teenager (now 32/female). I do not have any "ice pick" scarring. What I do have is slight "orange peel" texture, & the appearance of large pores. I am currently seeing an esthetician. She has given me a 5% BHA toner & face wash to combat the texture issue, along with some adult hormonal acne. I also use Retin-A. My question is.....are regular facials/microdermabrasion enough, or do I need to do something more aggressive (i.e dermabrasion, chemical peel, laser resurfacing)?

Jason Emer, MD · Answer

This needs a combination of lasers, microneedling, prp, and skin care. I suggest you find someoene you can develop a long term relationship with.  Best, Dr. emer.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Harold J. Kaplan, MD · Answer

Hi Kawaii.  The answer to your question is that if you are happy with what your esthetician is doing for you then you should continue down that path.  If you have higher goals for your skin, then perhaps you can consider a fractional laser resurfacing procedure designed to help with acne scars and pore size.  To see examples of fractional laser resurfacing procedures for our Los Angeles patients, click on the before and after photos link below.

Samir Shureih, MD · Answer

Acne scars need much more aggressive treatment than what you are getting from an aesthetician.Depending on the skin color and the acne scars, Carbon Dioxide laser resurfacing remains the gold standard for treatment of acne scars. Medium and deep peels done frequently, subcision, excision and skin tightening will add more improvement.

What's the best treatment for orange peel skin texture and large pores?

Answers (4)

Answer: Acne Scars

Answer: Acne Scars

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What's the best treatment for orange peel skin texture and large pores?

Answers (4)

Answer: Acne Scars

Answer: Acne Scars

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Everything you need to know about Retin-A

Our mission is to create a world where every investment in modern beauty is Worth It.