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

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.

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

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.

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.