Which procedure options would help minimize large pores as well as drooping and sagging? 22 yo (photos)

Question

I’m 22 years old and have noticed when I take pictures you can visibly see creases/ droopy sagging with my skin under my eyes, cheeks and nasal folds along with looking in the mirror. My skin does have large pores and sagging at a young age. Please help me what treatments I can do to lift my skin and creases in my face, Along with shrink my pore size (on forehead and cheeks

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

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Joelle Lieman, MD · Answer

There are many options in laser technology to help with Pore Size. One of my favorites is the Sylfirm X which will tighten skin and help with pore size. It is microneedling with RadioFrequency.Hope that helps,Dr. Joelle Lieman

Which procedure options would help minimize large pores as well as drooping and sagging? 22 yo (photos)

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Which procedure options would help minimize large pores as well as drooping and sagging? 22 yo (photos)

Answers (3)

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Everything you need to know about Cheek Fillers

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