What laser and treatment would be best for this? (Photo)

Question

What laser and treatments would be best to minimize pores, resurface skin, and give my skin a more youthful look? My current routine is Retin A almost nightly and I use an AHA 30%+BHA 2% peel twice a week along with exfoliating a few times a week. I just turned 35 and I am not sure if the Retin A is causing large pores, if I have damaged my skin barrier, or if the appearance of my skin is age related with being mid 30s?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Leila Kump, MD · Answer

You will experience a great improvement in pore size, texture and elasticity of skin after CO2 laser. It has a significant downtime (5-7 days), but the results are very dramatic. Only patients with skin type 1-3 are good candidates. I personally perform type 4 skin as well but on special settings. Your skin will never feel and look so good after only 1 session. Some patients with very deep acne scars or deep furrows may need multiple sessions after 5-6 months. The majority of people who had CO2 treatments experience dramatic transformation.

Jason Pozner, MD · Answer

My favorite laser for pores and texture is the Sciton Halo. Dr. Chris Robb and I published the pore reduction data with Halo. Lots of good providers in your area

What laser and treatment would be best for this? (Photo)

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What laser and treatment would be best for this? (Photo)

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