Why do my acne scars seem worse and pores larger after fractional CO2? (Photos)

Question

11 days ago I had subcision and fractional co2. I noticed that my skin looks worse than before I had the treatment. My acne scars seem deeper and my pores look very large and noticeable. There are also grid marks that are noticeable under the sunlight.

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. 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 recommend following up with your Doctor for a formal evaluation and after care. We use a specific protocol of exfoliation, hydration, and moisturizing along with protection after laser treatments. PDT therapy can calm any inflammation. I always combine lasers with microneedling/prp to get more of an outcome. See an expert. Best, Dr. Emer

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  I would definitely give it much more time than 11 days to expect things to be improved and back to normal.  It takes a good 6 months after CO2 to see the final results.  Continue to follow your dermatologist's instructions as far as care, and maybe ask at what point do they want you to start back on a retinoid?  Also you might consider microneedling series in a few months, but I hope things come out great and you are happy with the results in the long run.  Best of luck!

Why do my acne scars seem worse and pores larger after fractional CO2? (Photos)

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Why do my acne scars seem worse and pores larger after fractional CO2? (Photos)

Answers (3)

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Everything you need to know about Fractional Laser

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