Enlarged pores by past congestion of blackheads. Will TCA Peel help? (Photo)

Question

I am looking for the best treatments to reduce the size of my pores, they look that they are closed in the bottom of the skin, but at the top of the skin appear to be open. What can I do to close my pores? I think isn't my natural size. I've heard that TCA peel is good for closing ENLARGED (not natural larged pores) pores. I want to know all the treatments that can recommend me and why, no matter if they are slow because where I live I do not know if all the treatments are available.

Jason Emer, MD · Answer

A combination approach would give the most improvement. I recommend lasers, microneedling/prp, skin care, salt facials and Cosmelan. See an expert for a formal evaluation. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Davin Lim, MBBS, FACD - Account Suspended · Answer

For pores, yes, TCA can help. You will require multiple treatments, other peels include AHA peels, if you have darker skin type, then lasers such as the Picosure Focus can help as well. All the best, Dr Davin Lim. Brisbane. Australia.

Enlarged pores by past congestion of blackheads. Will TCA Peel help? (Photo)

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