What are the most effective methods to minimize pores and redness? (Photo)

Question

Diagnosed with rosacea and seborrheic dermatitis. What are the most effective methods to get rid of orange peel skin texture,redness, and large pores. I've already done several sessions of the following lasers: 1. IPL 2. vbeam 3. Genesis 4. Fraxel I'm losing hope... my next thing is either c02 or some type of radio frequency laser? Any suggestions? I use a combination gel that has azelaic acid , metronidazole, and ivermectin. This has helped a lot but still not satisfied.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

William Groff, DO · Answer

Thank you for your question and I am sorry you have not seen satisfying results from your treatments thus far. I would say there are two options for you to consider at this point. The first is RF microneedling, which combines microneedling with radiofrequency heating to boost collagen and improve the skin at a cellular level. The second would be CO2 resurfacing, which will require a few days of downtime afterward but will also produce the most dramatic results. No matter which one you choose, make sure it is performed by a very experienced, board-certified dermatologist to ensure an optimal outcome.

Nelson Lee Novick, MD · Answer

I'm so sorry that you have been so disappointed by all the device treatments you have, I'm sure,  spent good money for.  I am hardly surprised, however, as I have been warning readers of my columns for years about the lack of hard science to back the heavy marketing claims for their supposed benefits. Professional microneedling, a relatively inexpensive technique with over two decades of proven use behind it, is a very reasonable approach by itself for dealing with textural issues and dilated pores, and especially if combined with the post treatment application of concentrations of TCA in the range of 10-25%. Make sure that you seek out a board certified aesthetic physician with experience and expertise in these techniques. Best of luck. .

Jason Emer, MD · Answer

A combination approach will give the most improvement. I recommend lasers, microneedling/PRP, Cosmelan, peels and skin care. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Shalini Gupta, MD · Answer

I would consider fractional RF microneedling and cross TCA treatment for this.  Perhaps fractional CO2 could also be helpful.  Enlarged pores can be challenging to control but it can be done.  Good luck!

What are the most effective methods to minimize pores and redness? (Photo)

Answers (7)

Answer: Enlarged Pores Treatment -- Combination Approach w/ Lasers, Microneedling/PRP, Cosmelan, Peels, Skin Care

Answer: Enlarged Pores Treatment -- Combination Approach w/ Lasers, Microneedling/PRP, Cosmelan, Peels, Skin Care

Answer: Enlarged pore treatment

Answer: Enlarged pore treatment

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What are the most effective methods to minimize pores and redness? (Photo)

Answers (7)

Answer: Enlarged Pores Treatment -- Combination Approach w/ Lasers, Microneedling/PRP, Cosmelan, Peels, Skin Care

Answer: Enlarged Pores Treatment -- Combination Approach w/ Lasers, Microneedling/PRP, Cosmelan, Peels, Skin Care

Answer: Enlarged pore treatment

Answer: Enlarged pore treatment

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Recommended reading

Everything you need to know about CO2 Laser

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