What are the orange peel skin treatment options for face? (Photo)

Question

I am 33 and have large pores and a shiny complexion, my skin appears to be on the thin side as well. I have considered chemical peels and laser but I am uncertain what procedure will be most effective for how severe my case is. I have heard that microneedling is not an effective treatment for my skin type. I am really looking to even out this skin tone and make the pores less visible. I have not used Retin-A products yet. Any treatment option suggestions are appreciated!

Nelson Lee Novick, MD · Answer

First, let me say that you should be very cautious when vetting fraxel lasers and other device "bells ad whistles," since these relatively expensive approaches are backed far more by device manufacturer supported marketing hype than hard science. Microneedling, which most definitely can be used safely and effectively for all skiin types, has been around for well over twenty years and in professional hands has proven a valuable means for improving skin tone and texture issues, such as dilated pores. And in more difficult cases, it has been combined with the application of low concentrations of peeling agents, such as TCA (whose use has also stood the test of decades of gratifying use), for even greater benefit. Make sure that you consult with a board certified aesthetic physician experienced in all approaches, and not just any venue hawking the expensive, "one-size-fits-all" device it just purchased.  Hope this helps, and best of luck.

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

What are the orange peel skin treatment options for face? (Photo)

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