Which laser for very enlarged pores/acne scarring? (Photo)

Question

Hello, I am a 49-year-old female who has had several lasers in the past including Erbium, Picosure, IPL, one round of CO2, several treatments of microneedling (a couple with PRP) and a few chemical peels in the span of 6 years. All of this was to treat my extremely enlarged pores and acne scarring and texture problems. None of these made a difference. After dealing with depression from it, I sought out other opinions. One says Fraxel and one says Halo? Any thoughts/advice would be appreciated.

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Which laser for very enlarged pores/acne scarring? (Photo)

Answers (1)