My Pores Are Connecting and Creating Lines?

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

From what you are describing, it sounds like you may need to see a dermatologist. It is difficult to recommend a treatment without seeing pictures or you in person.

A picture would have been helpful. Enlarged, dilated, patulous pores and small pit scars can be quite aesthetically distressing. Although microdermabrasion, peels, various light therapies, and even fraxel lasers have their proponents for the treatment of these problems, the results in my experience tend to be disappointing, as you have already discovered.

Generally speaking, in cases such as these, a series of medical microneedling treatments might be considered. Medical microneedling, which may be performed mechanically using rollers (e.g. Dermaroller) or electrically operated (Dermapen) essentially consists of going over the area with an array of needles that penetrate and break up the surface of the pore or scar and of any underlying abnormal fibrous tissue that may be contributing.

Disrupting the surface of the dilated pore, pit, or small scar allows for the possibility healing with a smoother surface texture.  Breaking up any fibrotic or abnormal collagen in this manner below the skin surface sets the stage for new, normal collagen synthesis (neocollagenesis), which improves the overall appearance of the overlying skin.

Following medical microneedling, the treated area may appear sun-burned for about 12-24 hours. There is little to no downtime, however, and I permit patients to return to routine skin care and makeup the following day.

Not all aesthetic physicians perform medical microneedling, so, should you wish to explore this simple, minimally-invasive option, you should screen carefully for a board certified aesthetic physician with training and expertise in the procedure.

There are a variety of treatment options for decreasing skin pores.  There are laser resurfacing lasers, subablative lasers as well as nonablative options.  It is recommended to have a consultation with a physician to discuss goals and treatment options.

The best treatment for texture, pores and fine lines is the microablative fractionated CO2 laser like SmartSkin. This laser is very effective for wrinkles, acne scars, and improving skin texture.  You seem to have a fair skin complexion.  This laser treatment is very precise and predictable.  You will have two days of swelling, two days of peeling and two days of redness.  To maintain your result I would consider using SkinMedica TNS essential serum with growth factors.

to improve fine lines and closed pores you need new collagen stimulation in the dermis of your skin.In my experience is non-ablative fractional erbium laser is the best technology available for this.  There are several laser wave links that are effective including 1540, 1450, and 1585nm.If you search for "non-ablative fractional erbium laser" and at each of those 3 wave links you will find many available lasers.