What's the best option for textured skin like this? (Photos)

Question

39/F. In the last two years my skin has gotten way more textured looking. I use tretinoin and have done chemical peels.

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

Shahnoos Mahdavi, MD · Answer

Greeting and thank you for your pictures. Textures are well responding to RF Micronnedling and non fractional laser resurfacing treatments. Key is consistency with several treatments.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. For improving textured skin, CO2 resurfacing laser is often considered one of the most effective options. It works by removing the outer layers of damaged skin while stimulating collagen remodeling in the deeper layers, which smooths surface irregularities, reduces fine lines, and improves overall skin texture. Results are usually noticeable after a single session, though multiple treatments can enhance the effect, and recovery can take several days to a couple of weeks depending on the intensity of the procedure.

What's the best option for textured skin like this? (Photos)

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