Fraxel Restore Vs Botox for Large Nose Pores

In my experience, utilizing non-ablative Fraxel restore, ablative Fraxel repair, IPL, SmoothBeam, GentleYag, among other laser and light-based devices in my office, non-ablative Fraxel restore and ablative Fraxel repair work the best. Botox and fillers will not affect your pores at all. Skin care products containing retinoids and glycolic acids may temporarily reduce the appearance of pores.

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

 Depending on how dark your skin is, I would either choose Fraxel Re:Pair – an ablative CO2 laser – or the gentler Fraxel Re:Store or Dual to help you improve the quality of skin on your nose. Re:Pair is the best laser for skin tightening and works with just one session. Yearly updates are recommended. Darker skin may do better with Re:Store, which is gentler but takes more than one session. Botox, Juvederm, and other fillers cannot help reduce the look of your pores.
Please note that while laser resurfacing will improve your skin and tighten the pores, you will never have fine-grained skin; that's a matter of genetics. Please consult a board-certified dermatologist to be evaluated for Fraxel.

Unfortunately, the size of your pores is determined at conception. The pore is a physical opening with a specific diameter in the epidermis overlying a hair follicle's opening.  If there is sebum and dead skin cells that pile up in this opening, it can make an appearance of a black head (open comedone) but at least the "hole" is plugged and the skin surface even.  Once the pore is cleaned out, which some people try to do to minimize the prevalence of acne, the opening will be more apparent.  Dermabrasion which is a sanding procedure, takes off layers of skin but can uncover a wider diameter of the follicle below the skin making the pore look bigger!  I have found that Fraxel Restore is the only treatment that has helped make some patients' pores look less noticable but unfortuantely, this is not universal, nor guaranteed.  Some patients do not get improvement and some can get worse.
 

The combination of both Botox Cosmetic via microinjections, laser treatment and retanoid treatments will give you the best result.  While none will completely remove the pores, they may improve the appearance.

 

Good Luck.