My big pores are turning into wrinkles! Options? (photo)

From the description of your concerns you may want to consider Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. I've included a video on Morpheus8 that I hope you find helpful.

Hello and thank you for your question! The "stretching" and "sagging" you're noticing is likely due to loss of elasticity. From age 30, our collagen and elastin production slows down, contributing to the skin aging. RF Microneedling and Laser Resurfacing are two popular treatments for improving age-related skin laxity and enlarged pores.

RF Microneedling combines microneedling with radiofrequency (RF) energy to stimulate collagen and elastin production deep in the skin. The tiny needles create controlled micro-injuries, triggering the body’s healing response, while the RF energy delivers heat to the deeper layers, tightening the skin and improving texture.

Best for: Mild to moderate skin laxity, enlarged pores, and fine lines.
How it helps: Tightens skin, reduces pore size, and improves overall skin texture with minimal downtime.
Downtime: Usually 2-5 days of redness and mild swelling.

Laser treatments use focused light energy to remove the outer layers of damaged skin and stimulate collagen production. Ablative lasers (like CO2 and Er:YAG) remove layers of skin for more dramatic results, while non-ablative lasers (like Fraxel) heat the skin without removing it, promoting gradual rejuvenation.

Best for: Moderate to severe skin laxity, enlarged pores, wrinkles, and sun damage.
How it helps: Resurfaces skin, reduces pore size, and improves tone and firmness.
Downtime: Varies; ablative lasers require 1-2 weeks of healing, while non-ablative lasers have minimal downtime.

Both treatments improve skin firmness and texture, but RF microneedling is better for tightening and pore reduction with less downtime, while laser resurfacing is ideal for more intense resurfacing and rejuvenation.

I hope this helps!
Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Danvers & Boston, MA

Thank you for your question! There are many options to minimize pores / wrinkles. For deeper lines we recommend filler for nasolabial folds. This will smooth the appearance of your skin and reduce the harshness of the lines. In regards to your pores stretching, there are many options you can choose from. Microneedling is an effective way to help with fine lines, wrinkles, and skin tone and texture. Microneedling will help increase collagen production. Chemical peels can also help with the appearance of pores, as salicylic acid helps minimize pores. This will also help with collagen production. Laser genesis is also used to minimize pores while heating the skin to increase collagen. Laser resurfacing is a great option for fine lines, wrinkles, and collagen production. At our practice we offer Juliet. The heat from this laser stimulates new collagen production, which firms mildly lax skin over time. This procedure has 3-4 days of downtime where your skin might be red and feel tight.