Which is better at reducing large pores: Halo laser or microneedling? (Photos)

The above answer title would be a good rule for anyone considering any kind of facial rejuvenation or prejuvenation. The aesthetics market is flooded with a dizzying array of relatively expensive, supposedly "next big thing" or "in" lasers, radiofrequency or ultrasound machines or devices to blaze on to the stage only to disappear or be replaced or eclipsed (at least in ad copy and device manufacturer supported marketing hype) in short order by the next "advance" to come down the pike. So, best general advice for you when doing your due diligence is to look for relatively inexpensive and simple treatment approaches that have stood the test of time, which in this case would be standard professional medical microneedling. Best of luck

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your acne scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi @ I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Hi pamaco

Microneedling has shown to help improve a number of skin issues. A 2009 study showed that over 80% of patients who used this procedure to treat acne scarring had assessed their treatment as ‘excellent’ and felt that their acne scars were visibly reduced. To learn more about this procedure, please visit our website.

this is scarring / ice pic scars that needs TCA cross lasers like halo and peels at home like enlighten or cosmelan. in between clear and brilliant should be done monthly with microneedling to maintain your skin and improve upon it.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly) should be started now

if you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream.

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer. 

Both can be used in combination. It would result in better outcomes vs using only one modality. Consult with your doctor to know the best course of action.

Hello Pamaco, Those large pores are due to enlarged sebaceous glands. The larger the glands, the larger your pores will be. Sometimes, hormonal changes can allow the glands to enlarge, and your dermatologist should be able to evaluate you for that issue. Microneedling with PRP is the most successful treatment for acne scars, but will only temporarily make pores smaller. The only treatment that can reduce the size of your glands and therefore your pores on a long-term if not permanent basis is #Sebacia
The full Sebacia treatment consists of 3 in-office treatment sessions conducted over 2 weeks; each session takes 30-45 minutes. After each session, you’ll be able to go right back to work. Each treatment follows 3 steps. 1. Your face is cleaned with a face wash to remove all oil, makeup and debris. 2. The gold Sebacia Microparticles are massaged into your pores. 3. The last step is heating those gold microparticles that are now in your pores with a laser. Wishing you all the best from my dermatology practice in NYC. Sheryl Clark MD FAAD

Hello, you would be a great candidate for vivace. Vivace is microneedling with radio frequency. It works great at minimizing pore size as well as alleviating fine lines and wrinkles and tightening the skin.