Fractora vs. PRP vs. Clear and Brilliant - which one do I use for enlarged pores?

Question

I am 31 years old and have enlarged pores due to oily skin, loss in elasticity, and maybe sun damage. I am debating between PRP, Fractora (which is microneedling with radiofrequency), or Clear and Brilliant. I want to minimize my pores as much as possible, however, I am worried about hyperpigmentation from lasers because I am east Indian and have an olive skin tone. Which option is best for me, if any? please help.

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

Jason Emer, MD · Answer

I do CB, fractora and PRP together every 6 weeks for amazing results. I do AERIFY between with derma-rolling. facials and peels will always need to be done to keep the pores smaller.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Fractora vs. PRP vs. Clear and Brilliant - which one do I use for enlarged pores?

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Fractora vs. PRP vs. Clear and Brilliant - which one do I use for enlarged pores?

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Everything you need to know about PRP Injections

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