36, female, best treatment for face texture & large pores? (Photos)

Question

Age: 36 gender: female non-smoker -had a hydrofacial done 2 weeks ago and started skin care routine: -double wash -toner -cocokind barrier serum -trenitonin 0.1 percent -cocokind moisturizer with polypeptides Plan: my skincare lady said to continue this routine and we will do a 3 step ZO peel in 4 weeks. Any thoughts? Would TCA cross peel be more beneficial for me? Or recommend anything different? I'm most concerned about the texture and large pores. Thanks so much!

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

David Hansen, MD · Answer

Nothing beats a good Morpheus treatment and TCA peel for texture problems.  I do them together at the same visit and under local with a little iv sedation for complete comfort.  They really deliver on improving the skin texture, color and gets rid of sun damage and age spots.

36, female, best treatment for face texture & large pores? (Photos)

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