What is the most effective way to minimize pores or eliminate the look of large pores?

Question

I am 60 years old and my pores are really showing. I had two deep peels done in 2017 which did improve my skin somewhat but I have alot of work to do yet. Is microneedling safe for older skin? It took me longer to recover from my peels than I had anticipated.

Nima Shemirani, MD · Answer

Hi @vaagchri! Microneedling is a great treatment option to reduce enlarged pores. Typically, 3-6 treatments are recommended. Best of luck, Dr. Nima!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Kim Nichols, MD · Answer

Thank you for your question! Microneedling with PRP is an effective way to treat enlarged pores, uneven skin tone, acne scars and more. I recommend that you consult a board-certified dermatologist to ensure this is the best treatment for you.

Isobel Walker, MBBS · Answer

It really depends on the size of your pores and your expectations. Micro needling is one on the many treatments one can use to decrease pore sizing. 
Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation.

Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system.

Holly Happe, DO · Answer

Thanks for the great question. Microneedling is very safe at your age and the results can be impressive. The recovery time with micro needling is very fast with very little social down time. Most people could get the procedure done at lunchtime and with Oxygenetix post procedure foundation go back to work, or the grocery etc with out it being extremely noticeable. Most people say it looks like a sunburn or wind burn. Within 3 days most people are almost back to normal and the results are on going for about 6 months. Good luck.

Justin Harper, MD - Account Suspended · Answer

Hi vaagchri, Microneedling with PRP and Lasers (ResurFx) are two good options for reducing  pore size. The downtime and post-op pain are a lot less than that experienced with deep peels.Both encourage the growth of new collagen.All the best, Justin Harper, M.D.

What is the most effective way to minimize pores or eliminate the look of large pores?

Answers (6)

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