Best laser for redness, texture, and pore size?

Question

Ever since my fat transfer, my texture and pore size have been awful. I used to get erbium laser peels prior and they helped a lot, but left me with hyperpigmentation. Which laser would be best for texture, pore size, bright redness, and hyperpigmentation?

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. 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

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

If you have hyperpigmentation and want to treat your texture/tone and pores, I would consider trying a low energy laser that is used for these conditions.  The Clear + Brilliant is made for exactly what you are describing and treats hyperpigmentation.  Microneedling after improves the results and the PRP helps prevent any hyperpigmentation.  Best, Dr. Emer.

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