I have enlarged pores and I am wondering what would work best micro-needling, or Fraxel laser, or anything else?

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

Fraxel can do a great job of tightening the skin, making the pores look smaller. It will also stimulate the production of new collagen and elastin, which will strengthen your skin and make it more elastic. However, the best treatments for your skin need to be determined in a face-to-face visit. There are other lasers that could work. You might need microneedling in addition to lasers. The best next step for you is to start interviewing board-certified dermatologists so that you can find one you trust.  

It is difficult to give you a full assessment or recommendation without photos. Fraxel does well to improve skin appearance and pore size.  Another option would be Microbotox injected into the surface of the skin has been shown to reduce pore size as well. I would speak to an experienced physician and have a discussion about goals and treatments that would work best in your particular scenario. Good luck with your treatment.