Lasers and TCA to reduce the appearance of sebaceous filaments?

Question

I have large sebaceous filaments in my t-zone area. I understand that this is a normal phenomenon but there are people out there gifted with non-visible pores even up close. I would like to strive for that kind of skin with the help of a dermatologist. During a consultation what procedures should I ask about? What lasers, TCA peels, TCA crosses do I ask for this condition?

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

Jason Emer, MD · Answer

This is difficult to answer without pictures, but this can be improved with lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Kevin Cavanaugh, MD · Answer

Hi,
Thanks for your question. Minimizing pores can be difficult. At our clinic we place patients on a combination of topicals, the cornerstone being tretinoin (Retin-A). Laser can also be helpful in reducing pore size. At our clinic we have a laser called Halo that is particularly helpful in reducing pore size. A series of chemical peels (medium depth) may also be helpful. Hope this is helpful.
Best,
Kevin Cavanaugh, MD

Lasers and TCA to reduce the appearance of sebaceous filaments?

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