Tough skin/minor acne scars/large pores

[Anonymous]

There is a small section of both my cheeks right above my nasolabial folds that have a combination of rough skin and, minor acne scars and large pores from oily skin as a teen. The rest of my face is largely fine.

What is the best treatment for this? I talked to a plastic surgeon and he said that CO2 lasers will help but I need to do my whole face and that’s expensive/invovles extensive downtime. My mom recently did less intensive lasers for fine lines and the results were not impressive.

Any other suggestions?

[Anonymous]

I've had good success with microneedling and chemical peels. It's expensive to do all in office so I went a couple times then ordered the supplies to do myself at home. It does take a lot of time to see results. I started last winter and my skin has noticably improved since maybe April or so.

[Anonymous]

Similar issues. My Derm said PRP microneedling, at least 3 sessions.

I use Tazorac now and it helps a tiny bit, but not as much as I’d like. Planning for the PRP in late fall.

[Anonymous]

Anonymous wrote:I've had good success with microneedling and chemical peels. It's expensive to do all in office so I went a couple times then ordered the supplies to do myself at home. It does take a lot of time to see results. I started last winter and my skin has noticably improved since maybe April or so.

May I ask which acids/percentages?

[Anonymous]

Chemical peels by Dermatologist 2-3x a year
Stronger prescription topicals

[Anonymous]

My pores are large and I too have areas of rougher thicker skin. Yes on professional microneedling

[Anonymous]

Have you tried CoolPeel? It's a less intense CO2 and it's more on the affordable side (under $800).

[Anonymous]

Anonymous wrote:Have you tried CoolPeel? It's a less intense CO2 and it's more on the affordable side (under $800).

Are you in DC? Curious if that $800 figure is for the DMV or for a less expensive market

[Anonymous]

OP here - if in the DC area I would love specific recommendations. I am a fed in office 5 days a week and lost all my staff so days off are very limited! But I would like to address this issue for a reasonable (sub-$1500??) cost.

[Anonymous]

retin a!

[Anonymous]

Anonymous wrote:retin a!

OP here. I have used this and vitamin c religiously for years.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I've had good success with microneedling and chemical peels. It's expensive to do all in office so I went a couple times then ordered the supplies to do myself at home. It does take a lot of time to see results. I started last winter and my skin has noticably improved since maybe April or so.

May I ask which acids/percentages?

Sorry, just seeing this. There's all sorts of peels out there. There are some more mild ones like glycolic or mandelic. I do something stronger- jessners or TCA or retinol peel. Once you have done them a while you can even combine them. Platinum skin care has very detailed how to on their website/youtube (they also sell them).

[Anonymous]

Maybe switch from Retin A
A stronger prescribed topical

[Anonymous]

Anonymous wrote:Similar issues. My Derm said PRP microneedling, at least 3 sessions.

I use Tazorac now and it helps a tiny bit, but not as much as I’d like. Planning for the PRP in late fall.

Don't waste your money on PRP microneedling, pretty much a well known scam now.

[Anonymous]

Are you able to increase your % of Retin-A?