Hi!
Thanks for this great question. We get it so often!
Large pores can be due to oily skin (usually men and younger ladies) or increasing skin laxity due to age/solar elastosis.
There are so many different types of pigmentation - freckles, lentigenes, melasma.
SO first step is to get a proper assessment by an experienced dr.
I will share what we recommend for pores and highlight those treatment that may resolve certain pigmentory conditions.
1. Korean Lasemd laser facial
Indications - For both pores due to oil dysfunction and laxity
* great for underlying melasma/sun damage
This is a gentle thulium laser (for skin rejuvenation) combined with skin care. There is no downtime. Good as a maintenance treatment.
2. Picosure Focus Array Lens treatmentIndications - For pores due to laxity
* great for freckles and lentigenes
This is a state of the art 755nm pico (1 trillion of a second) laser that uses photo mechanical energy to stimulate skin rejuvenation from dermis. FDA approved for acne scar and skin rejuvenation. Also FDA approved for treatment of pigmentory conditions like freckles and lentigenes.
3. Rejuran skin booster
Indications - For pores due to oil dysfunction and laxity
*increases hydration and brightening of skin (not specific for any pigmentory condition)
Rejuran is from korea and increases collagen production and elasticty of the skin. The skin booster allow us to use the injector to create slight damage to the skin for controlled healing. Sometimes botox is added (off label use) to control oil dysfuntion and create further improvement of the appearance of pores. Great maintenance if you do not want multiple treatments.
Hope this lengthy reply helps!
DO NOT forget to apply sunblock generously on a daily basis! It is the single most important anti-aging product that you can use on your skin.
Best regards
Dr Yanni