Pore enlargement and acne scars are common aesthetic issues that arise when the sebaceous glands overwork and pores become clogged with a buildup of oil and dead skin cells. Hormonal changes, particularly during adolescence, genetic predisposition, stress, the use of incorrect skincare products, and environmental factors can increase oil production, paving the way for enlarged pores and acne formation.
Inflammatory acne that develops over time can cause damage to the skin tissue, leading to the formation of pitted scars and color changes. These skin problems are not limited to a physical condition; they can also lead to loss of self-confidence, withdrawal from social environments, and feelings of psychological discomfort. Today, fractional laser applications are among the most effective and frequently preferred methods for treating such skin issues.
Medical Aesthetic Specialist Dr. Lida Çiteli provided information about the methods used in laser pore and acne scar treatment, points to consider before and after the procedure, and frequently asked questions regarding these applications.
What is Laser Pore and Acne Scar Treatment?
Laser pore and acne scar treatment is a scientific dermatological application aimed at activating the skin's self-renewal mechanism with controlled micro-stimuli. In this procedure, fractional laser systems (such as CO₂ or Er:YAG) are used to develop controlled thermal damage areas at the microscopic level on the skin surface and lower layers. In this way, while the surrounding healthy tissues are preserved, the skin's repair process is initiated naturally.
This controlled stimulation activates the cells that produce the skin's basic building blocks, increasing collagen and elastin synthesis. Thus, over time, it is aimed to tighten enlarged pores, reduce the prominence of pitted scars (atrophic scars) formed after acne, and help the skin surface achieve a smoother and more balanced appearance. The procedure is performed in sessions planned according to the person's skin structure and the depth of the scars, and the treatment process is shaped individually.
What are the Characteristics and Types of Acne Scars?
Scars that form after acne occur as a result of tissue loss or excessive tissue production under the skin while the acne is healing. The type and depth of the scars may vary depending on the severity of the inflammation and the person's genetic predisposition. Some may reduce in prominence over time.
Skin Tone Inequalities and Blemishes Due to Acne
Conditions that many people evaluate as "acne scars" are actually often not permanent scars (skin wound/scar tissue) but temporary skin color differences.
- Red Spots (Post-Inflammatory Erythema): These are red or pink color changes remaining on the skin after acne heals. This condition is due to superficial vascular dilation in the skin and usually subsides spontaneously within a few months.
- Dark Spots (Post-inflammatory Hyperpigmentation): These are brown or dark-colored spots formed on the skin after acne. They develop due to an increase in melanin and are more common, especially in darker skin types. While their prominence may decrease over time, it may last longer in some cases.
Deep Acne Scars (Atrophic Scars)
Deep acne scars (atrophic scars) are depressions in the skin caused by insufficient collagen support while acne heals. They are divided into three main types:
- Fine and Deep Acne Scars (Ice Pick Type): These are narrow but very deep holes that look like needle pricks in the skin; they are the most difficult type of scar to treat.
- Boxcar Scars: These are box-shaped depressions with sharp edges. They are similar to chickenpox scars.
- Rolling Scars: This is the skin taking on a wavy appearance due to the formation of bands under the skin. Their edges are indistinct and can affect large areas.
Raised Scars (Hypertrophic and Keloid Scars)
In contrast to atrophic scars, in these types of scars, excessive collagen production occurs in the skin during the healing process, and this condition causes the formation of raised tissue.
- Hypertrophic Scar (Raised Scar): This is scar tissue that remains limited to the original wound/acne area, is raised above the skin level, firm, and may recede slightly over time.
- Keloid Scar: This begins with the excessive collagen production during the healing process spreading beyond the wound boundaries toward the surrounding tissues. They are generally firmer in structure and can be seen in red, pink, or purple tones, and may tend to grow over time.
- Common Areas: Hypertrophic and keloid scars are most frequently noticed in areas such as the anterior chest wall, shoulders, upper back, and jawline.
- Treatment Approach: Surgical treatment is generally not the first choice for these types of raised scars because there is a risk of recurrence after the procedure. Instead, drug injections into the scar tissue, silicone-containing gels or sheets, and pressure techniques are used more frequently. In some cases, laser treatments can also be performed as supportive measures. Which method is chosen is determined specifically for the individual based on the type of scar, its prevalence, and the patient's skin structure.
What are the Methods Used in Laser Pore and Acne Scar Treatment?
Success in the treatment of pore enlargement, acne scars, and skin blemishes depends on choosing the right method, the skin structure, and the type of the problem. The treatment plan is generally designed by personalizing it individually according to the depth of the scar (superficial, deep, or raised scars), the type of blemish, and the patient's skin type.
Laser Applications
- Fractional CO₂ Laser: This is one of the most effective and frequently preferred methods for deep acne scars (especially boxcar and rolling type scars) and prominent pores. By creating controlled micro-level damage areas in the skin, it initiates the skin's renewal process and increases collagen production. This aims for tightening of the skin tissue and a reduction in the appearance of scars.
- Nd:YAG Laser: This is a non-ablative laser method that does not peel the skin. It is mostly used for pore tightening, active acne control, and reducing redness (post-inflammatory erythema) formed after acne.
- Carbon Laser (Carbon Peeling / Q-Switch Nd:YAG): This is based on the principle of activating the carbon solution applied to the skin with a laser. While helping to clean the oil and dirt inside the pores, it creates a mild rejuvenation and tightening effect on the skin.
Energy-Based and Supportive Treatments
- Golden Needle (Microneedling + Radiofrequency): Collagen production is stimulated thanks to the radiofrequency energy delivered under the skin. It is particularly effective in pore tightening and reducing the appearance of acne scars. It supports rejuvenation by giving controlled micro-stimuli to the skin surface.
- PRP and Mesotherapy: These do not eliminate prominent scars on their own, but when applied after procedures like laser or golden needle, they speed up skin healing and increase tissue quality.
Chemical and Enzyme-Based Peeling Applications
- Chemical Peeling: This ensures the controlled rejuvenation of the skin surface with solutions such as AHA (Alpha Hydroxy Acids – fruit acids), BHA (Beta Hydroxy Acids – especially salicylic acid), or TCA (Trichloroacetic acid). It is used as a supportive measure, especially for superficial scars and enlarged pores.
- Enzymatic Peeling: This is preferred for more sensitive skin types. It helps remove dead skin cells and makes the skin tone more balanced without aggressively peeling the skin.
What Should Be Considered Before Laser Procedures?
Before skin rejuvenation procedures such as fractional laser, it is important that the skin does not have active infections, intense irritation, or open wounds. In the pre-procedure period, strong acid-containing products that can irritate the skin barrier, harsh peelings, and aggressive care applications should be avoided. Sun exposure is also an important factor to consider.
Avoiding long-term sun exposure before the procedure and using sunscreen regularly contributes to minimizing the possibility of post-procedure sensitivity and blemishes. Skin cleansing should be regular. The skin should be purified 1–2 times a day with gentle cleansers suitable for the skin type; products that could disrupt skin balance should be avoided. In dry skin types, the skin barrier should be supported with suitable moisturizers.
What Should Post-Treatment Care Be Like After Laser Pore and Acne Scar Treatment?
Following laser pore and acne treatment, temporary redness, sensitivity, and mild edema may be seen in the skin. During this period, the skin should be protected gently and irritating products should not be used to support the skin's healing process. Post-procedure sun protection is very important. Broad-spectrum sunscreen should be used regularly and direct sunlight should be avoided as much as possible. This both reduces the risk of blemish formation and speeds up the healing process. The skin should be moisturized as recommended by the doctor and, if possible, supported with skin barrier-repairing ingredients. If there is a crusting or peeling process, these areas should not be interfered with, and the skin's natural healing process should be allowed.
How Many Sessions Does Laser Pore and Acne Scar Treatment Take?
Fractional laser applications used in pore and acne scar treatment are generally planned for 4–6 sessions, and sessions are mostly performed at 3–4 week (monthly) intervals. However, the number of sessions can vary from person to person depending on skin type, scar depth, and the laser device used. Redness, mild edema, and sensitivity that can last 1–5 days may develop after the procedure. This period may be slightly longer for ablative fractional lasers.
How are Laser Pore and Acne Scar Treatment Prices Determined?
Laser pore and acne scar treatment prices can vary according to the number of sessions to be applied, the width of the area to be treated, and the laser technology to be used. More sessions may generally be required for the treatment of larger areas or deep acne scars. When evaluating the treatment cost, it is not correct to take only a price-oriented approach. Factors such as the quality of the device used, the compliance of the application with medical standards, and the experience of the specialist performing the procedure directly affect treatment success. Applications carried out with non-standard devices can reduce the efficiency obtained from the treatment while increasing the risk of negative side effects developing on the skin.
In Which Cities Does Dr. Lida Çiteli Offer Laser Pore and Acne Scar Treatment?
Dr. Lida Çiteli provides services in her clinic in Istanbul, offering laser pore and acne scar treatment to patients applying from different cities in Turkey as well as to clients coming from abroad within the scope of health tourism.
Pore - Acne Scars Laser Therapy Hakkında Sıkça Sorulan Sorular
After acne heals, it often leaves behind pitted scars or blemishes. While these marks are initially pink, they may turn into the natural skin color over time. In some cases, due to broken capillaries or disruptions in the healing process, the pink appearance can become permanent. This process can lead to depressions and an irregular texture on the skin, creating a rough, lifeless, and loose appearance.
The most important step in caring for acne-prone skin is regular and correct cleansing. The skin should be cleaned every morning and evening with gentle cleansers suitable for the skin type. Products that excessively dry the skin or disrupt the oil balance should be avoided. If a toner is preferred, products with antiseptic properties and low alcohol content should be selected. Care products that support the skin's oil balance and provide a matte appearance can be used. Ingredients containing vitamins A, E, and F can contribute to protecting the skin barrier. Makeup left on the skin for long periods can clog pores and cause irritation on the skin surface. Therefore, makeup must be removed at the end of the day to purify the skin.
To achieve the best results in acne scar treatment, intervention must occur at the right time. It is recommended to start treatment during a period when active acne lesions are largely under control and new inflammatory formations have decreased. This is because procedures performed while active acne persists may carry a continued risk of new scar formation. Leaving acne scars untreated for a long time can cause structural changes to become permanent and make the scars more prominent. Therefore, treatments started early—once the active acne process is controlled—generally yield more successful and faster results.
While acne scars are most commonly seen on the face, they can also appear on the shoulders, back, and chest in some cases. This is generally associated with hormonal changes, overactive sebaceous glands, and individual predispositions. Acne scar treatment can be applied to all these areas where scars are present. The most frequently treated area is the face, with a higher number of applications for scars on the chin, cheeks, and forehead. Additionally, successful results can be achieved for scars on the back and shoulder areas with appropriate treatment options.
The sensation of pain in laser treatments varies depending on the type of laser used, the energy level applied, and the depth of effect. In ablative lasers such as Fractional CO₂, a moderate burning or stinging sensation may be experienced as controlled micro-damage is created in the skin. For this reason, patient tolerance is usually increased with local anesthetic creams before the procedure. In non-ablative or superficial procedures such as Nd:YAG or carbon laser, a mild warmth or minimal stinging sensation is typically felt. Cooling systems used during the application also help reduce the sensation of pain by increasing patient comfort.
The timing for applying makeup depends on the type of laser used. Generally, makeup may be allowed after 24–72 hours, according to the doctor's recommendation. Since the skin may be sensitive during this period, cold compresses (provided the ice does not make direct contact) and the use of moisturizers can support skin healing.
The question of "Who is the best doctor for Laser Pore and Acne Scar treatment in Istanbul?" is a topic frequently researched by users. However, in the field of health, superlative expressions such as "the best" are strictly not used due to regulations. Therefore, it is necessary to approach the subject from a more accurate perspective. Success in Laser Pore and Acne Scar treatment may vary depending on the experience of the physician performing the application, the methods used, and the physical structure of the individual. At Dr. Lida Çiteli Medical Aesthetic Clinic, personalized evaluations are conducted in line with the needs and expectations of the clients, aiming to create the most suitable treatment plan.
