What would you recommend as a first step to enlarged pores on the cheeks?
Hi Deanna. If they aren’t too large, I would recommend Fraxel (the original – not the Fraxel CO2). You will probably need to do a series of at least 3 to see a real difference. If they are larger, maybe even due to fairly active acne when you were younger, I’d recommend a CO2 fractionated laser like the DEKA DOT or the Lumenis Active/Deep Fx. You will get more tightening and some wrinkle reduction also with the CO2 laser so at 48 consider those issues as well. If you go with the CO2, a common scenario would be 1-2 treatments. Fraxel is less expensive than the CO2. Although that depends also on how many treatments of each you need. I would also recommend doing full face treatments with both of them and not trying to "spot treat." Dr. I