Hi there, I don't see any ice picks in the circled areas. Are you thinking large pores there are icepicks? Most men have this irregularity on their skin, perhaps I cannot see it in the pics provided.

I don't know how old you are but I can guess from the facial features. If you want to work on forehead lines acne scar treatment is not needed, simply go get botox. Many people do this for aging or"muscle lines."

Botox has little side effects unless a dr is careless, this is less than a percentage of all procedures.

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Disclaimer: Information and support is not meant to diagnosis, treatment, or cure any health or mental condition and is not a substitute for professional face to face medical care (consult with a few Dr's and pick your favorite one). Posts are for informational purposes only, please consult your personal health care practitioner before engaging in anything discussed.

Hey beautifulambition,

thanks a lot for your quick answer! I thought my large pores are ice pic scars due to the acne.

Okay so I should not panic too much to possible side effects. Since I did not see many positive reviews about the Erbium Laser I would maybe try first some sessions of RF micro needling and ask the Dr. for Subcision. If it does not improve I would try Erbium or CO2 (probably Erbium first) and if I still wont be happy add Botox which I heard from the Doc is better to be done after the skin treatments (and will hopefully not make my eyeslids drop even more).

I can post some pic updates if someone is interested

@HorstiYou won't see many good reviews in general if your looking on real self. Often they are not under the laser name but scar treatments etc. Many times Dr's push the wrong device or treatment for the patient or the patient has unreal expectations and are sold perfection without down time.

Ok that could be a plan, we always do manual methods like subcision first before energy devices.

@beautifulambition

Is RF Microneedling safe to be done by a comsetician? I could not find a derm who would offer it

Furthermore the cosmetician offers RF Microneedling only with Secret RF which has no insulated needles(compared to Infini) According to Google this is worse safe than isolated needles. Is it still worth a try,

Which should be the maximal needle depth for a conservative approach?

@HorstiCan be yes, ... check how many they have done, should be hundreds if not thousands, ask about settings, discuss how many cases she has done for acne scars before. If they are fully trained they can be ok. On this device even Dr's sometimes have their staff do the treatment. As you are Caucasian, uninsulated needles may not be as big of a deal though insulation is better. Expect longer down time, some redness which won't be bad. If you heal poorly do insulation. She can always do a test area before the full treatment.

Depth so much isn't your issue especially in the temples as there isn't much fat there. They simply cannot go to deeply here.