For your skin issues as seen in the picture and described by you, there are 2 main options.
1. Chemical peels - chemical solutions safe for skin application like salicylic acid , lactic acid etc can be applied on the skin for 1-2 minutes and then washed off or neutralized by another solution. It causes exfoliation of dead skin cells, reduces inflammation , kills bacteria and stimulates renewal of skin.
2. Picosecond lasers with Focus Lens mode - my favourite is PicoSure, the first USA FDA-approved picosecond laser. Picosecond lasers by itself targets mostly pigmentation and slight skin rejuvenation - however, with PicoSure’s Focus Lens (take note that only PicoSure has this patented focus lens technology) fixed on, PicoSure is able to reduce open pores size, stimulate collagen synthesis , kill bacteria and also calm down active acne pustules.
Many years ago, chemical peels would be the best way to treat your condition. After PicoSure came out, I found that PicoSure has no peeling and no downtime except for a few hours of redness, yet is very effective. Therefore PicoSure is my favourite mode of choice for your condition.
Dr Isaac Wong