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Skin Concerns

Uneven Skin Texture & Tone Treatment in Portland, OR

Aerolase laser, SkinPen microneedling and NeoGen plasma under one roof, combined into a plan that smooths texture and evens tone at the same time.

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Before and After

Real Patient Results

Rough texture, dark marks and blotchy pigment on different skin tones, treated in our Portland clinic.

Before and after a series of six SkinPen microneedling sessions, showing faded dark spots and a more even facial tone
SkinPen Microneedling, 6 Sessions
Cheek of a patient with a deep skin tone before treatment on top and after on the bottom, with smoother texture and fewer dark marksBeforeAfter
Texture and Pigment

Individual results vary. See more in our before and after gallery.

Understanding Your Skin

Texture and Tone Are Two Different Problems

They often show up together, yet each has its own cause. Knowing which one you are seeing decides which treatment leads your plan.

01 / Texture

How the Surface Feels

Texture turns uneven when dead cells build up, pores stretch, or collagen breaks down and the skin loses its smooth surface. Acne, sun exposure, aging and dehydration all contribute.

  • Rough patches
  • Enlarged pores
  • Shallow acne marks
  • Fine crepey lines
  • Dull, flat finish
02 / Tone

How the Color Reads

Uneven tone usually comes from pigment, such as sun spots or dark marks left after breakouts, and from redness. Pigment sits at different depths, which is why one product rarely clears it.

  • Sun spots
  • Melasma
  • Post-breakout marks
  • Blotchy redness
  • Patchy, sallow tone

When to Book a Visit

Book an assessment when spots or roughness have not changed after a few months of consistent home care, when dark marks keep appearing after breakouts, or when pigment deepens every summer. A spot that changes shape, bleeds or grows quickly needs a medical evaluation before any cosmetic treatment.

Treatment Options

Matching the Treatment to Your Skin

We tailor the plan from intensive resurfacing to gentle monthly care. Most plans pair one primary treatment with a maintenance option.

TreatmentBest ForTypical Downtime
Aerolase Laser ResurfacingRemoves damaged surface layers and stimulates collagen to soften roughness, fine lines and discoloration. Fractional options leave surrounding tissue intact for a quicker recovery. Laser skin resurfacingA few days of redness or flaking
SkinPen MicroneedlingBoosts collagen and elastin with the FDA-approved SkinPen to refine texture, pores and dullness. Can be enhanced with a PRP/PRF Boost or Laser Boost. MicroneedlingA few days of redness
NeoGen Plasma ResurfacingUses nitrogen plasma to remodel collagen in deeper layers, improving uneven tone, rough texture, pore appearance and sun damage.A healing period planned with you
Rejuv Perfect 10 Chemical PeelA medical-grade peel that lifts dull surface cells and targets discoloration. Peels are spaced at least a month apart.2 to 5 days of redness, flaking up to 14 days
DiamondGlow With Aerolase Laser BoostExfoliates, extracts and infuses serums, with an optional laser boost for extra clarity between intensive treatments.None
Luxe and Mermaid FacialsKeep skin smooth and bright between more intensive treatments and support a regular maintenance rhythm.None

Pigment that also involves dark spots may be covered in more depth on our hyperpigmentation and sun damage pages.

Your Visit

What a Treatment Plan Looks Like

  1. Skin Assessment

    Your provider looks closely at your texture, pores and pigment, reviews your skincare and medical history, and talks through your goals and how much downtime fits your life.

  2. Personalized Plan

    We recommend a primary treatment such as laser resurfacing, microneedling or NeoGen, plus maintenance facials or peels. You leave knowing the number of sessions and the spacing between them.

  3. Treatment Session

    Skin is cleansed and numbed when needed. Sessions range from a relaxing facial to focused resurfacing and usually take under an hour; microneedling runs about 30 to 60 minutes.

  4. Aftercare and Maintenance

    You go home with aftercare instructions, medical-grade skincare and a sunscreen plan. Avoid sun and strenuous exercise while skin recovers, and never pick at peeling skin.

Aerolase ERA Elite Resurfacing
Deluxe DiamondGlow Facial
Our Practice

Founded by Dr. Natalie Mesnier, MD

Our team of Certified Advanced Estheticians and medical staff provides texture and tone treatments for all skin types and tones.

Portrait of Dr. Natalie Mesnier, MD

Dr. Natalie Mesnier

MD, Founder

Dr. Natalie Mesnier founded our medspa. She has a background in aesthetic medicine and holds certifications in advanced aesthetic procedures, including PRP.

Patient Reviews

Patients on Their Texture and Tone Results

"Dr. Natalie Mesnier provided excellent skincare advice for my acne and menopausal skin and paired it perfectly with microneedling and laser treatments. My dark melasma/uneven tone has also noticeably faded. My skin looks clearer, brighter, and much more even."

Edna G., Google Review

"I began treatment with Venus due to hyperpigmentation and acne issues caused by inflammation. Since working with her, I have noticed a significant enhancement in my skin's condition."

Chae J., Google Review

"I received a Neogen Plasma Resurfacing treatment, and even though it's only my second week, I am really impressed with the results so far. She checked on me daily while I was recovering."

Robyn W., Google Review
Jar of Brightening Even Skin Tone Pads with kojic acid, arbutin and emblica from our skincare line
Between Visits

Home Care That Protects Your Results

In-office treatment does the heavy lifting, but daily habits decide whether pigment returns. Our own medical-grade skincare line is built to support these plans, and your provider tells you which products fit your skin.

  • Brightening Even Skin Tone Pads with kojic acid, arbutin and emblica for dark spots
  • Niacinamide Pigment Correcting Serum for blotchy, uneven tone
  • Daily broad-spectrum sunscreen, the step that keeps new pigment from forming
  • Gentle cleansing and hydration so resurfaced skin recovers comfortably
Investment

Cost and Financing

Cost depends on the treatments chosen, the size of the area and how many sessions your plan includes. Facials and peels are priced per session, while resurfacing and microneedling are often planned as packages.

You receive an exact quote at your consultation before any treatment begins, and flexible monthly payment plans are available through our partner Cherry.

Questions

Uneven Skin Texture & Tone FAQ

Why do I have uneven skin texture?

Texture turns uneven when dead cells build up on the surface, pores stretch, or collagen breaks down so the skin loses its smooth surface. Acne, sun exposure, aging and dehydration all play a part, and they often overlap. Your provider looks at which of these is driving your texture before recommending a treatment.

What are the solutions for uneven skin tone?

Tone improves when the treatment targets the pigment or redness behind it. In our clinic that usually means Aerolase laser treatments, chemical peels, SkinPen microneedling or NeoGen plasma, supported by daily sunscreen and a brightening home routine. Many patients get the steadiest results from a series rather than a single visit.

Does vitamin C help with uneven skin texture?

A vitamin C serum supports brightness and protects against daily environmental stress, so it is a useful part of a home routine. It works on the surface, so it will not rebuild collagen the way resurfacing or microneedling does. We pair serums with in-office treatment rather than relying on either alone.

Is azelaic acid good for uneven skin tone?

Azelaic acid is a common topical ingredient for discoloration and redness, and many people tolerate it well. Whether it belongs in your routine depends on your skin, your other products and the treatments you are planning. Your provider will tell you what to keep, pause or add alongside treatment.

Are these treatments suitable for darker skin tones?

Yes. Our estheticians work with all skin types and tones, and your provider chooses the device, settings and pace of treatment for your skin type. Some of the results shown on this page are from patients with deeper skin tones.

How many sessions will I need?

Most patients see their best results from a series of treatments followed by maintenance visits. The number depends on how deep the texture or pigment sits and which treatment you choose. You leave your consultation with a plan that spells this out.

Is there downtime?

Facials and DiamondGlow have no downtime. Microneedling and laser resurfacing can bring a few days of redness or flaking. Stronger chemical peels usually mean 2 to 5 days of redness and swelling, with flaking that can last up to 14 days.

Can I combine treatments?

Yes, and combining is often how texture and tone improve together. Common pairings include SkinPen microneedling with a PRP/PRF Boost or Laser Boost, and DiamondGlow with the Aerolase Laser Boost. Maintenance facials or peels between intensive sessions help hold results.

Ortho-Rejuv Wellness and Aesthetics

Start With a Skin Assessment

Find out which treatment fits your texture, your pigment and your schedule. Consultations are complimentary.

5050 NE Hoyt St #626, Portland, OR 97213

Venus Nova, Certified Advanced Esthetician at Ortho-Rejuv

Venus is a Certified Advanced Esthetician, Certified Phlebotomy Technician, and pre-nursing student with a passion for medical aesthetics and patient-centered care. She is dedicated to helping clients achieve healthy, radiant skin through result-driven, customized treatments tailored to their unique needs. As a patient advocate at heart, Venus loves working with all skin types and creating long-term skincare plans that focus on both visible results and overall skin health.

Her favorite treatments include Aerolase, NeoGen, and microneedling, innovative treatment options that deliver real, transformative outcomes. Outside of the treatment room, Venus enjoys creating social media content, exploring new food spots, and spending time with friends and family

Woman with long brown hair wearing black healthcare uniform against gray background

Certified Advanced Esthetician

Woman with long dark hair smiling at camera against white background
Katherine is a Certified Advanced Esthetician dedicated to helping every client feel confident and comfortable in their skin. She takes a personalized approach to skincare, creating customized treatment plans and at-home routines that work for you. Katherine is passionate about finding effective, thoughtful skincare solutions for all skin types and tones, with a special emphasis on acne-prone skin. She aims to provide a safe space in the treatment room to ensure every client feels welcomed and supported no matter where they are in their journey. She looks forward to meeting you soon!
Nancy, woman with long brown wavy hair wearing black top, smiling at camera
Dr. Nancy Yen Shipley experienced in the use of ultrasound and orthobiologics in the treatment of musculoskeletal conditions. And is additionally certified in Laser treatment of medical conditions, post-surgical and post-traumatic scars, PRP, injectable neuromodulators for medical and aesthetic applications.
Kyline, woman wearing white coat and gold chain necklace, smiling at camera
Ms. Kylie Farwell is a board-certified Physician Assistant and a native Idahoan. Trained in orthobiologics, PRP, ultrasound-guided interventions, laser therapy, and neuromodulators such as botox, and fillers, Kylie is passionate about helping patients overcome their post-surgical and post-traumatic scars, and present their best selves forward to the world.
Natalie, woman with shoulder-length dark hair wearing black top and pearl necklace

Dr. Natalie Mesnier, the driving force behind Ortho-Rejuv Wellness and Aesthetics, stands at the forefront of aesthetic innovation. With a rich background in the aesthetic realm, she is notably skilled in anti-aging laser therapies, skin revitalization, and the meticulous use of injectables and fillers. Alongside her certifications in advanced aesthetic procedures, including PRP and neuromodulator applications, Dr. Mesnier’s mission is singular: to empower patients to experience and radiate their utmost beauty and confidence.