Enlarged pores pose a cosmetic concern for many patients because they are particularly resistant to conventional skin regimes. While other unsightly skin features can be treated relatively easily with the use of cleansers or creams, pore size is much more difficult to tackle.
The term “pore” refers to the enlarged openings of pilosebaceous follicles. These may become clogged and result in acne or can appear as “blackheads,” consisting of excess oil accumulation and keratin which turns black when exposed to air. However, even when the pores are free from debris, they can remain noticeable. Board-certified dermatologist and leading laser surgeon Dr. Rokhsar specializes in treating large pores in NYC to help patients maintain a fresh, youthful appearance.
Pores are the tiny openings in your skin that can become clogged by dead skin and oils. For every hair follicle, you have a pore, however, not all of them are visible. The average adult has about five million hairs on their body, so maintaining clean, healthy pores is important for keeping skin firm, fresh and healthy skin.
When pimples and acne occur, there may be a temptation to apply pressure and pop the pimple, but this will only stretch the pore out more. Although you cannot actually shrink the pore because they do not have muscles to control the size, you can make it appear smaller than it actually is.
Until recently, enlarged pores had been dismissed as an unavoidable nuisance, dictated by gender, genetic predisposition, acne, chronic sun exposure, and excessive oil production. Treatments such as Accutane, chemical peels, retinoic acid, and IPL occasionally had anecdotal success, but the clinical evidence was never consistently convincing. Patients were urged to reduce clogging, but accept the chronic nature of large pores.
First, taking preventative measures so that the pores do not expand is key. The build of sebum, which is the oil our bodies secretes to keep the skin from drying out, is the cause of most acne cases, and the increased build-up causes excessive flow through the pore channels. The overuse of the pores will tire and wear them out, eventually stretching them to larger sizes.
The advent of the Fraxel Re:Store erbium laser has expanded the realm of possibility for treatment outcomes. Numerous studies have proven that 3-5 sessions of the Fraxel can produce pores that are histologically, subjectively, and quantitatively smaller and less noticeable.
The fractionated laser system works to create thousands of microthermal treatment zones (MTZs) amongst untreated areas. These untreated areas provide an intact framework around which the damaged tissue can rearrange and increase collagen production, resurfacing and re-texturizing the epidermal surface.
Treatment begins with the application of a topical numbing cream, which is given 40 minutes to an hour to absorb. During this time, patients can read, conduct business, or relax. After the cream is removed, treatment takes from 10-15 minutes and is generally well-tolerated.
Patients can immediately return to normal activities, as there is a minimal recovery period. A mild heat sensation returns in about an hour, and there is no rawness, oozing, or scabbing. Minor swelling and redness subside in 2-5 days, and patients can expedite the healing process by reducing salt intake and sleeping slightly inclined.
3-5 sessions are the gold standard for Fraxel treatments, each spaced 2-4 weeks apart. In addition to pore shrinkage, patients can look forward to brown spot reduction, scar diminishment, fine lines, and wrinkle-smoothing, and generalized skin tightening and rejuvenation.
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