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. Double 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 big 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 large pores treatment outcomes. Numerous studies have proven that 3-5 sessions of the Fraxel skin resurfacing treatment 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.
Open pore 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, cosmetic 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.
Known as The Gold Standard in skin resurfacing, 3-5 sessions are ideal 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, wrinkle-smoothing, and generalized skin tightening and rejuvenation.
Large pores on the face can be caused by a variety of factors. The most common causes include high sebum secretion and decreased skin elasticity, chronic acne, hormonal differences, sun damage, smoking, radiodermatitis, and vitamin A deficiency. Genetics also play a large role, as large pores can be passed down from one generation to another.
Additionally, clogged pores or an oily complexion can make pores appear larger. Regularly cleansing the face twice a day can help unclog pores, prevent clogged pores, and reduce oiliness. It is important to use warm water and gently wash the face, as scrubbing can irritate the skin and cause inflammation.
Other factors that can contribute to large pores on the face include using makeup, irritation from harsh skincare products, sleeping in makeup, and age-related loss of elasticity in the skin.
Large pores on the nose can be caused by various factors, including genetics, oily skin, acne, lack of exfoliation, sun damage, and aging. Some people may have naturally larger pores on their nose due to their skin type and characteristics and genetics. Individuals with oily skin tend to produce excess amounts of sebum, which can cause enlarged pores. Lack of exfoliation can also contribute to a buildup of dead skin cells, leading to clogged pores and enlargement. Inflammatory acne can weaken the skin’s sebaceous glands and hair follicle openings, making them more prone to blockage, which can lead to enlarged pores. Sun damage, smoking, radiodermatitis, and vitamin A deficiency can also contribute to large pores on the nose and cheeks. Finally, as we age, our skin loses elasticity, which can make pores appear larger. While we cannot permanently shrink our pore size, we can minimize their appearance by keeping them clear of oil and debris, boosting our skin’s collagen and elastin, and confronting environmental factors such as stress, lack of sleep, and lack of hydration.
Large pores can be frustrating, but there are steps you can take to prevent them from forming in the first place. Here are some tips to help you prevent large pores:
By following these tips, you can help prevent large pores and maintain healthy, clear skin.
Overall, a combination of professional treatments, good skincare habits, and the right products can help minimize the appearance of large pores. Keep in mind that consistency is key, and it may take some time to see results.
Wile these methods may help minimize the appearance of large pores, it’s unlikely that they will completely eliminate them. Consistency and patience are key when trying to improve skin concerns. If you’re unsure which method to try, consult with Dr. Rokhsar, a double-board-certified Dermatologist and Dermatologic Surgeon, for personalized recommendations.
Large pores on the legs can be a frustrating skin issue, but there are several ways to reduce their appearance. One effective method is to use chemical exfoliators, such as glycolic acid, to aid in the shedding of dead skin cells and decrease inflammation from razor bumps. Dr. Rokhsar recommends exfoliating only one to two times per week to avoid over-stripping the skin.
In addition to chemical exfoliation, following a good skincare regimen that includes washing the legs with a gentle cleanser in the morning and evening can help keep pores clear of excess oil and dirt. It is also recommended to avoid abrasive scrubs, as they can lead to inflammation and more noticeable open pores. Regular exfoliation, whether manual or chemical, can also help reduce the appearance of pores on the legs.
Finally, keeping the skin hydrated with a daily cream or lotion containing salicylic or glycolic acid can help dissolve excess dead skin cells and improve the texture of the skin. When shaving the legs, it is important to shave in the direction of hair growth to prevent razor burn and folliculitis, both of which can contribute to the appearance of large pores on the legs.
The Fraxel laser is Dr. Rokhsar’s recommended treatment for shrinking pores on legs.
There are several laser treatments that can help reduce the appearance of large pores on the face. Fractional laser technology is one of the newest forms of laser treatment available that can boost collagen production and shrink large pores. The Fraxel laser, a non-ablative erbium laser, can also stimulate collagen production and improve the texture of the skin, resulting in the appearance of smaller pores. Laser skin resurfacing, which uses CO2 lasers to penetrate deep into the skin, can effectively remove acne scars and marks while minimizing pores but its only recommended on light skin on the face.. Non-ablative lasers, such as the Fraxel restore dual, can also stimulate collagen production and minimize pores without damaging the skin surface. The Fraxel restore dual can be used on all skin types including black, brown asian, hispanic and white skin. All body surface areas including the face, neck, chest, back, legs, arms, and shoulders, can be treated safely with the Fraxel laser.
Laser treatments may not be suitable for everyone. Dr. Rokhsar is a world-renowned laser expert and he has been involved in the development of many laser systems including the Fraxel laser. We recommend consulting with him to determine the best treatment option for your specific needs. In addition to laser treatments, micro-needling, which involves making tiny micro-punctures into the dermis to stimulate collagen and elastin production, can also help reduce the appearance of large pores. Retinol cream, which increases cell turnover and acts as an exfoliation for the skin, can help reduce the size of pores.
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