Enlarged Pores & Acne

Enlarged Pore Treatments At A Glance

  • Best Results4-10 weeks
  • Treatment Recovery0-4 day
  • Procedure Time5 to 30 minutes
  • Skin SpecialistNurse, Medical Dermatologist
  • Duration of ResultsVariable
  • AnaestheticNA
  • Back to WorkVariable
  • Cost$ to $$

Enlarged Pores & Acne

There are many treatments available for enlarged pores due to acne.  Dermatologists use a combination of Vitamin A creams, chemical peels, & lasers to treat mild cases of enlarged pores. Larger open pores can be treated with TCA CROSS or Paint.

FactsFacts on enlarged pores & acne

  • Pores are genetically predetermined
  • Enlarged pores can be related to acne & sebum production
  • Larger pores can be seen on the nose & cheeks- regions with the most oil glands
  • Mild cases of enlarged pores can be treated with retinoids & chemical peels
  • Pores due to increased oil production can be treated with anti-hormonal medications
  • Lasers are very effective in treating enlarged pores

What causes open and prominent pores?

Enlarged Pores & Acne

Pores are essential for healthy skin, however, some people have more prominent pores. Pores size is genetically predetermined. People who have acne-prone skin, oily skin or ‘squeezers’ are more likely to have enlarged pores. Enlarged pores most frequently occur in areas of high oil glands including the nose, cheeks, and upper lips.

Microneedling can be effective in some cases. We prefer small spot lasers to shrink pores.


Why do pores enlarge with age?

Loss of collagen support surrounding the pore results in enlargement over time. Collagen decreases with age, sun exposure & in people who smoke.

What simple skin treatments can I do to help with open and enlarged pores?

These simple skin solutions should be tried as the first step in managing open pores & blackheads.


  1. Wash your face daily with a wash containing salicylic acid. We recommend Neutrogena Oil Free Acne wash.
  2. Dab your face instead of scrubbing. This method is gentler on your skin.
  3. Avoid oil-based cosmetics which may block pores. Use water based non-comedogenic make up.
  4. Use an oil free moisturiser that is light on your skin. This can protect your skin’s barrier.
  5. Consider using a Glycolic Acid creams. If you have sensitive skin, start with a lower concentration, and work up to 15%.  This can help reduce pore size.

What treatments are there for enlarged pores?

Peels can reduce oil production & stimulate collagen. The end result is less oil production & more structural support for pores.

Creams for enlarged pores

Pore size can be decreased by 10-40% on a combination of creams including Vitamin A & AHA or Glycolic acid – Fruit acid preps. The concentration of vitamin A and the application regime will be dependent on your skin type and sensitivities. Your Dermatologist will guide you as to the use of these creams.

AHA Chemical Peels for enlarged pores

Glycolic acid peels using gentle fruit acids or AHAs may reduce the size of enlarged pores as well as prevent blackheads. AHAs refresh the skin’s surface, and evens outs texture. Dermatologists often combine chemical peels with other treatments for optimal results.



TCA CROSS Chemical peels for enlarged pores

Glycolic acid peels have their limitations- this type of chemical peeling can treat mild and superficial pores, however deeper, larger and enlarged pores respond well to more powerful peels such as TCA or TrichloroAcetic Acid. This form of peeling is associated with a downtime of 5-7 days and should only be performed by a Specialist. Depending on the size and depth of pores, 2-3 treatments of TCA Cross are required for best results.


Davin’s viewpoint on treating enlarged pores

‘What can I do to reduce pore size?’ This is one of the most frequently asked questions. Enlarged pores are very common, and are most frequently encountered in areas of high oil glands, including the nose, upper lip and cheeks. The size of your skin pores are genetically predetermined, however skin conditions such as blackhead acne, rosacea, & oily skin can enlarge skin pores.

Deep and large pores are the easiest to treat. We combine TCA & laser- this can produce outstanding results in most patients. The number of treatments and type of laser will be determined by the size and depth of enlarged pores, as well as the skin type of patients.

Mild cases of enlarged pores can be more difficult to treat. In this situation, I usually advise a series of chemical peels (AHA) coupled with prescription Vitamin A creams. Laser resurfacing with the 1927 Fraxel or LaseMD provides the best results.

Newer laser fractional treatments such as eCO2 Fractional with our CO2RE system has more promising results. As with all skin treatments a tailored approach provides the best outcomes.

TCA CROSS & paint can be performed for pick scars & objectively enlarged pores.

Disclaimer: For cosmetic pore size reduction, please book with my nurses & dermal therapist. My work is focused on pathologically significant enlarged pores associated with severe scars, based on objective measurement.

Body dysmorphic syndrome or cases are not my interest nor speciality. If you have enlarged pores that can only be demonstrated by close magnification, it is unlikely that I can assist.

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