Pore size reduction

Pore treatments At A Glance

  • Best Results1-4 treatments
  • Treatment Recovery0-3 days
  • Procedure Time10-30 min
  • Skin SpecialistDermal therapist, nurse
  • Duration of ResultsMonths to years
  • AnaestheticNumbing cream
  • Back to WorkImmediately-3 days
  • Cost$-$$

Pore size reduction

How do I reduce my pore size is a common question I get asked. Mild cases can be improved with vitamin A creams, mesotherapy, special washes & AHA Peels. For deep prominent pores, I use TCA, high density lasers, Tixel or ablative laser resurfacing to reduce the size of pores.

FactsFacts on reducing pore size

  • Mild cases of enlarged pores can be treated with Beta Hydroxy Acid washes, chemical peels & prescription Vitamin A cream
  • The size of your pores are determined by genes, as well as oil production
  • Patients who have oily or acne prone skin tend to have larger skin pores
  • Permanently enlarged pores maybe secondary to squeezing pimples and acne
  • Large pores can be treated with TCA peels or with laser resurfacing

Why are my pores enlarged?

Pore size is determined by genetics- some people are born with larger pores than normal. Patients with a history of oily skin or acne generally will have larger pores. Patients who have a history of squeezing their pimples may have permanently enlarged pores.

Enlarged pores are most prominent in areas that are oily or sebaceous. An example is around the nose and upper lip. Certain races including Asian, African & Middle Eastern people have larger pores compared to fair skin people.

Can creams and simple treatments decrease the size of my pores?

In some cases, yes. If you have a mild increase in pore size, you the try the following before taking dramatic steps towards TCA or laser resurfacing-

  1. Wash twice a day with Neutrogena Oil Free wash
  2. Use good make up – I recommend mineral make up
  3. Use a light moisturiser
  4. See a medical dermatologist for some vitamin A creams- especially if you have black heads and open pores. Make sure you are careful mixing Vitamin A prescription creams with Salicylic Acid washes, as this can irritate your skin.
  5. If you still have enlarged pores, consult my clinical team of nurses & dermal therapist for advice. At Clinic Cutis we perform a vast array of pore reducing treatments including peels & lasers.

What is the best treatment for open pores?

The best treatment will depend on your pore size, skin type and previous treatments.

Mild cases of open pores can be treated with creams. Specialist strength glycolic, lactic or retinoic acid peels can also aid in decreasing pores size.

For large pores, I perform either TCA  or laser resurfacing. TCA CROSS  or paint is an excellent treatment for very deep, and large pores in all skin types- including ethnic skin.

Laser resurfacing is great for the over all treatment of small but deep pores. I use either an erbium Sciton laser, Fraxel , Clear & Brilliant lasers, LaseMD Thulium or one of my many CO2 lasers to shirk enlarged pores.

What is involved in TCA for large pores?

TCA CROSS stands for Trichloroacetic acid chemical reconstitution of skin scars. This technique was invented by the Asian dermatologists over a decade ago, and is still the number one treatment for ice pick scars & deep pores. In the past few years I have modified this application to give better results with less treatments.

TCA works by stimulating collagen production within the scar or pore, to increase the height of the scar. Each TCA procedure should increase the height of the scar or open pore by 20-40%. Most people will need 2-4 procedures followed by laser resurfacing for an almost ‘perfect outcome.’

TCA only treats the pores and spares the surrounding skin. Your skin heals within 6-7 days.

With TCA in darker skin types, expect PIH or post inflammatory hyperpigmentation for at least 2-3 months following this procedure. The use of sunscreen, & pigmentation inhibitors / bleaching creams can speed up recovery.

My lead clinical team of nurses & dermal therapist can assist you, as they have been extensively trained (over 5 years) to apply TCA to appropriate pores & scars.

Davin’s viewpoint on reducing pore size

Facts surrounding pore size treatments seem to be many, just as there are myths. The truth is that pore sizing is determined by genes, much like acne. Some patients just have enlarged pores for no apparent reason, others have pores associated acne and oily skin. In the later group, visiting a medical dermatologist will sort out all 3 conditions. Pores may also be associated with acne scarring, previously picked acne lesions, and conditions such as rosacea.

Deep pores are very easily treated with TCA CROSS or Paint. We choose a concentration based upon your skin type and location of the pore. 2-3 treatments are ideally needed. TCA is excellent for treating individual lesions, whilst laser resurfacing is a huge step towards an ‘overall’ reduction in pore size. Now a days I tend to use ‘Fractional laser’ for moderate size skin pores as treatments are predictable. Pico lasers can be used on darker skin types.

I do not perform microneedling for open pores because in some cases this treatment can make pore sizing worse. My rule is deliver a treatment that has a smaller caliber than the pore itself. In the case of fine pores, small diameter lasers are my go to solutions.

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