Why do I have Enlarged Pores?
Pores are visible openings on the skin that correspond to the pilo-sebaceous gland unit opening.
Enlarged pores are a very common concern.
Many of the individuals that we see in clinic may come with acne and also raise concerns with their enlarged pores at the same time.
Studies indicate that excessive sebum output contributes to an increased in pore size.
Individuals with acne and predominantly oily skin types have larger pores as well.
Pore size is also known to enlarge during menstrual cycle of females.
Other factors associated with enlarged pores are genetics, hair follicle size, loss of skin elasticity, chronic photo-damage of the skin and ethnicity.
With increasing age, there is not only a reduction in collagen and elastin, there is also an increase in the enzymatic degradation of these two elements by free radicals.
Skin architecture is weakened, and this is why acne scars, enlarged pores and skin laxity becomes more visible with age.
Pore Size Reduction Treatment
Pore size reduction treatments are aimed at the underlying cause. The treatments are directed towards lowering sebum output, reducing androgen activity, and stimulating new collagen and elastin formation.
Topical Cream Treatments
Topical retinoid creams (Vitamin A) are an established treatment for acne vulgaris and their antiaging effects.
Topical retinoids such as tretinoin exert their effect by normalizing skin cell turnover, demonstrating anti-inflammatory effects and reversing blackheads and whiteheads formation.
Chemical peels such as glycolic acid, which have been used for their skin rejuvenating effects may improve pore size.
Oral isotretinoin is effective at significantly reducing sebum output by 4-6 weeks. Many report significant and visible improvement in their inflammatory acne, comedomes and enlarged pores during treatment.
Other oral medications such as spironolactone reduce sebum production by having an anti-androgen effect.
TCA CROSS For Enlarged Pores
The TCA CROSS procedure suitable for deep enlarged pores, and ice pick scars.
TCA is short for Trichloroacetic acid. TCA is a medium to deep chemical peel that has been used extensively to treat scars, wrinkles and photo aging. CROSS is an acronym for Chemical Reconstruction of Skin Scars.
The CROSS technique uses high concentration TCA to denature the proteins at the deeper layers of the skin. This process stimulates collagen synthesis, skin thickening and a resultant improvement in your enlarged pore appearance.
Most individuals will see improvement after 2-4 sessions, and downtime is minimal. Redness and swelling fades in 3-4 days, and scabs come off in about one week.
Lasers for Enlarged Pores
Lasers work by introducing thermal energy into the skin to remodel dermal collagen. The synthesis and re-organisation of collagen bundles improves skin elasticity, tightens enlarged pores and strengthens the dermal layer of the skin.
For individuals with moderate enlarged pores and where social downtime is not desired, non-ablative laser treatments such as the Q-switched (nanosecond) Laser are recommended.
For moderately-severe enlarged pores with acne scars in dark skin individuals, we recommend INFINI. INFINI is a fractional radio-frequency energy in the dermal layer of the skin.