Enlarged pores

Enlarged pores are small depressions on the facial skin that contain openings allowing sweat and oil to reach the skin’s surface. People can be genetically predisposed to them and they depend on the production of sebum.

What can cause pore enlargement?

Pore enlargement can be caused by: – development of acne, during which a larger amount of blackheads and miniature scars are formed – changes in the hormonal status, which increases sebum production – chronic damage to the skin by sun exposure, leading to the loss of elastin and collagen. The skin becomes rougher, and the pores significantly more visible – using inadequate facial cosmetics, especially oily preparations. This leads to the expansion of sebaceous openings on the face and the accumulation of dead cells. – Aging is an important factor. With the loss of elastin of the skin, the skin tone around the pores lightens causing the pores to expand.

What can we do to prevent enlarged pores?

It is necessary to clean the face on a regular basis with non-aggressive agents. Daily removal of make-up, as well as dust from the face, provides balanced oil and hydration to the skin. Overly aggressive preparations can initially reduce oil and slightly improve the appearance of enlarged pores, but their prolonged use can worsen the skin condition. If the skin is dry, it will defend itself by increasing the production of sebum. People with oily skin should use preparations with fruit acids or retinol to improve the appearance of their skin. Mechanical peeling removes dead cells from the surface of the skin and can be productive, but should not be used more than once a week.

What treatments can reduce enlarged pores?

Following treatments can be used to reduce enlarged pores: * Chemical peel * Fractional CO2 laser * Dermapen and PRP Chemical peels are very beneficial for the skin if performed properly and selected appropriately. Acids exfoliate the skin in greater or lesser amount, but their primary role is to balance the oil production, as well as to stimulate the production of collagen and elastin in order to increase skin tone. If a dermatologist opts for fruit acids or beta acids, it takes three to five peels to make a significant and long-lasting results. Chemical peel containing 25% to 35% trichloroacetic acid will reduce pores in two treatments, but a patient will need up to 7 days of recovery. If the pores are treated with acids, it is necessary to repeat the treatment once a year. Fractional CO2 laser can improve the appearance of the skin by 30% in just one treatment. To achieve this result in one treatment, an adequate laser energy is required, and it will be visible in three months following the treatment. After three months, the synthesis of collagen and elastin is the highest. It is desirable to perform one treatment per year, and in some patients one treatment every two years. Dermapen and PRP are often combined in this treatment, although they can be used as separate procedures. Dermapen stimulates skin self-renewal with microneedling, as well as collagen production. Self-plasma treatment also uses needles, and platelets enable faster repair and a larger amount of growth factors. It is necessary to perform at least three treatments a year. Enlarged pores are not a sign of skin disorder but represent only an aesthetic problem. It is necessary to treat them continuously in order to maintain the achieved result.
Svetlana Đurišić specijalista dermatovenerologije

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