Enlarged Pores: Causes and Treatment Options

There is a particularly enlarged pore on the face?

There is a particularly enlarged pore on my face, surrounded by some redness and swelling.
It is very noticeable and protrudes from the skin.
This pore is especially large and prominent; occasionally, it feels slightly itchy, but it has not disappeared and has persisted for 2 to 3 years without changing in size.
I would like to know what the cause might be.
I have been increasing my moisturizing efforts, but there hasn't been much improvement.
I have also visited a general dermatologist and used prescribed medication, but there has still been no improvement.

Nìmíng, 30~39 year old female. Ask Date: 2019/12/27

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to address it appropriately.

Reply Date: 2019/12/27

More Info

Enlarged pores can be a common skin concern, and they can arise from various underlying causes. Based on your description, it seems that you have a particularly enlarged pore that has been persistent for 2-3 years, accompanied by some redness and occasional itching. This condition can be frustrating, especially when standard treatments do not yield significant results.

Causes of Enlarged Pores
1. Genetics: One of the primary factors contributing to enlarged pores is genetics. If your family members have similar skin issues, it is likely that you may experience them as well.

2. Sebum Production: Overactive sebaceous glands can lead to excess oil production, which can clog pores and make them appear larger. This is often seen in individuals with oily skin types.

3. Aging: As we age, our skin loses collagen and elasticity, which can cause pores to appear larger. The skin's ability to bounce back diminishes, leading to a more pronounced appearance of pores.

4. Sun Damage: Prolonged sun exposure can damage the skin and lead to a breakdown of collagen and elastin, contributing to enlarged pores.

5. Acne and Clogged Pores: If you have a history of acne, the inflammation and scarring can lead to enlarged pores. Clogged pores from dead skin cells, oil, and bacteria can also exacerbate the issue.

6. Skin Conditions: Certain skin conditions, such as rosacea or dermatitis, can cause localized inflammation and redness, which may make pores appear larger.

Treatment Options
1. Topical Treatments: Since you mentioned that you have tried medications prescribed by a dermatologist without improvement, it may be worth exploring other topical options. Products containing retinoids can help increase cell turnover and reduce the appearance of pores. Additionally, salicylic acid can help unclog pores and reduce oiliness.

2. Chemical Peels: Chemical peels can help exfoliate the skin and improve its texture. They can also aid in reducing the appearance of enlarged pores by promoting new skin cell growth.

3. Microdermabrasion: This procedure involves exfoliating the outer layer of skin to improve texture and reduce the appearance of pores. It can be performed in a dermatologist's office.

4. Laser Treatments: Laser therapies, such as fractional laser or ablative laser treatments, can stimulate collagen production and improve skin texture, which may help minimize the appearance of enlarged pores.

5. Microneedling: This treatment involves using fine needles to create micro-injuries in the skin, promoting collagen production and potentially reducing pore size.

6. Proper Skincare Routine: Maintaining a consistent skincare routine that includes gentle cleansing, exfoliation, and hydration can help manage enlarged pores. Avoid harsh scrubs that can irritate the skin and worsen the condition.

7. Consultation with a Specialist: If you have not seen improvement with general dermatological treatments, consider seeking a consultation with a dermatologist who specializes in cosmetic procedures. They may offer more advanced treatment options tailored to your specific skin condition.

Conclusion
In summary, enlarged pores can be caused by a combination of genetic, environmental, and lifestyle factors. While it can be disheartening to deal with a persistent skin issue, there are various treatment options available. It may take some time to find the right approach that works for you, so patience and persistence are key. If your symptoms continue to persist or worsen, it is essential to follow up with a dermatologist for further evaluation and tailored treatment options.

Similar Q&A

Understanding and Treating Enlarged Pores: Expert Insights and Solutions

Question 1: What are the causes of enlarged pores? Please explain how to prevent and improve this condition. What topical and oral treatments can help? If there are no effective treatments, what mild surgical procedures can cure it with minimal side effects, and what are the cost...

Dr. Chen Yiying reply Dermatology
Hello, in response to your questions: 1. The size of pores is most closely related to one's genetic predisposition. Blockages caused by acne can also make pores appear more prominent. Additionally, improper handling of acne by squeezing can leave depressions that make pores...

How to Shrink Enlarged Pores: Effective Remedies and Tips

If you have enlarged pores, here are some remedies you can consider: 1. Cleansing: Use a gentle cleanser to remove excess oil and dirt that can contribute to pore enlargement. 2. Exfoliation: Regular exfoliation with chemical exfoliants like alpha hydroxy acids (AHAs) o...

Dr. Huang Ruiyun reply Dermatology
Stop squeezing; it will only make the hole bigger. It's difficult to assess the severity online, so if it's really bothering you, I recommend seeing a dermatologist in person. However, don't set your expectations too high, as it is not easy to permanently reduce po...

Struggling with Enlarged Pores: Seeking Solutions for Acne Scars

Hello Dr. Cheng: I previously heard that applying Metronidazole cream on my face every day could cure acne and blackheads, so I started applying it about 3 to 4 times daily. Within less than a week, my pores became very enlarged, and by the time I noticed, it was already too late...

Dr. Zheng Lizhen reply Dermatology
Hello: If you have tried many methods and the size of your pores remains unchanged, there may not be any effective solutions available at this time. If you are very concerned about this issue, you might consider using skincare products that contain silicone powder, which can quic...

Understanding Enlarged Pores and Skin Irritations: Causes and Solutions

Hello Dr. Hong, I have been experiencing two significant issues with my face over the past six months: 1. Initially, I only had enlarged pores on either side of my nose, but in the past few months, the pores on my entire cheeks have become visibly enlarged and are filled with...

Dr. Hong Zhengsheng reply Dermatology
Dear Inquirer, I apologize, but based on your description, it is not possible to determine your specific condition. Online responses can only speculate based on the information provided and personal experiences, and cannot offer the precise diagnosis and treatment that an in-per...