Dealing with Enlarged Pores: Post-Cleansing Concerns and Solutions - Dermatology

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Post-Facial Cleansing Issues


I have large pores on my nose and around my nostrils.
After washing my face, I can see white substances in the pores (I'm not sure if it's from the cleanser) because before washing, my skin felt oily and there were no white substances.
Is it okay to press them out with my nails? It doesn't hurt or bleed, but I feel that some pores still appear dark.
I've tried products like nose strips, but they don't seem to help much.
I don't have a skincare routine, and due to my past acne, I avoid squeezing them, which has resulted in enlarged pores.

A De, 30~39 year old female. Ask Date: 2020/11/20

Dr. Li Yufen reply Dermatology


Hello: Based on the description of white substances in the pores, it is possible that they are sebaceous filaments.
For a detailed introduction, you can refer to the Yuanli Medical Aesthetic Clinic at https://www.yuanliclinic.com/%E8%AA%A4%E6%8A%8A%E7%9A%AE%E8%84%82%E7%AE%A1%E7%B5%B2%E7%95%B6%E9%BB%91%E9%A0%AD%EF%BC%8C%E7%8B%82%E6%93%A0%E5%8F%8D%E8%AE%93%E6%AF%9B%E5%AD%94%E6%9B%B4%E5%A4%A7%EF%BC%81/ and the Medical Partner at https://www.medpartner.club/acne-sebaceous-filament-myth/.
If the skin symptoms do not improve or worsen, it is advisable to consult a nearby dermatologist for diagnosis and treatment at http://www.derma.org.tw/user_finddoctor.php.
Thank you!

Reply Date: 2020/11/20

More Info


Dealing with enlarged pores can be a frustrating experience, especially when they become clogged with oil, dirt, and dead skin cells. It’s important to understand that enlarged pores are often a result of various factors, including genetics, skin type, and previous acne issues. Here’s a comprehensive guide on how to manage enlarged pores effectively, especially after cleansing.


Understanding Enlarged Pores
Enlarged pores are essentially openings in the skin that have become stretched due to excess oil production, loss of skin elasticity, or the accumulation of debris. When you cleanse your face, it’s common to notice residue, such as white or blackheads, which can be a result of trapped sebum and dead skin cells.

Post-Cleansing Concerns
1. White Residue After Cleansing: If you notice a white substance in your pores after washing your face, it could be leftover cleanser or sebum that has not been fully removed. It’s crucial to ensure that you are using the right cleansing technique. Make sure to rinse thoroughly with lukewarm water, as hot water can irritate the skin and cold water may not effectively remove oil.

2. Using Fingernails to Extract Debris: While it might be tempting to use your fingernails to press out the contents of your pores, this practice is not recommended. Even if it doesn’t cause pain or bleeding, using your nails can introduce bacteria into the pores, leading to infections or further breakouts. Instead, consider using a comedone extractor tool, which is designed for this purpose, but ensure it is sanitized before use.

3. Blackheads and Clogged Pores: If you have persistent blackheads, it may be beneficial to incorporate products containing salicylic acid or glycolic acid into your skincare routine. These ingredients help to exfoliate the skin and clear out clogged pores. Regular exfoliation (1-2 times a week) can also help to remove dead skin cells that contribute to pore blockage.


Effective Solutions
1. Cleansing Routine: Use a gentle, non-comedogenic cleanser that suits your skin type. If you have oily skin, a foaming or gel cleanser may be effective, while cream-based cleansers are better for dry skin. Double cleansing (using an oil-based cleanser followed by a water-based one) can also help to thoroughly remove makeup and impurities.

2. Exfoliation: Incorporate chemical exfoliants like AHAs (alpha hydroxy acids) or BHAs (beta hydroxy acids) into your routine. These can help to dissolve the debris in your pores and promote cell turnover, which can reduce the appearance of enlarged pores over time.

3. Clay Masks: Using clay masks once a week can help absorb excess oil and draw out impurities from the pores. Look for masks containing kaolin or bentonite clay.

4. Moisturizing: Even if you have oily skin, it’s essential to moisturize. Look for lightweight, oil-free moisturizers that won’t clog your pores. Hydrated skin can help maintain elasticity and reduce the appearance of pores.

5. Sunscreen: Protecting your skin from sun damage is crucial. Sun exposure can lead to loss of collagen and skin elasticity, making pores appear larger. Use a broad-spectrum sunscreen daily.

6. Professional Treatments: If home care isn’t yielding the desired results, consider consulting a dermatologist. Treatments such as chemical peels, microdermabrasion, or laser therapy can provide more significant improvements in the appearance of enlarged pores.


Conclusion
Managing enlarged pores requires a consistent skincare routine and an understanding of your skin’s needs. Avoiding harsh extraction methods and focusing on gentle cleansing and exfoliation can help maintain healthy skin. If you’re unsure about the best products or treatments for your skin type, consulting with a dermatologist can provide personalized recommendations and solutions. Remember, patience is key, as improvements may take time.

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