and Treating Enlarged Pores: Expert Insights and Solutions - Dermatology

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Skin-related issues?


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 costs?
Question 2: Are there any dietary restrictions for enlarged pores?
Question 3: Are there any contraindications regarding the use of cold and hot water for enlarged pores?
Question 4: I have noticed red marks on both sides of my nose for several years, with some blood streaks.
I have observed that many people have this condition.
Can I apply L-ascorbic acid (Vitamin C)? What is this condition? Is it curable or can it be significantly improved? Please provide methods.
Are there any daily life restrictions or dietary prohibitions for this condition?
Question 5: I recently bought a jar of Neostrata L-ascorbic acid.
What is the best time to apply it to the skin? Should it be applied daily? How long should it stay on the skin before washing off? Will there be side effects if it is not washed off? Are there any contraindications for using L-ascorbic acid in daily life?
Question 6: Are skin indentations truly permanent scars?

Xiao Dong, 20~29 year old female. Ask Date: 2003/05/06

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 more noticeable.
Applying retinoids, alpha hydroxy acids, and salicylic acid can provide some help.
Treatments such as intense pulsed light therapy and diamond microdermabrasion are also claimed to be effective, but they can be quite expensive, ranging from thousands to tens of thousands of dollars.
There are no specific dietary restrictions; as long as the water temperature is not too hot or too cold to irritate the skin, there are no particular prohibitions.
As mentioned, enlarged pores are not a disease; they can be improved, but there is no such thing as a "cure."
2.
The redness and vascular dilation on either side of the nose are most likely indicative of rosacea.
There are no specific dietary restrictions, but topical and oral medications can be used for improvement.
Please consult a dermatologist for a diagnosis and to determine the appropriate medication based on your individual condition.
L-ascorbic acid is not a treatment specifically for rosacea.
3.
The timing of application is not critical; there is no need to wash it off afterward, and applying it daily may yield more noticeable results.
If there are wounds or allergies on the skin, please consult a dermatologist before use.
4.
There is no such thing as the "best" product; it is only about what is suitable for you.
You may consult a dermatologist nearby for recommendations tailored to your skin type.
5.
Permanent scars on the skin can form depressions.

Reply Date: 2003/05/06

More Info


Enlarged pores are a common skin concern that can be attributed to various factors, including genetics, skin type, age, and environmental influences. Understanding the causes and potential treatments for enlarged pores is essential for effective management.


Causes of Enlarged Pores
1. Genetics: Some individuals are genetically predisposed to larger pores, often due to thicker skin or higher oil production.

2. Excess Oil Production: Overactive sebaceous glands can lead to an accumulation of oil, which can stretch the pores.

3. Aging: As skin ages, it loses elasticity and firmness, causing pores to appear larger.

4. Sun Damage: UV exposure can damage collagen and elastin, leading to enlarged pores.

5. Clogged Pores: Accumulation of dead skin cells, dirt, and oil can clog pores, making them appear larger.


Prevention and Improvement Strategies
To prevent and improve the appearance of enlarged pores, consider the following approaches:
#
Topical Treatments
1. Retinoids: Products containing retinoids can help increase cell turnover, reduce oil production, and improve skin texture.

2. Salicylic Acid: This beta hydroxy acid penetrates the pores to exfoliate and reduce oil buildup.

3. Niacinamide: Known for its anti-inflammatory properties, niacinamide can help minimize pore appearance and improve skin texture.

4. Vitamin C: As an antioxidant, vitamin C can help brighten the skin and improve overall texture, which may reduce the appearance of pores.

#
Dietary Considerations
While there are no specific foods that directly cause enlarged pores, a diet high in processed foods and sugars can lead to increased oil production and inflammation. A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can support overall skin health.

#
Hydration
Maintaining proper hydration is crucial. Drinking enough water and using a good moisturizer can help keep skin plump and reduce the appearance of pores.


Surgical and Non-Surgical Options
If topical treatments are insufficient, there are several procedures that can help:
1. Chemical Peels: These treatments exfoliate the skin and can improve texture and pore appearance.

2. Microdermabrasion: This procedure removes the outer layer of dead skin cells, promoting smoother skin.

3. Laser Treatments: Laser therapies can stimulate collagen production and tighten skin, reducing pore size.

4. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, promoting healing and collagen production.


Specific Concerns
Regarding the red marks and blood vessels near the nose, this could indicate a condition such as rosacea or broken capillaries. Vitamin C can be beneficial for skin health, but it’s essential to consult a dermatologist for a proper diagnosis and treatment plan.


Application of Vitamin C Products
For topical Vitamin C products, it is generally recommended to apply them in the morning after cleansing and before moisturizing. Allow the product to absorb for about 10-15 minutes before applying sunscreen. Daily application is beneficial, but if irritation occurs, it may be wise to reduce frequency.


Moisturizers and Products
When looking for effective moisturizers, consider those containing hyaluronic acid, glycerin, or ceramides. These ingredients are known for their hydrating properties. In Kaohsiung, you can find reputable skincare products at local pharmacies, department stores, or specialty skincare shops.


Conclusion
Enlarged pores can be managed through a combination of preventive measures, topical treatments, and professional procedures. While some treatments may provide significant improvement, it’s essential to have realistic expectations and consult with a dermatologist for personalized advice and treatment options. Regular skincare routines, a balanced diet, and sun protection are key components in maintaining healthy skin and minimizing the appearance of enlarged pores.

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