Enlarged Pores and Skin Irritations: Causes and Solutions

Enlarged facial pores?

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 something resembling white cotton-like material, with some ends being thin and long (similar to fine hair).
What started as just my cheeks has now gradually spread to my temples as well.
I have tried using a comedone extractor to remove them, but there are too many to clear out completely, and the texture of what I extracted does not resemble typical comedones.
A dermatologist mentioned that it is a blockage and advised me to wash my face four times a day and apply a medicated acne lotion, but there has been no improvement after two weeks.
2.
Additionally, near the hairline or around my ears on both cheeks, I develop bumps or rashes that resemble mosquito bites every couple of days.
They are very itchy, and the more I scratch, the more they appear, but they disappear after a few hours, although some leave scars.
One doctor suggested it might be urticaria and prescribed a topical corticosteroid, while another suggested it is also a blockage and recommended more frequent face washing and the use of medicated acne lotion, but again, there has been no improvement.
Thank you for your explanation.

Kunaozhe, 30~39 year old female. Ask Date: 2006/10/14

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-person consultation would provide.
I recommend that when you notice the described symptoms on your skin, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
Our physicians are more than willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/10/14

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding enlarged pores and skin irritations. It sounds like you are experiencing two distinct but potentially related issues: enlarged pores with blockage and intermittent itchy welts or hives. Let's break down each of these problems and explore potential causes and solutions.

Enlarged Pores and Blockage
Enlarged pores can be a common concern, particularly in areas like the nose and cheeks. The appearance of white, cotton-like material you described could be a buildup of sebum, dead skin cells, and possibly keratin, which can clog pores. This condition is often exacerbated by factors such as hormonal changes, environmental conditions, and improper skincare routines.

1. Causes:
- Sebum Production: Increased oil production can lead to clogged pores. This can be influenced by hormonal fluctuations, diet, or stress.

- Dead Skin Cells: If the skin is not exfoliated regularly, dead skin can accumulate, leading to blockages.

- Environmental Factors: Pollution and humidity can contribute to skin issues, particularly if you are in a climate that promotes oiliness.

2. Solutions:
- Cleansing Routine: While your dermatologist advised washing your face four times a day, it’s essential to ensure that you are using a gentle cleanser that does not strip your skin of its natural oils. Over-washing can lead to irritation and increased oil production.

- Exfoliation: Incorporating a gentle exfoliant (chemical exfoliants like AHAs or BHAs) into your routine can help remove dead skin cells and prevent clogging.

- Topical Treatments: Consider using non-comedogenic products that contain salicylic acid or benzoyl peroxide, which can help clear out pores and reduce inflammation.

- Professional Treatments: If over-the-counter solutions are ineffective, treatments such as chemical peels, microdermabrasion, or laser therapy performed by a dermatologist may provide relief.

Itchy Welts or Hives
The itchy welts you are experiencing could be a form of urticaria (hives), which can be triggered by various factors, including allergens, stress, or even temperature changes.

1. Causes:
- Allergic Reactions: These can be caused by food, medications, or environmental allergens.

- Physical Triggers: Sometimes, physical stimuli such as heat, cold, or pressure can induce hives.

- Skin Irritation: If you are using harsh products or have sensitive skin, this could lead to irritation and hives.

2. Solutions:
- Avoid Triggers: Keep a diary to track when the hives occur and what might be triggering them. This can help identify specific allergens or irritants.

- Topical Treatments: Using topical corticosteroids can help reduce inflammation and itching. However, it’s important to use these as directed by your physician.

- Antihistamines: Over-the-counter antihistamines can help alleviate itching and reduce the appearance of hives.

- Consult a Specialist: If the hives persist or worsen, consider seeing an allergist or dermatologist for further evaluation and management.

Conclusion
Both enlarged pores and skin irritations can be frustrating and impact your quality of life. It’s essential to maintain a consistent skincare routine tailored to your skin type and concerns. If you find that over-the-counter treatments are not effective, do not hesitate to seek further advice from a dermatologist who can provide a more personalized treatment plan.

Remember, patience is key in skincare, as it can take time to see improvements. Additionally, maintaining a healthy lifestyle, including a balanced diet and adequate hydration, can significantly impact your skin's health.

Best wishes for your skin health, and I hope you find relief soon.

Sincerely,
Doctor Q&A Teams
[Your Title]

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