How to Treat Enlarged Pores and Acne Scars Effectively?

Q: How to Treat Enlarged Pores and Acne Scars Effectively?

Hello： Chemical peels with alpha hydroxy acids (AHAs) are certainly possible, but using a high concentration for the first time without caution may cause burns, resulting in a week of downtime. <br>The effects vary from person to person; you can try doing four to five sessions to

I would like to inquire about the issue of pore scars?

I have been dealing with acne since middle school, and although it’s not as severe now, my pores have become quite enlarged over time.
Even with makeup, I can't cover them up, which is really disheartening.
Additionally, I have picked at some spots, leading to red acne scars that resemble the surface of the moon.
My main concern is improving the appearance of my pores, especially around the nose and cheeks, which is very noticeable.
Should I consider chemical peels with alpha hydroxy acids (AHAs), or is there another option? Is there a difference between low and high concentrations of AHAs? Can I start with a high concentration for my first treatment? Are there any side effects? If I only do it once, will I see any significant results? How many sessions are typically needed? Can chemical peels help reduce pore size and improve my skin issues? I'm worried that undergoing a chemical peel might cause a sudden breakout since I've had so many issues with acne in the past.
I have a lot of questions, and I apologize for that.
Thank you!

Xiao Ruo, 20~29 year old female. Ask Date: 2010/04/17

Dr. Huang Ruiyun reply Dermatology

Hello: Chemical peels with alpha hydroxy acids (AHAs) are certainly possible, but using a high concentration for the first time without caution may cause burns, resulting in a week of downtime.
The effects vary from person to person; you can try doing four to five sessions to see how it works for you.
If the results are good, you can continue with the treatments.
A chemical peel will not suddenly cause an outbreak of acne.
Wishing you health and beauty!

Reply Date: 2010/04/17

More Info

Treating enlarged pores and acne scars can be a multifaceted approach, especially for individuals who have struggled with acne for an extended period. It’s understandable to feel frustrated when dealing with persistent skin issues like enlarged pores and acne scars, particularly when they affect your self-esteem. Here’s a comprehensive guide on how to effectively address these concerns.

Understanding Enlarged Pores and Acne Scars
Enlarged pores are often a result of excess oil production, dead skin cells, and the breakdown of collagen and elastin in the skin. Acne scars, on the other hand, are the result of inflammation and tissue damage from acne lesions. Both conditions can be exacerbated by factors such as genetics, skin type, and environmental influences.

Treatment Options
1. Chemical Peels:
- Glycolic Acid and Salicylic Acid Peels: These are popular options for treating enlarged pores and acne scars. Glycolic acid, an alpha hydroxy acid (AHA), helps exfoliate the skin and improve texture, while salicylic acid, a beta hydroxy acid (BHA), penetrates deeper into the pores to clear out excess oil and debris.

- Fruit Acid Peels: These can also be effective in promoting cell turnover and improving skin texture. The concentration of the acid matters; higher concentrations can yield quicker results but may also increase the risk of irritation.

- Frequency and Concentration: Starting with a lower concentration is advisable, especially if you have sensitive skin. Gradually increasing the concentration can help your skin adjust. Typically, a series of treatments (usually 4-6 sessions) spaced a few weeks apart is recommended for optimal results.

2. Laser Treatments:
- Fractional Laser Resurfacing: This treatment can significantly improve the appearance of acne scars and enlarged pores by promoting collagen production and skin renewal. It’s more aggressive than chemical peels and may require downtime.

- Non-ablative Lasers: These are less invasive and can help with skin texture and pore size without significant recovery time.

3. Microneedling:
- This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and improving skin texture. It can be effective for both enlarged pores and acne scars.

4. Topical Treatments:
- Retinoids: These vitamin A derivatives can help improve cell turnover, reduce oil production, and promote collagen synthesis, making them effective for both enlarged pores and acne scars.

- Niacinamide: This ingredient can help regulate oil production and improve skin texture, making it beneficial for enlarged pores.

5. Skincare Routine:
- Incorporate a gentle exfoliating cleanser into your routine to help remove dead skin cells and prevent clogged pores. Additionally, using non-comedogenic moisturizers can help maintain hydration without exacerbating oiliness.

Concerns About Side Effects
It’s common to worry about potential side effects, such as increased breakouts after treatments like chemical peels or microneedling. While some individuals may experience a purging phase, where existing acne comes to the surface, this is often temporary. It’s crucial to consult with a dermatologist who can tailor a treatment plan to your specific skin type and concerns.

Conclusion
Improving enlarged pores and acne scars is a process that requires patience and consistency. While treatments like chemical peels and laser therapy can be effective, they should be part of a comprehensive skincare regimen. Always consult with a qualified dermatologist to determine the best course of action for your skin type and condition. With the right approach, you can achieve smoother, healthier skin and regain your confidence.

Similar Q&A

How to Treat Acne Scars and Improve Oily Skin Texture

Hello, Doctor: I would like to ask you about my situation. I was an athlete in elementary school and have oily skin, which led to a lot of acne. However, I didn't understand it when I was younger, and due to rapid development, my acne became quite severe. My mother would hel...

Dr. Zheng Lizhen reply Dermatology
Hello! Atrophic scars can be treated with laser resurfacing surgery to achieve good results. For enlarged pores, you may consult a dermatologist about using retinoids or alpha hydroxy acids to improve pores that have become enlarged due to clogged comedones. The fundamental princ...

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...

How to Minimize Pores: Effective Laser Treatments for Acne Scars

I have enlarged pores due to acne, and the pores left from blackheads on my nose are also quite large. What can I do to minimize the appearance of my pores, ideally to the point where they are not visible? How effective is laser treatment for this? Thank you!

Dr. Zheng Lizhen reply Dermatology
If acne is trapped in the pores causing them to enlarge, then removing the acne will allow the pores to return to their original size. To clear acne, exfoliating agents such as salicylic acid, retinoic acid, alpha hydroxy acids, and azelaic acid can be used to gradually soften an...

Effective Solutions for Acne and Scars: A Guide for Oily Skin

Hello~ I have a lot of comedones (almost all over my face, including my forehead, chin, nose, and cheeks) and acne scars. I have oily skin. Are there any methods to remove them, especially the comedones? How much would it cost? Will they grow back? What should I do then?

Dr. Lu Daokuan reply Plastic Surgery
Many acne lesions indicate poor facial metabolism. Using a gentle cleanser to wash your face, avoiding squeezing pimples, and applying glycolic acid gel before bed are more conservative approaches. Glycolic acid peels and blue light therapy are also effective treatments.