Will Chemical Peels Treat Large Pores?

Question

hey i am 27 years old and having good health i have got large pores on my face and someone has suggested me chemical peeling but at the same time my skin is having redness on cheeks sometimes , one year back i started to use anti aging treatment also but now i ma worried about my skin it has become so much sensitive even to a cold cream kindly tell me what to do in this age should i start chemical peel or any antiaging cream or anythig and what to do do to have young looking skin.

Kenneth D. Steinsapir, MD · Answer

The pore is large do to past damage to the skin often from acne as a teen.  So often patients are falsely promised help with these pores with laser treatment or chemical peel.  The treatment can swell the skin for a few weeks but at best these treatments are neutral on pore size.  Services are that can be helpful include nonablative treatments like photofacial, which will also help with reds and brown spots.  Carefully placed fillers are also a good option.  Please be carful out there and try not to be taken advantage of or harmed in you effort to improve your appearance.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Ellen A. Janetzke, MD · Answer

Hello there! There are a variety of ways to treat enlarged pores. What concerns me is the sensitivity you are currently experiencing. It sounds like you need to calm those tissues down! A good at home skin maintenance program recommended by a reputable physician, is the first step in having beautiful, healthy skin. From there you can have a proper skin analysis and determine what is the best approach for enlarged pores, such as a chemical peel, or a Vitamin A cream. I hope this helps!

Dennis Gross, MD · Answer

Chemical peels  are definitely good for patients with large pores. They safely remove or exfoliate the top layer of dead skin, allowing new, more youthful, healthy skin to show through. While the skin typically sheds old, dull dead skin cells every 28 days, this process slows down with prolonged sun exposure and aging. Chemical peels cause this natural cell turnover process to speed up, helping to stimulate the growth of new collagen—the skin-firming protein that acts like a scaffold for the skin. The speed or depth of cell turnover is determined by the concentration of the peel and the amount of time it’s left on skin.

Michele S. Green, MD · Answer

There are many patients who benefit from chemical peels to rejuvenate the skin but peels usually  do not shrink the pores.  However, Clear and Brilliant has had better success with treating pores than other modalities.  Best, Dr. Green

Michael H. Gold, MD · Answer

Pore size is a pre-determined thing and as you can see from the other responders, it is not easy to reduce the size of one’s pores. Several procedures that are out there can minimize the appearance of one’s pores and that should be your goal with good maintenance to keep the appearance of them as you want them to look. A board-certified dermatologist is your best bet here and I would recommend consulting with one in your area to see what are the best treatment options for you. Even though some say lasers and IPL treatments do not do much here, in the right hands, combined with proper skin care, one can minimize the appearance of one’s pores. Fractional lasers and even some of the newer RF needling devices like the EndyMed Intensif can make the appearance much less over time, again when using the proper skin care routines. I tell patients all the time that you are born with your pores, but that does not mean you have to live with them — we want you to learn what’s out there, go to someone with experience, and get the skin you want safely, and with the least amount of downtime to achieve great results.

Carla R. Retief, MD · Answer

If you look at a pore histologically, it is an invagination of the skin and so contIns an epithelium just like the skin.  And, as the pore gets deeper it gets wider.  So, laser resurfacing can make your pores actually larger because as it takes layers of skin away the width of the pore increases.  With medium depth and deep peels, the acid coats the skin and the lumen of the pore.  It exfoliates the skin within the pore and on the surface of the skin. Temporarily the pore size with be reduced because of swelling within the pores.  But, eventually pore size will return.  When you use topical retinoids and alpha/beta hydroxy acids on the skin daily, the debris within the pores is cleaned out and the pore will collapse giving the illusion that the pore is smaller.  So, the key is to maintain exfoliation and excavation of the exfoliates skin from the pores on an ongoing basis.

Justin Harper, MD - Account Suspended · Answer

Pore size is determined by your genetics. Your basic alpha and/or beta hydroxys will keep pores cleaned out, however microneedling can significantly improve them depending on the protocol of your provider.

Davin Lim, MBBS, FACD - Account Suspended · Answer

This video
covers all the questions regarding pore size. A photo will help as this can give me an idea of the pore size. Once this is determined, I choose a
particular laser  or chemical peel concentration- type based upon the size of the pore, skin type of the patient, and
expectations.

I find that
the most reliable method is with INFINI RF, micron needling using energy. This
beats all my Fraxel lasers and chemical peel techniques. Very little downtime,
and it is ideal for small to medium size pores.

Chemical
peels such as TCA (70-100%) placed focally in the pores is an excellent
treatment for large pores.

Pore size
reduction treatments should be tailored according to the patient IMO.

Regards

Dr Davin Lim

Laser and
aesthetic dermatologist

Brisbane,
Australia.

Beverly Johnson, MD (retired) · Answer

I agree with those who said that pore size is fixed. The pores do NOT open and close like windows! 

	When the skin is dry, they SEEM smaller . When skin is oily, the pores seem larger. As we age, sometimes the pores will actually get larger. Don't believe that creams with have a measurable, lasting affect on your pore size. Expect that the right skin care, that is tailored for you, will help you to look your best!

Will Chemical Peels Treat Large Pores?

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