How to get rid of large pores that have been on my skin for years? (Photo)

I am 18 years old with oily combination skin. I have several large craters on my face due to acne scaring. Are there any remedies , or things I can do to get rid of them and obtain smooth soft skin ?

Doctor Answers 5

TCA CROSS For Pit Scars; Subcision For Atrophic Scars; Fractional Microneedling For Tone & Texture Problems

From the photo provided you have a mix of acne scars, with a predominance of ice pick ("pit") scars. These can be treated with The TCA CROSS Technique. Subcision can help to elevate the depressed (atrophic, indented) scars, and fractional microneedle resurfacting can help to better blend the tone and texture of the treated areas with the surrounding normal skin. All of the foregoing are relatively inexpensive procedures that engender little to no significant post-treatment downtime.

I have little faith in most of the newer, relatively expensive, "next best thing to come along" fraxel, radiofrequency or ultrasound devices. Their results tend to be variable, inconsistent and often subtle at best and seem to be supported far more by device manufacturer backed marketing hype than hard science.

You would do well to seek consultation and treatment by a board certified aesthetic physician with expertise and experience in treating all forms of acne scarring. 

New York Dermatologic Surgeon
4.9 out of 5 stars 31 reviews

Treating Your acne Scars

These scars are very difficult to treat.  An in office consultation would be best to evaluate how deep your scars are and what type of scars you have.  Generally it takes a combination of treatments including TCA, Fraxel, eMatrix or micro needling and injections of fillers to improve these scars. Please consult an expert to help evaluate your scars and create a custom designed treatment plan.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews


Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited. You should stay out of the sun 2-4 weeks.

Elliot M. Heller, MD
New York Facial Plastic Surgeon
4.6 out of 5 stars 93 reviews

Acne scars

 There are certainly many good options, and for you, I recommend a series of laser  resurfacing procedures. This is done in a 15 minute office visit, find me, and you're very comfortable. Some of the ice pick scars, which are the tiny ones, additionally benefit from TCA. Be well. 

Estee Williams, MD
New York Dermatologist
5.0 out of 5 stars 21 reviews

Punch elevation TCA, and laser

This will take time, you have multiple scars and enlarged pores of different depth and sizes. You will benefit from a combination of treatments, including TCA CROSS, surgical procedures and laser. Find attached a video on some methods to reduce pore sizing. 

All the best

Dr Davin Lim 
Laser and aesthetic dermatologist
BRISBANE, Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.