Orange Peel Skin and Open Pores on my Nose, Cheeks and Between My Eyebrows? (photo)

I'm 31& have orange peel skin & open pores even stretched looking pores on my nose, makeup only makes it look worse so i'm really depressed. I've tried using retin-A for 8 months but my pores became more visible & my skin became more creep looking, i've had microdermabrasions, chemical peels. Is laser a good idea as i've read it can do more damage however Phillips have a non surgical ReAura laser skin rejuvenation which you use at home its £800 for is it worth is? Thanks

Doctor Answers 8

Enlarged Pores and Orange Peel Skin Can Respond Well To Medical Microneedling

Enlarged, dilated, patulous pores and small pit scars can be quite aesthetically distressing. Although microdermabrasion, peels and even fraxel lasers have their proponents for the treatment of these problems, the results in my experience tend to be disappointing.

In such cases, a series of medical microneedling treatments might be considered. Medical microneedling, which may be performed mechanically using rollers (e.g. Dermaroller) or electrically operated (Dermapen) essentially consists of going over the area with an array of needles that penetrate and break up the surface of the pore or scar and of any underlying abnormal fibrous tissue that may be contributing.

Disrupting the surface of the dilated pore, pit, or small scar allows for the possibility healing with a smoother surface texture.  Breaking up any fibrotic or abnormal collagen in this manner below the skin surface sets the stage for new, normal collagen synthesis (neocollagenesis), which improves the overall appearance of the overlying skin.

Following medical microneedling, the treated area may appear sun-burned for about 12-24 hours. There is little to no downtime, however, and I permit patients to return to routine skin care and makeup the following day.

Not all aesthetic physicians perform medical microneedling, so, should you wish to explore this simple, minimally-invasive option, you should screen carefully for a board certified aesthetic physician with training and expertise in the procedure.

New York Dermatologic Surgeon
4.9 out of 5 stars 29 reviews

How to address open pores?

This video covers all the questions regarding pore size.

I choose a particular laser 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.

Dr Davin Lim
Laser and aesthetic dermatologist
Brisbane, Australia.

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 75 reviews

Non-ablative fractional erbium laser is the best option to reduce pores

Because Retin-A Micro dermabrasion exfoliate and remove excess surface skin it is not unusual for the pores to not shrink and in some cases enlarge.

Non-ablative fractional erbium laser treatments build new deep collagen and the skin and can reduce the size of pores.  Non-ablative fractional erbium laser treatments in this 1540, 1450, and 1585nm range are most effective.  For more information read the following link:

Dermapen is a great option

We like to offer Dermapen treatments to help improve large pores and orange peel appearance of the skin.  Typically we recommend a series of treatments and there is no downtime.  Watch the video to see how this technology works.  It is one of our most popular treatments.  Good luck and hang in there.

Richard W. Maack, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Orange Peel Skin and Large Pore Treatment

Hi LG,

I am not familiar with the ReAura.  We have seen some improvement in large pores with intr-dermal injection of Botox and with the use of Ulthera, micro-focused ultra-sound therapy.  With true Fraxel repair laser skin resurfacing there has also been improvement in most patients. Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Enlarged pores: start with oil control + improve skin elasticity

The enlarged pores are often associated with excess oiliness of the skin. I'd suggest a review of your skin care to begin with.

In theory, any treatment which heats the skin (which I assume it's what the Phillips device does) and triggers some degree of inflammatory response can stimulate collagen production and remodeling which will improve the elasticity of the skin.

At the present state of the arts, I think your money may be better spent on treatments carried out by professionals or at least supervised by professionals.

I have seen good results with problems like yours with the CO2 laser.

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.9 out of 5 stars 79 reviews

Deep pores

Keep up with the Retin A. Your skin is Ideal for Carbon Dioxide laser resurfacing if you can tolerate the down time of 10 days.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Open pores

These really are a difficult problem to treat, but needling seems to offer the best chance of significant improvement.  Dermarolller (or pen) is my preferred method - but sometimes does need to be repeated.  Combining Dermaroller with dermabrasion and a cell suspension (ReCell) gives the best chance of a really refreshed appearance.

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.