Fraxel Restore Vs Botox for Large Nose Pores

Unfortunately, the size of your pores is determined at conception. The pore is a physical opening with a specific diameter in the epidermis overlying a hair follicle's opening.  If there is sebum and dead skin cells that pile up in this opening, it can make an appearance of a black head (open comedone) but at least the "hole" is plugged and the skin surface even.  Once the pore is cleaned out, which some people try to do to minimize the prevalence of acne, the opening will be more apparent.  Dermabrasion which is a sanding procedure, takes off layers of skin but can uncover a wider diameter of the follicle below the skin making the pore look bigger!  I have found that Fraxel Restore is the only treatment that has helped make some patients' pores look less noticable but unfortuantely, this is not universal, nor guaranteed.  Some patients do not get improvement and some can get worse.
 

The combination of both Botox Cosmetic via microinjections, laser treatment and retanoid treatments will give you the best result.  While none will completely remove the pores, they may improve the appearance.

 

Good Luck.