Best treatment for large pores /greasy but dry skin skin? (photos)

TCA CROSS, which employs concentrations of 90-100% TCA placed down the shaft of the dilated pores (to be distinguished from an ordinary TCA peel that employs concentrations of 1--25% TCA applied to the entire skin area, has been used with gratifying results for more than two decades to treat ice pick scars and dilated pores. Professionally performed manual microneedling (no need for the expensive addition and added risks of RF) has also been used successfully for this purpose. You would be wise to consult a board certified cosmetic dermatologist. Best of luck.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

I would consider oral spironolactone, wenlevi or microtox treatments to help control oilyness. Then you could consider procedures to attempt to tighten in the skin such as microneeding and co2 laser, possibly more aggressive chemical peels.

Hi there! Large pores can be tricky to fully correct, but usually using a prescription strength retinol or a salicylic acid serum can help improve the appearance of textured skin and large pores. Retinol loosens the bond between dead skin cells and it helps promote cell turnover. This will help with large pores, fine lines and texture. Retinol can make the skin more dry so you can add a hyaluronic acid serum to give the skin hydration without making it oily. Salicylic acid will also loosen the bond between dead skin cells and remove them an it will also help reduce sebum (oil) production. By doing so it can help improve the size of the pores and help with dryness. Hyaluronic acid can also be added with salicylic acid if the skin is still dry. We hope this helps!