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Enlarged Pores After Acne: How to Deal with Pores That Remain Large After Acne Healing

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Dealing with acne is often a challenging journey, but for many, the battle doesn’t end there. Even after acne clears up, it can leave behind visible reminders in the form of enlarged pores. These large pores can affect your skin’s texture and appearance, often becoming a cosmetic concern that affects self-confidence. But why do pores remain enlarged after acne, and what can you do about it? This guide breaks it all down and provides actionable steps to help you minimize the appearance of large pores.

    Articles Contains

  • What Causes Enlarged Pores After Acne?
  • Effective Solutions for Minimizing Enlarged Pores After Acne.
  • Final Words
  • Key Takeaways
  • Frequently Asked Questions
  • References

What Causes Enlarged Pores After Acne?

Enlarged pores are primarily caused by an increase in sebum production, a loss of skin elasticity, or the accumulation of dead skin cells in the hair follicles (3, 4). Acne-prone skin, in particular, often experiences these issues. When pores become clogged with oil, bacteria, and dead skin cells, they stretch and may remain enlarged even after acne resolves. Additionally, factors like aging, sun exposure, and genetics can contribute to the persistence of enlarged pores (3).

Thankfully, there are evidence-based solutions to address this concern, ranging from skincare routines to advanced dermatological treatments. Let’s dive into how you can effectively manage enlarged pores after acne healing.

Effective Solutions for Minimizing Enlarged Pores After Acne

1. Topical Retinoids

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What You Need:

Topical retinoids, such as tretinoin and tazarotene, are vitamin A derivatives that are often prescribed to reduce pore size, rejuvenate the skin, and regulate sebum production (7).

What to Do:

  • Apply a pea-sized amount of tretinoin cream (0.025%-0.05%) to clean, dry skin at night.
  • Start by using it every other night to allow your skin to adjust and reduce the likelihood of irritation.
  • Use sunscreen during the day, as retinoids can make your skin more sensitive to sunlight.

How Often:

  • Initially, use it every other night for the first two weeks, then increase to nightly application if tolerated.

Evidence:

A study with 60 participants showed significant improvements in pore appearance after 90 days of tretinoin use. Pore scores decreased from a baseline average of 3.2 to 2.0 (7). Similarly, tazarotene cream improved pore size for 42% of users in a 24-week study (7).

2. Chemical Peels

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What You Need:

Chemical peels, such as glycolic acid or supramolecular salicylic acid (SSA), help exfoliate the skin, remove dead cells, and promote collagen production (7, 8).

What to Do:

  • Use a 30%-40% glycolic acid peel or a 30% SSA peel under professional supervision.
  • Start with a patch test to ensure your skin tolerates the treatment.
  • Avoid using harsh scrubs or other exfoliants in the week following the peel.

How Often:

  • Glycolic acid peels can be done every 2 weeks for 4-5 sessions, while SSA peels are recommended every 2 weeks for a total of 4 sessions (8).

Evidence:

In a study involving Japanese participants, five glycolic acid peel sessions reduced the appearance of open and dark pores by up to 34.6% (7). SSA treatments followed by non-ablative fractional laser (NAFL) sessions significantly decreased pore size and sebum secretion, with sustained results (8).

3. Clay Masks with Jojoba Oil

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What You Need:

Clay masks infused with jojoba oil are effective for reducing inflammation, sebum production, and pore size (2).

What to Do:

  • Apply a clay and jojoba oil mask evenly to clean skin.
  • Rinse with lukewarm water after leaving it on for 15 to 20 minutes.
  • To avoid over-drying, apply a little moisturizer afterward.

How Often:

  • For best effects, use the mask two to three times a week.

Evidence:

A 6-week study showed a 54% reduction in acne lesions and a significant improvement in skin texture among participants using clay jojoba oil masks (2).

4. Hyaluronic Acid (HA)

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Image:  professionalbeauty.co.uk

What You Need:

Hyaluronic acid is a powerful hydrating ingredient that also helps regulate sebum production (1).

What to Do:

  • Choose a serum containing hyaluronic acid and apply it to clean skin twice a day.
  • Gently massage the serum into the skin to enhance absorption.

How Often:

  • As part of your daily skincare regimen, apply it both in the morning and at night.

Evidence:

Clinical studies demonstrate that intradermal HA injections reduce sebaceous gland size and lipid production. A split-face study showed significant sebum reduction on the HA-treated side (1).

5. Micro-needling with Radiofrequency (FMR)

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Image: www.healthline.com

What You Need:

Fractional microneedling radiofrequency (FMR) devices target enlarged pores by stimulating collagen production and remodeling the skin’s texture (6).

What to Do:

  • Consult a dermatologist for FMR treatment, which involves inserting microneedles into the skin and delivering radiofrequency energy.
  • Follow pre- and post-treatment care instructions, such as avoiding sun exposure and using soothing creams.

How Often:

  • Sessions are typically spaced 4-6 weeks apart, with an average of 2-3 sessions recommended for optimal results (6).

Evidence:

A study involving 75 patients found that FMR significantly improved enlarged pores, with higher efficacy observed after multiple sessions. Transient side effects included mild pain and redness (6).

6. Nd: YAG Laser Treatment

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Image: thecentrefordermatology.com

What You Need:

The 1064 nm Nd:YAG laser, especially in combination with a photoenhancer like carbon lotion, is effective for shrinking pores and reducing oil production (5).

What to Do:

  • Schedule an appointment with a licensed laser specialist for a combination treatment using micropulsed and Q-switched modes.
  • After the session, avoid exfoliants and ensure proper hydration.

How Often:

  • Treatments are typically performed every 2-4 weeks, with noticeable results after 3-5 sessions (5).

Evidence:

In a study of 25 participants, 75% of those treated with Nd:YAG and a carbon photoenhancer showed significant pore size reduction (5).

7. Daily Cleansing

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What You Need:

A gentle cleanser formulated for normal to oily skin can help remove excess oil and prevent pore-clogging without stripping the skin barrier (4).

What to Do:

  • Use a gentle cleanser to wash your face twice a day.
  • Avoid cleansers with dyes, perfumes, or harsh surfactants.

How Often:

  • Use it morning and night as part of your daily routine.

Evidence:

A study showed that a gentle cleanser effectively managed sebum levels and improved skin barrier function without causing irritation or rebound oil production (4).

8. Lifestyle Adjustments

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What You Need:

Adopting healthy lifestyle habits can complement skincare and medical treatments.

What to Do:

  • Use broad-spectrum sunscreen daily to protect against UV damage, which can exacerbate pore size.
  • Maintain a balanced diet rich in antioxidants and low in high-glycemic foods.
  • Stay hydrated and get at least 7-8 hours of sleep per night.

How Often:

  • Incorporate these habits consistently into your daily life.

Evidence:

While lifestyle changes alone may not significantly reduce pore size, they support overall skin health and improve treatment outcomes (3, 7).

Final Words

Managing enlarged pores after acne healing requires a multifaceted approach. By combining topical treatments, advanced dermatological procedures, and lifestyle adjustments, you can effectively minimize the appearance of large pores and improve your skin’s texture. Always consult a dermatologist to tailor treatments to your skin type and concerns. With consistency and patience, clearer and smoother skin is within reach.

Which of these treatments are you most excited to try? Start your journey today, and don’t let enlarged pores hold you back from feeling confident in your skin!

Key Takeaways

  • Enlarged pores after acne are caused by excess oil, clogged hair follicles, and loss of skin elasticity, which can be managed with tailored treatments like topical retinoids, chemical peels, and laser therapies.
  • Proven remedies include glycolic acid peels, fractional microneedling radiofrequency (FMR), and Nd:YAG laser treatments, all backed by clinical studies for their efficacy in reducing pore size.
  • Daily skincare with gentle cleansers, hyaluronic acid serums, and clay masks, combined with lifestyle changes like sun protection and a balanced diet, supports long-term skin health.
  • Consistency and professional guidance are key for achieving smoother skin texture and minimizing the appearance of large pores effectively.

Frequently Asked Questions

1. Why do pores stay enlarged after acne?

Enlarged pores after acne occur due to overstretched follicular walls caused by excess oil, dead skin cells, and inflammation during acne breakouts. Once acne resolves, the pore walls may not return to their original size, especially if there is collagen damage or loss of skin elasticity. .

2. Can enlarged pores shrink back to normal?

While pores cannot completely disappear or "close," their appearance can be minimized with treatments like topical retinoids, chemical peels, microneedling, or laser therapy. Proper skincare and consistent use of products that regulate oil production can also help reduce their visibility.

3. Which treatments are most effective for reducing pore size?

Effective treatments include topical retinoids, glycolic acid or salicylic acid peels, micro-needling with radiofrequency (FMR), and laser therapies like the Nd: YAG laser. Each treatment works differently, so the best option depends on individual skin type and concerns.

4. Do oily skin types always have larger pores?

Yes, people with oily skin tend to have larger pores because their sebaceous glands produce more oil, which stretches the pores over time. Proper management of oil production through skincare and professional treatments can help control this.

5. How long does it take to see results from pore-reducing treatments?

The timeline varies depending on the treatment: ● Topical retinoids: noticeable results in 8-12 weeks. ● Chemical peels: visible improvement after 3-5 sessions. ● Micro-needling or laser treatments: significant changes after 2-3 sessions, typically spaced 4-6 weeks apart. Consistency is key for sustained improvement.

5. Can diet and lifestyle affect pore size?

While diet and lifestyle cannot directly reduce pore size, they can significantly impact skin health. A diet low in high-glycemic foods, adequate hydration, regular sunscreen use, and proper sleep all contribute to healthier skin and better treatment outcomes for enlarged pores.

References

  1. Jung, Yu Ra, et al. "Hyaluronic acid decreases lipid synthesis in sebaceous glands." Journal of Investigative Dermatology 137.6 (2017): 1215-1222.
    https://pubmed.ncbi.nlm.nih.gov/28163068/

  2. Meier, Larissa, et al. "Clay jojoba oil facial mask for lesioned skin and mild acne–results of a prospective, observational pilot study." Forschende Komplementärmedizin/Research in Complementary Medicine 19.2 (2012): 75-79.
    https://pubmed.ncbi.nlm.nih.gov/22585103/

  3. Dong, Joanna, Julien Lanoue, and Gary Goldenberg. "Enlarged facial pores: an update on treatments." Cutis 98.1 (2016): 33-6.
    https://pubmed.ncbi.nlm.nih.gov/27529707/

  4. Draelos, Zoe D. "The effect of a daily facial cleanser for normal to oily skin on the skin barrier of subjects with acne." Cutis 78.1 Suppl (2006): 34-40.
    https://pubmed.ncbi.nlm.nih.gov/16910029/

  5. HJ, Chung, et al. "Enlarged pores treated with a combination of Q-switched and micropulsed 1064 nm Nd: YAG laser with and without topical carbon suspension: A simultaneous split-face trial." Laser Therapy 20.3 (2011): 181-188.
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3799029/

  6. Ren, Kehui, et al. "Fractional microneedle radiofrequency treatment for enlarged facial pores: A real‐world retrospective observational study on 75 patients." Journal of Cosmetic Dermatology 21.12 (2022): 6742-6753.
    https://pubmed.ncbi.nlm.nih.gov/36038248/

  7. Dong, Joanna, Julien Lanoue, and Gary Goldenberg. "Enlarged facial pores: an update on treatments." Cutis 98.1 (2016): 33-6.
    https://pubmed.ncbi.nlm.nih.gov/27529707/

  8. Han, Qixin, et al. "Evaluation of 30% supramolecular salicylic acid followed by 1565-nm non-ablative fractional laser on facial acne and subsequent enlarged pores." Lasers in Medical Science 38.1 (2023): 91.
    https://pubmed.ncbi.nlm.nih.gov/36947275/

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