What it is
This is about the surface of the skin rather than its colour: visible pores, an oily shine, roughness, congestion and dullness. What is causing it decides the treatment, because sebum output, sun damage, age and family tendency each produce a different-looking pore, and heavy occlusive products worn in the heat make congestion worse. The plan is normally a course rather than a session — prescribed topicals and sebum control at home, with peels, needling, fractional or radiofrequency devices added where they genuinely add something.
What this page covers
- Skin quality assessment and a staged plan across topicals, in-clinic treatment and photoprotection
- Enlarged pore treatment protocol, matched to the cause
- Oily skin and seborrhea management, including low-dose oral isotretinoin in selected patients
- Topical retinoids, niacinamide and salicylic-based home care
- Medical facial with deep cleansing and gentle extraction
- Microdermabrasion and superficial peels
- Retinol (yellow) peel
- Microneedling for texture
- Fractional picosecond resurfacing
- Non-ablative fractional laser for texture and skin quality
- Fractional radiofrequency microneedling
- Carbon laser peel
- Intradermal microtoxin (mesobotox) for pores and oiliness
- Hyaluronic acid skin boosters, polynucleotides and platelet-rich plasma for skin quality
- Keratosis pilaris and follicular roughness on the arms
- Barrier repair for skin irritated by too many products
Honestly
Pore size has a structural and inherited component, so the honest framing is a smoother, less shiny surface rather than pores that disappear; scrubs and pore strips leave the surrounding skin worse, the intradermal microtoxin sold for pores is modest and short-lived, and isotretinoin at any dose changes the whole sequence of the plan and is not compatible with pregnancy.