Archive for the ‘Enlarged Pores’ Category

Understanding Enlarged Pores

Thursday, November 1st, 2012

Enlarged pores cause confusion and frustration for many acne sufferers. Hopefully this video will help those who are still struggling with them.

Hope it helps,
-Dr. Neal

©2012 “Understanding Enlarged Pores” by Dr. Neal Schwartz

One Response to “Understanding Enlarged Pores”

  1. Anonymous Says:

    Wow. Best movie clip ever. That cleared up SO much for me.

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Enlarged Pores?

Friday, August 12th, 2011


Large pores are confusing and upsetting for many people. Hopefully this post will help you get your head around this situation.

When oil and debris plug up a pore, it mechanically dilates. That’s it, there is no other complicated process. When the emotion is removed from the situation, it becomes as straight forward as any other physical dilation. Blackheads, pimples, and oily skin all have the ability to enlarge pores. If the offending agent is completely removed, the currently dilated pore will do one of three things:

It will either retract back to its original size, partially decrease in size, or remain fully dilated. The amount of retraction and healing is usually dependent on skin type, age, and how long the offending agent was in place.

For example, Let’s say you have a large single blackhead in your back for 4 years. If this large old blackhead is removed, chances are it’s going to leave a visible hole. It’s the concept of “wear and tear” similar to older skin or heavy piercings weighing down the skin.

FAQ: What can I do to treat my large pores?!?

While there are many things you can do to improve the cosmetic appearance of your pores, the first thing I recommend is to grieve over the real wear and tear you have just endured. Enlarged pores are similar to 3D scars in that they need to first be grieved over, and then they can be unemotionally and skillfully worked on.

The biggest mistake I witness in the attempt to fix enlarged pores is the lack of understanding of the “offending agent” as mentioned above. You see, if your skin is still active with blackheads, pimples, or even just oily without bumps, you are not yet ready to focus on your wear and tear. Exactly like acne scarring, it’s a stepwise process of first obtaining total inactivation and then cleaning up the aftermath. Any other order of operations will cause repeated failure, frustration, and money wasted on expensive cosmetic procedures.

I’ll outline how to approach the treatment of enlarged pores:

1) You must first gain total control of your oil, blackheads, and pimples. The pores will never start retracting until the dilating force is totally controlled. This control can be obtained in many ways but know that partial inactivation may not cut it in regards to the appearance of pores.

2) You’ll need a daily cosmetic routine that will act to remove the top layers skin around each pore. This will effectively make the hole less visible. (see illustration below) I have designed a special kit for this situation called the exfoliation kit for sensitive skin. It is only intended for those who are in total control of the activity. If not in total control, see the starter kits for acne bootcamp first.

3) If you are still not satisfied with your pore size after you have properly grieved, gained total inactivation, and have a masterful daily cosmetic routine, there are many professional procedures that can be added into the routine. Chemical peels, microdermabrasion, lasers, and surgery are all examples of things you can indulge in if you still can’t find aesthetic satisfaction.

My experience has been that people are not mastering numbers 1 and 2 above. Rather, they are spending thousands of dollars on procedures that are less effective when the other elements are not yet in place. Try to focus on the concept of a “stepwise process”.

(Use the cone illustration below to understand how the appearance of inactivated pores can be improved. When the top layers of skin are safely removed, the orifice diameter gets smaller. Imagine the top sections of this cone being removed at the horizontal lines)

Did that illustration help?

Unlike active skin and inflammation, when working on cosmetic issues it is important to stay non-urgent. There is no rush to get a dangerous or expensive cosmetic procedure. It’s important to grieve over the small trauma that has already occurred and it’s important to set goals that are based in relative improvement with the aim of achieving the threshold of aesthetic satisfaction.

hope this helps,
-Dr. Neal

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