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Thursday, 22 November 2012 — The preferred regular home treatment for visibly open pores is now available online. Visit the page for MD Rx Melbourne Dermatology Open Pores Overnight Solution for information.

Open pores are a leading concern irrespective of patient skin type and age.

Treatment of open pores is complicated by a number of issues:

• inappropriate facial cleansers (frequently too alkaline or too drying) which lead to hardened wax plugs and/or a seemingly paradoxical increase in oil production that keeps pores visibly distended;
• over-involved treatment (regimens of pre-cleansers, cleansers, toners, masks) which can lead to an overworking the skin — specifically, mild or subclinical irritation which prevents the development of an even tone and rested appearance which would otherwise effectively normalize the appearance of pores;
• stress, which encourages excess oil flow and raised nasolabial folds;
• environmental damage and chronological aging which reduce skin elasticity overall, and thus that of the pore walls as well, be they congested or not.

Effective topical means are limited and concise. There is no need for drama.

• Use a non-irritating, slightly acidic facial cleanser to prevent further hardening of embedded facial oils. Preferably use one of Gernetic Derma, Jan Marini Bioglycolic Facial Cleanser or Skinceuticals Foaming Cleanser, none of which require the use of toner afterwards. Toners can complicate treatment unnecessarily and are of placebo value only.
• Minimize product use when commencing treatment of open pores. Stick to one "treatment" product only (this doesn't include sunscreen during the day).
• Forget plant extracts and aromatherapy — pores which appear consistently open are difficult to treat and these indirect and inadequately specific ingredients have no role to play when a thorough, "once and for all" solution is sought.
• Squeezing, steaming and facials with extraction (having someone squeeze or vacuum your face for you) are also only temporarily effective.

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For quick treatment of visibly open pores, of any age:

AM — use one of the above recommended cleansers, apply Jan Marini Bioclear Lotion (combination/oily skin) or Cream (normal/dry skin), apply an additional inert moisturizer such as Cetaphil Lotion (combination/oily skin) or Cetaphil Cream (normal/dry skin) and finish with the obligatory dermatological sunscreen, ensuring it offers protection of 400 nm — in other words, Jan Marini SPF 30 or Skinceuticals SPF 20/30 [compare].

PM — use one of the above recommended cleansers, apply Skinceuticals Evening Pure Retinol (0.5 % to begin with before graduating to 1% at the completion of the original bottle). Recent Visia results comparing the Jan Marini and Skinceuticals Retinol offers relevant discussion regarding the performance of these retinol products. Alternatively, patients can obtain prescription retinoic acid by referral where appropriate for treatment. Leave retinol for 10-15 minutes before applying additional moisturizer (as per AM, above), sparingly, if necessary.

For lasting prevention:

Ongoing prevention simply constitutes continuing the above, with the addition of a pH 3.2 10-20% ascorbic acid serum such as Skinceuticals Serum 20 AOX+ to maintain/restore pore elasticity. Scale back use and change additional moisturizer (if used) only if recommended. The frequency of retinoid use will usually increase from the second week of open pore treatment, as retinol is ultimately more effective than the other ingredients employed here in preventing visible pores over the longer term. Retinol's benefits are also more durable than Jan Marini Bioclear's trio of waste removers/skin renewers. Individuals with combination or oily skin in particular should review the recommendations for enhancing absorption and penetration of topical Vitamin C, particularly if using Skinceuticals C E Ferulic or another lipid rich antioxidant.

Additional Notes:

For a stronger or faster treatment, under expert care and recommendation only, you may combine Bioclear Lotion or Cream with Skinceuticals Evening Pure Retinol or Jan Marini Factor A Plus Lotion or Cream up to twice daily.

Ensure you follow your open pore prescription and the relevant individual product notes to ensure correct progress, and as always contact your specialist if you have any questions or concerns.

Additional Related Skin Care Nodes:

• AHAs — I Find Them Drying;
• Retinoid vs. Retinoid;
• Jan Marini Bioclear Lotion compared with Cream;
• Understanding Photoprotection;
• General Advice for Skinceuticals Vitamin C Serums.