Brief Answer:
Pictures requested

Detailed Answer:
Hello XXXXXXX
Thank you for posting on HCM.
I can understand your concern regarding the acne and pores but its difficult to guide you in absence of clinical examination.
Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

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Brief Answer:
Tretinoin gel, use Toner

Detailed Answer:
Hello,
Thank you
I have reviewed your pictures.
Yes there are some open pores on both cheeks.
Pores are natural outlets to drain out the sebum or oil which is produced within skin in sebaceous glands.
In people with oily skin these pores are enlarged and clogging of such pores can lead to acne frequently.
Since pores are natural structure of skin, they cannot be removed but there size can considerably reduced which in-turn will also reduced oiliness of your skin.

Apply a pea-size amount of tretinoin gel 0.025% gently over full face every night.
Use water-based moisturiser like Emolene cream to keep skin hydrated.
Avoid excessive and vigorous washing of face. Use a salicyclic acid based cleanser twice a day to cleanse the face.(Saslic facewash).
After cleansing you can also apply a good toner with cotton to cleanse your pores thoroughly.(Sebamed clear face deep cleansing toner).

I am sure with the above regimen your pores size will decrease considerably.

Let me know if you require any more assistance from my side.
Thanks
Dr Hardik Pitroda

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