Suggest treatment to close open pores on face
Oily skin type in central T zone; Retinoids; peels
Hello. Thanks for writing to us.
I am Dr. Kakkar. I have gone through your query and I have also seen the photograph.
You have an oily skin type in the central T zone and a combination skin (central T zone is oily as compared to the rest of the face).
Pore size is governed by the size and activity of sebaceous glands. Oily skin has wider pore size because of the large size of the oil glands as compared to dry skin in which the oil glands are smaller and the pores are finer.
In those who have a combination skin, the central T zone is oily and therefore these individuals have bigger pores in this area as compared to the rest of the face.
These pores may contain inspissated sebaceous material stored in them, secreted by the oil glands and is expressed when you forcibly squeeze them.
While it is really not possible to permanently alter pore size because pore size is genetically determined.
However, various treatment options are available aimed at decrease the size and activity of the sebaceous glands temporarily and over long periods if used regularly.
One of these is Oral retinoids (Isotretinoin). Oral retinoids reduce the size and hence the activity of sebaceous glands to 10% of what it initially was, after a month of regular use. They hence reduce the glandular secretions and therefore the inspissated secretions as well. Retinoids are usually given at a low dose for this purpose.
Another option is to take regular chemical peeling sessions. Salicyclic acid peeling is quite useful for this purpose. It dissolves in the lipid rich pores and dries up the pent up secretions and excess oil.
The peeling sessions are usually repeated once every 2 weeks.
Once the desired effect has been achieved, thereafter you may use a salicylic acid based face wash to maintain the improvement achieved with either oral retinoids or salicylic peels or both.
These are prescription drugs and salicylic acid peel is usually performed by the doctor himself at his office, therefore, I would suggest that you visit a dermatologist in your region and discuss in more detail about these.
Skin lightening cream
A Glycolic acid based cream would be suitable for use in oily skin as it is exfoliative/peeling agent as well as skin lightening agent. It is available in 6%, 10% as well as 12% strengths either alone or in combination with Kojic acid, Arbutin etc. Kojic acid, Arbutin are also skin lightening agents.
There are various brands available on prescription of a dermatologist. You may discuss more about these from your treating dermatologist.
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