ENLARGED PORES AND OILY SKIN

Ever wonder why you have enlarged pores? Pore size is determined by genetics– some people are born with larger pores than normal. Patients with a history of oily skin or acne generally will have larger pores. Also it is common to those who have the tendency on squeezing their pimples may have permanently enlarged pores.Enlarged pores are most prominent in areas that are oily or sebaceous-like area around the nose and upper lip. As Asians, we tend to have larger skin pores compared to fair skin types. At TDOX, we are awareof the importance of pore size reduction and improvement of general skin health, therefore the best treatment will depend on your pore size, skin type and previous treatments.

MESOBOTOX
Most patients are aware that Botox is designed to reduce the appearance of frown lines. It does this by relaxing the facial muscles between your brows. A similar process is used to reduce the size of your facial pores. Micro doses of diluted amount of Botox are injected into your pores, they are targeted at the erector pili muscles, which control the size of your pores. This treatment will cause the muscles to reduce in size, making your pores smaller, and thereby reducing both their visibility and oil production.

LASERS
• Fractional CO2 laser (Edge One)
Fractional laser such as Fractional CO2 (Edge One) can reduce pore size by up to 70%, however 2-3 treatments are required. This is best for patients of lighter skin type.New collagen and elastin fibers are produced while the existing collagen undergoes rearrangement and realignment. This results in reduction of lines, grooves and wrinkles, tightening of skin pores, and improvement of skin tone and texture.

• FotonaStarwalkerMaQX
FotonaStarwalker’sQX MAX system is the most advanced fractional Pico Q-switched laser in the market today. The QX MAX is built for maximum performance with patented, state-of-the-art innovations to make treatments safer and more effective especially for darker skin type. It uses the combination of the power of a Pico laser and the energy of a Q-Switched laser to deliver the most optimal results. This treatment can target overactive oil glands, reduces oil production and prevents acne or inflammation. It helps to unclog pores, stimulate cutaneous collagen regeneration and thereby reduces pores. 3-4 sessions are needed for best results.

TCA CROSS
TCA cross means Trichloroacetic acid chemical reconstitution of skin scars. It works by stimulating collagen production within the scar or pore, to increase the height of the scar. Each TCA procedure should improve open pore size by 20-40%. It usually takes 2-3 sessions followed by fractional resurfacing laser for an almost ‘perfect results.’TCA CROSS only treats the pores and spares the surrounding healthy skin. Your skin usually heals after 6-7 days. This treatment is not advisable for darker skin types, as PIH or post inflammatory hyperpigmentation for at least 2-3 months might occur following this procedure. The use of sunscreen and lightening creams can reduce its risks.

SKINBOOSTER INJECTION
• JuvédermVolite
• Rejuran Healer

Most skinboosters in the market are made of hyaluronic acid (HA) whichis found naturally in the skin except Rejuran Healer (is discussed later). Its high water-binding capacity helps tohydrates the skin, increase skin moisture levels and increase subdermal collagen production.Skinboostersare placed under the skin with precise injections after topical numbing. These small deposits of skinboosters act like water reservoirs under the skin, absorbing and retaining moisture for long lasting hydration. This increase in hydration brightens the skin, resulting in plump, supple, and dewy skin. Skinboosters also stimulates collagen production in our skin! The deposits of skinboosters increase fibroblast activity under the skin, and these fibroblast cells are responsible for collagen production. Hence, pores size appear smaller and skin elasticity is increased!

• JuvédermVolite
JuvédermVolite is an innovative injectable treatment designed to improve skin quality for up to 9 months. This is not a dermal filler, and is injected into the middle layers of the dermis across many sites especially the cheeks for pores size reduction. Volite is suitable for all ages and skin types. This treatment only requires 1 sessionand is sufficient to boost skin hydration and elasticity for up to 9 months due to its unique cross-linkage and patented Vycross™ technology by Allergan. For those who wants to minimize downtime and injections, Volitemight just be the solution for you!

Rejuran Healer
Originating from South Korea, this “skin healer” is one of the latest craze in aesthetic skinboosters. This product is not made of Hyaluronic acid – instead, it is made of PolyNucleotides (PNs), derived from salmon DNA fragments. It has regeneration effects promoting collagen production and regulate oil production. It is recommended for patients who are suffering from dull skin, enlarged pores, oily and acne-prone skin as well as acne scars. REJURAN are often combined with other aesthetic procedures such as Botulinum toxin, HA, thread and lasers to achieve enhanced effects to meet individual expectations. REJURAN’s results come from its ability to heal and return our skin cells toa younger state. The younger skin cells directly and indirectly improves skin hydration, skin tightening, brighter and younger looking skin, minimize pore size, and improve skin texture.3- 4 sessions are required, once a month with results lasting up to 12-18 months.

PLATELET RICH PLASMA (PRP)
Platelet-rich plasma (PRP) is a concentrate of platelet-rich plasma protein derived from whole blood, centrifuged to remove red blood cells. It has greater concentration of growth factors than whole blood, and has been commonly used to encourage a brisk healing response across several medical field. PRP is a concentrated source of blood plasma and autologous conditioned plasma, containing several different growth factors and other cytokines that can stimulate healing of soft tissue and joints. By utilizing the natural growth factors from your own blood, it helps to reduce pore size, and your skin appears to be rejuvenated with lesser blemishes and reduced fine lines. Because this is your own, there are no worries of allergy reaction that one might encounter with other cosmetic injectables!

CHEMICAL PEELS
Chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. A medical peel removes the upper “dead” skin layer at accelerated speed in order to make room for a new, smooth skin. This treatment is commonly performed on acne prone and oily skin to toremoves debris that contributes to enlarged pores and acne, refines and evens out the surface of the skin. At TDOX, we use mild fruit acids for the treatment therefore, there is no extended downtime and is often referred to as "lunchtime peels". Patients are reminded to use sunscreen after this treatment and stay away from direct sun exposure for at least 7 days.