Skin Texture & Pores

What's happening beneath the skin?

Uneven skin texture and enlarged pores often appear together and share many of the same underlying causes. Both respond well to treatment, but managing them long term requires consistency rather than a single fix.

Skin texture is determined by how smoothly the surface layers of the skin are maintained. When cellular turnover slows with age, dead skin cells accumulate on the surface rather than shedding cleanly, producing a rough, uneven texture. Collagen and elastin loss in the dermis reduces the scaffolding beneath the surface, making the skin less able to hold a smooth appearance.

Enlarged pores develop through a combination of factors. Excess sebum production stretches pore openings over time. Dead skin cell buildup and debris clog follicles and make them appear larger. As the collagen surrounding each follicle degrades, the structural support holding pore walls taut diminishes. Acne history compounds this by causing follicular scarring and permanent changes to pore structure in affected areas.

Sun damage plays a role in both. Ultraviolet radiation disorganises elastin in the dermis over years, contributing to both surface roughness and the loss of pore wall support that makes pores more visible.

What Causes It?

Slowed cellular turnover with age is one of the primary drivers of surface texture changes. The skin sheds dead cells less efficiently, and the buildup shows. Excess sebum production stretches pores and contributes to congestion. Skin type has a significant influence here. People with naturally oilier skin tend to have more prominent pores.

Acne history causes lasting changes to follicle structure and surrounding tissue. Even after active breakouts resolve, the structural disruption remains. Cumulative sun exposure degrades the collagen and elastin support around follicles and across the dermis generally. Dehydration reduces skin plumpness and makes surface irregularities more visible.

What You Can Do

Consistent exfoliation and collagen support are the two pillars of long-term texture and pore management.

At home:

Gentle chemical exfoliation with salicylic acid or glycolic acid supports cell turnover and helps keep pores clear. Retinoids stimulate collagen production and accelerate cell turnover. Niacinamide regulates sebum production and reduces pore visibility. SPF 50 or higher daily. Keep the skin well hydrated.

Professional treatments:

Bela MD Facial, Clear + Brilliant and Fraxel, Microneedling and Sylfirm X, Chemical Peels.