[music]
Hello, I’m Dr. Neal Schultz
[pause]
and welcome to DermTV.
Of the different complexion problems that
people come to me for help for
enlarged pores seems to be becoming more and
more of a problem for people.
They seem to be more frustrated by enlarged
pores and it is probably
because it is a more difficult problem to
solve. Is there a solution for
enlarged pores? Of course there is. It consists
of both chemical and
physical exfoliation.
Enlarged pores occur mostly on the nose or
near the nose; next to it or
above the nose. They look like dark dots or
light dots but the real reason
that you see enlarged pores is because they
cast shadows as they are little
holes in the opening of the pores and those
clogged pores, those enlarged
pores are really caused by the oil clogs inside.
The round circles that you see as the pores
are really an end of a tube
that comes from an oil gland below the skin
(the tube comes up to the
surface of the skin). The purpose of that
tube is to conduct the oil up
from the gland out to the skin. That tube
has an inner skin and that skin
has dead cells, just like your skin every
place else and as this oil comes
up the tube and mixes with the dead cells,
if it mixes with too many dead
cells you get a clog and when you get a clog
that is what causes enlarged
pores.
So let me show you what happens. Come on I
know you’ve been wondering what
the balloon is for so let me show you. [Dr.
Schultz blows up a balloon
which has a circle drawn along the top.]
The shape of the balloon and its relative
size is an example of your oil
gland, and the circle really correlates with
the opening of the pore or the
end of the tube. The important thing is that
there is a relationship
between the size of the gland and the size
of the pore or the opening. When
there is a clog, the oil gland does not know
that there is a clog. What
does the oil gland do? What any well behaved
oil gland does: it keeps
making oil. And when it keeps making more
oil, even though there is a clog,
it has to expand because it can not get the
oil pass the clog. So this is
what happens. [Dr. Schultz blows up the balloon
even more and the circle on
the top gets even bigger.] The oil glands
get larger and look what happens
to the size of the pore (circle). So that
is why clogs cause enlarged
pores.
So what is the solution for enlarged pores?
It is a combination of physical
and chemical exfoliation. First, in the shower
everyday, but just at the
end of the shower after your pores have been
steaming, take a granular
cleanser. Very gently massage the granular
cleanser into the large-pored
areas for no more than ten to fifteen seconds
and then rinse it off. After
the shower, pat dry and take a gentle chemical
exfoliant that either has a
glycolic between 5 – 10% or salicylic of
about 2% in it and apply a very
small amount. Do this every day, once a day,
and in a period of about two
weeks you will start to see smaller appearing
pores and I promise this
annoying problem will be on its way to resolution.