Concern · Texture & enlarged pores
Why does my skin look rough, or my pores appear larger?
What you may be noticing
Skin that looks or feels uneven under makeup or in certain light. Pores that seem more visible than they used to be, particularly across the center of the face. A general sense of roughness rather than one specific mark you can point to.
One concern, several possible drivers
Visible texture is influenced by more than pore size.
Sebum activity, acne history, scarring, photodamage, collagen change and surface irregularity can all contribute to how texture reads on the skin — often more than one at the same time, in the same area.
What Dr. Lancho assesses
- Texture pattern
- Pore prominence
- Acne/scar history
- Skin thickness and quality
- Pigment or redness
- Tolerance for downtime
- Previous resurfacing procedures
Clinical reasoning
More than one contributor can converge on the same texture.
Sebum & pore biology
Oil production and pore behavior can make pores read as more prominent, independent of any scarring or collagen change.
Acne & scar history
Past breakouts can leave textural change behind long after the acne itself has cleared — a separate contributor from active oil or pore biology.
Photodamage & collagen change
Sun exposure and collagen loss change how the skin's surface reflects light and feels underneath, distinct from either pore size or scarring.
Surface irregularity & tone
Redness or pigment sitting alongside textural change can make the overall surface read as rougher than the texture alone would account for.
Treatment approaches
A pore cannot simply be closed.
Depending on which contributors the assessment identifies, an approach may draw on RF microneedling, medical microneedling, or a chemical peel selected for the right depth — each addressing a different layer of what's actually creating the texture, rather than one tool asked to correct all of it.
When combination treatment makes sense
Where sebum activity, scar history and photodamage are all genuinely present, Dr. Lancho may consider a staged approach — addressing the most significant contributor first and reassessing, rather than treating every possible cause in a single pass.
What treatment can — and cannot — change
Results depend on which contributors are actually present, the treatment selected and individual biology and downtime tolerance. Pore appearance and texture can be improved, but the underlying oil and collagen biology that produces them isn't eliminated — ongoing skin quality is part of the plan, not a single procedure.
Related treatments
RF microneedling for skin remodeling — Addresses collagen and textural change at a depth chosen for the finding, not a fixed setting for every patient.
Sylfirm X
Medical microneedling — A controlled-injury approach considered where texture and mild scarring are the primary target.
Microneedling
Depth-selected chemical resurfacing — A peel selected for depth and the problem, not defaulted to as a first step.
Chemical peels
Where photodamage or pigment overlap is present, fractional light-based treatment may also be considered, and picosecond treatment where the applicator and indication support it.
Before your consultation
Bring the observation, not a device name.
You don't need to arrive knowing whether the answer is oil, scarring or photodamage. That's what the assessment is for.