There are certain complaints and requests that are frequently mentioned by patients, but are problems for which we don't have good treatments. High on this list is the complaint about large pores. A cosmetic specialists we want to please our patients and give them outstanding results. It is frustrating to both physician and patient when we're forced to say that we don't have a decent treatment for a problem.
That's not to say that there have not been claims advanced by many device makers that their machine will reduce pore size, and there are a many providers out there offering these treatments. However, there is a long tradition of treatments that have been marketed and then fallen into disuse when it became clear that they produced no significant results. The placebo effect is significant, and it is not difficult to persuade patients that they have improvement, when little is visible.
We try to avoid such situations since we build long term relationships with our patients, and failing to deliver on our promises destroys the trust that is necessary for these relationships to develop.
In the March 2013 issue of the Dermatologic Surgery Journal there was a report of using intradermal injections of botulinum toxin to reduce the oiliness of the skin (sebum production) producing a high degree of patient satisfaction. Similar studies have suggested that pore size is also reduced by these treatments. If these observations hold up we will have the first effective and practical method for reducing pore size.
It should be noted that in this technique the depth of product placement is critical. Too superficial placement can fail to produce results and too deep placement can result in undesireable weakening of some muscles of facial expression. This procedure should be performed by an experienced and highly trained injector, not a family practitioner, gynecologist or nurse practitioner. Dermatologists developed and perform the largest number of these noninvasive procedures and, in general, have the greatest expertise in dealing with problems that may arise.
Too often we see patients who have been treated by ancillary providers who are told, when a problem develops "You need to find someone who can help you". When you choose someone to provide cosmetic services, one of the things you should evaluate is how well they will be able to deal with a problem, if one develops.
Serving Galt, Valley Springs, Manteca, Modesto, Sacramento, Davis, Rio Vista, San Francisco, Fairfield, Concord and other Northern California communities