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Blemished skin, acne and large pores: what a cosmetic treatment can do – and when to see a dermatologist

Reading time: 4 min. · Updated: 11/2026

A shiny T-zone, blackheads, new spots again and again: blemished skin is by no means just a teenage problem. A cosmetic treatment can achieve a lot – if it suits the skin and is done regularly. And it's important to know where its limits are.

How blemishes develop

Blemished skin usually has several causes at the same time:

  • Too much sebum. The sebaceous glands produce more oil than the skin needs. The skin shines and the pores look larger.
  • Clogged pores. Dead skin cells don't shed properly and, together with sebum, clog the pore – blackheads form.
  • Inflammation. Bacteria can multiply in a clogged pore, the pore becomes inflamed – a spot develops.

Hormones, stress, the wrong skincare or overly rich products can make this worse. That's why a good treatment works on several points: regulating sebum, keeping pores clear and calming the skin.

Large pores: what's possible

Pore size is partly genetic. Pores can't be "closed". What can change: clean, unclogged pores with less sebum look noticeably finer. This is exactly what regular cleansing, mild peels and sebum-regulating skincare aim for.

What you can do at home

  • Cleanse gently twice a day. Not too aggressively – skin that is dried out can respond with even more sebum.
  • Exfoliate gently and regularly. Acid exfoliants help loosen dead skin cells so that pores stay clear.
  • Light care instead of heavy creams. Oily skin needs moisture too, but in a light texture.
  • Don't squeeze. If you pop spots yourself, you risk inflammation, marks and small scars.
  • Sun protection. A dark mark often remains after a spot. UV light can keep it visible longer.

And: patience. Many ingredients against blemishes need a few weeks before the skin visibly changes. Some even make the skin look more unsettled at first – more on this in the article Retinol: why your skin reacts at first.

What a treatment in the studio can do

A professional treatment complements your home care – it doesn't replace it.

Acne Treatment (Acne Control). A facial with a mild peel from ZO Skin Health for blemished, oily skin prone to clogged pores. The focus is on cleansing, refining the pores, regulating excess sebum and calming the skin. → Acne Treatment

For a visible result, a course makes sense: once a week at the start until the skin becomes calmer, then every four to six weeks for maintenance. The right home care is important here – it helps determine how long the result lasts.

Deep Cleansing Facial. For blackheads and clogged pores: cleansing, a mild peel and extraction – by hand or with ultrasound, depending on your skin. Recommended every four to six weeks. → Deep Cleansing Facial

If, alongside blemishes, skin texture and a dull complexion bother you most, a chemical peel may also be suitable. You'll find an overview under Chemical peel.

When to see a dermatologist

Acne is a skin condition. Mild forms with blackheads and individual spots can be supported well with cosmetic treatments. You should have your skin checked by a doctor if

  • large, painful or deep inflammations develop,
  • scars form,
  • the blemishes suddenly increase a lot or appear for the first time in adulthood,
  • the skin doesn't improve over months despite good care.

A dermatologist can prescribe medication if needed. A cosmetic treatment can complement medical treatment – please discuss this with your doctor beforehand, especially if you take or apply medication for your skin. If your skin looks like it needs a medical check when you come to us, we'll tell you honestly.

FAQ

If it makes sense for your skin, yes. What exactly happens in the treatment depends on your skin – we'll discuss it beforehand.

Please let us know beforehand if you take medication for your skin. Some medications make the skin so sensitive that a peel isn't suitable.

Yes. All treatments can be booked by men, and there is also our Men's Facial.

Book

Would you like to know what will help your skin? In the free skin analysis, we'll look at your skin and recommend treatment and home care.

Skin Guide

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