Enlarged Pores in Toronto & Markham: Treating Enlarged Pores
Lutronic Genius Gold RF Microneedling · Sylfirm X · Fotona ClearGlow · Fitzpatrick III–V Asian Skin Specialist Protocol · Led by Dr. Dan Xu, M.D., CCFP
Quick Answer
Enlarged pores are follicular openings that appear visibly widened due to excess sebum, reduced skin elasticity, sun damage, or genetics. They affect oily, combination, and aging skin types. Treatments such as laser resurfacing, microneedling, and chemical peels work by stimulating collagen, reducing sebum production, and refining skin texture. At ID Cosmetic Clinic in Markham and Toronto, enlarged pore treatments are personally evaluated and performed by Dr. Dan Xu, M.D. Multiple sessions are typically recommended, with gradual improvement visible over weeks to months.
View Contents (15)
- 01 Dr. Xu's Rea…
- 02 What are enlarged…
- 03 Five Causes of En…
- 04 4 Skin conditions…
- 05 Why pore treatmen…
- 06 6 treatment optio…
- 07 Dr. Xu’s 6-…
- 08 Treatment Timelin…
- 09 Are You a Candida…
- 10 ID Medical Pore P…
- 11 Dr. Dan Xu — full…
- 12 《Timeless Asian B…
- 13 Why ID Cosmetic C…
- 14 About the cost of…
- 15 Risks and contrai…
Dr. Xu's Real Cases: Enlarged Pores
Real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). Every client signed a Media Release Form. Photos are unretouched clinical records; individual results vary with skin type and aftercare.
01Pores And Fine Lines Under The Eye Smoothed
- Concern
- Before treatment the eye close-up shows visible pores with fine lines on the under-eye skin.
- Outcome
- After treatment the under-eye skin is smooth and the pores and fine lines no longer stand out.
- Maintenance
- Sun protection and moisturising around the eyes; review as scheduled.
02Forehead And Cheek Pores Tightened
- Concern
- Before treatment the frontal view shows enlarged pores on the forehead and both cheeks with a rough surface.
- Outcome
- After treatment the forehead and cheek pores are tighter and the surface smooth.
- Maintenance
- Strict sun protection and regular cleansing; review as per the treatment schedule.
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What are enlarged pores? Why isn’t it a “didn’t wash your face well enough” problem?
Enlarged Pores refers to visiblyDilation of the pilosebaceous opening,typically appearing on the T-zone, nasal alae, and cheeks where sebaceous gland density is high. It is not “dirt buildup” and not “inadequate cleansing” — it isexcess sebum production + abnormal follicular keratinization + collagen lossA structural problem caused by these three factors combined. Peel-off masks, aggressive cleansing, and astringent toners cannot truly shrink pores — they only worsen barrier damage.
Why doesn’t washing more help?
Pore size is determined byFollicular and dermal structureDetermined by structure, not surface dirt. Over-cleansing damages the lipid barrier → skin reflexively produces more oil → pores enlarge further.
Why are pore issues more visible in Asian skin?
Asian faces have higher sebaceous gland density and larger follicular openings; combined with the relatively slower keratin turnover of Fitzpatrick III–V skin, follicular keratin plugging is more likely to occur.
Why do pores become “teardrop-shaped” after age 30?
Loss of dermal collagen and elastin causes pores to lose surrounding support, turning “round” pores into “vertical ovals.” This is the aging/laxity subtype (U-type), which requires RF or tightening devices rather than oil control.
Why is pore subtyping essential first?
O O-type (oily): ClearGlow + oil control; U-type (lax): Genius gold RF; scar-type: Sylfirm X; strawberry-nose type: HydraFacial.Doing laser without subtyping is shooting blind.
Clinical key points:Many patients walk in saying “I want pore laser” — but Dr. Xu begins with VISIA pore quantification + Sebumeter sebum analysis + visual morphology assessment. Enlarged pores fall into four subtypes, each requiring a completely different treatment approach. Without subtyping, consistent results are difficult to achieve.
Five Causes of Enlarged Pores — It’s Not Just About Oil
Clinically, enlarged pores are almost never caused by a single factor — they result from multiple overlapping mechanisms. During consultation, Dr. Xu systematically screens for the following five.
1. Sebum Overproduction
Androgen levels, genetics, and stress all stimulate sebaceous glands. Increased sebum production passively stretches pores — this isO O-type (oily type)Core mechanism of pore enlargement — most common on the T-zone and nose.
2. Abnormal follicular keratinization + blackhead plugging
Abnormal keratinocyte turnover at the follicular opening → buildup forms keratin plugs (blackheads / whiteheads) → physically stretches the pore.Squeezing only clears pores temporarily; repeated squeezing actually widens the pore opening and damages the surrounding dermis.
3. Loss of collagen and elastin
30 After this age, dermal collagen is lost at about 1% per year, weakening the support around pores → gravity stretches round pores into vertical ovals. This isU type (aging / lax type)pores require RF / tightening, not oil control.
4. Post-acne marks / post-scar fibrosis
Chronic recurrent acne → dermal fibrosis + follicular wall damage. Even after acne resolves, pores remain permanently dilated, often coexisting with ice-pick / boxcar scars, requiring deep remodeling with RF microneedling.
5. UV exposure and photoaging
UVA Penetrates the dermis → degrades collagen and elastin → accelerates pore laxity. Toronto / Markham sees significant UV index variation between winter and summer, butInadequate year-round sun protectionRemains one of the most common triggers among ID clients.
4 Skin conditions commonly mistaken for enlarged pores — key differential diagnoses
Misclassification leads to poor outcomes. The table below summarizes the 4 most common differential categories Dr. Xu encounters clinically.
True Enlarged Pores
Enlarged Pores · Follicular opening dilation| Distribution | T Mainly the T-zone, nose, and cheeks |
|---|---|
| Morphology | Round / vertically elongated openings |
| Texture | Smooth to the touch, no noticeable irregularities |
| Triggers | Sebum + keratinization + collagen loss |
| First-line treatment | Genius / Sylfirm X / ClearGlow |
Acne scars / Atrophic scars
Atrophic Acne Scars · Ice-pick / boxcar / rolling type| Distribution | Predominantly on cheeks and temples |
|---|---|
| Morphology | Distinct depression with clear edges |
| Texture | Uneven texture, dermal defect |
| Triggers | Dermal damage following inflammatory acne |
| First-line treatment | Fractional Laser + Subcision + Genius |
Rough skin / keratin buildup (Rough Texture)
Rough Skin Texture| Distribution | Full-face or localized areas |
|---|---|
| Morphology | Overall rough texture — pores aren’t necessarily larger |
| Texture | Skin feels rough, sandpaper-like to the touch |
| Triggers | Slow turnover / impaired barrier / keratin buildup |
| First-line treatment | Chemical Peel + HydraFacial + OxyGeneo |
Rosacea / telangiectasia with pore-like appearance
Rosacea with Pore Visibility| Distribution | Primarily cheeks and nose |
|---|---|
| Morphology | Pore-like appearance with persistent erythema / telangiectasia |
| Texture | Prone to flushing / burning sensation |
| Triggers | Vascular reactivity + chronic inflammation |
| First-line treatment | Vbeam + Barrier repair (avoid aggressive RF) |
⚠️ Warning:Clinically, patients often mistake “acne scars” for “enlarged pores” and self-purchase laser packages, only to find ClearGlow / HydraFacial completely ineffective — because the dermal defect has not been restored. Inaccurate diagnosis → money spent → repeated clinic visits — this is one of the biggest pain points for Asian skin patients.
Why pore treatment for Asian skin requires “Fitzpatrick III–V specialty protocols”
Blind spot of mainstream North American clinics
Most North American medspas use RF microneedling and fractional laser protocols based on Fitzpatrick I–II (Caucasian) clinical data. Applying these settings directly to Asian Fitzpatrick III–V skin causes the following problems:
- ✗ Excessive needle depth + energy —— Asian epidermis contains 5–10× more melanin; excess heat can trigger PIH and rebound pigmentation
- ✗ Downtime is underestimated —— Asian skin has a thinner barrier; over-treatment can leave erythema lasting 2–3 weeks
- ✗ Inadequate identification of pore morphology —— North American patients are predominantly O-type; Asian patients show a higher proportion of U-type / scar-type — treatment strategies differ completely
Dr. Xu’s Fitzpatrick III–V specialty adjustments
| Parameters | North American standard | Asian-calibrated |
|---|---|---|
| RF Energy level | 15–20 | 8–12 |
| Needle depth | 2.5–3.5 mm | 1.5–2.5 mm Layering |
| Interval | 3 weeks | 4–6 weeks |
| Test spot | Optional | Required (for high PIH-risk patients) |
| Pre-treatment | None | 2–4 Week of barrier repair + oil-control preparation |
Key differences:Dr. Xu has focused on Asian faces in Toronto / Markham for 8 years, with over 90% of clients in Fitzpatrick III–V. Our pore treatment protocols are informed byKorean & Japanese Societies of Aesthetic Dermatologyclinical system — not a North American Caucasian template.
6 treatment options for enlarged pores — chosen by subtype
There is no single “miracle pore device.” We combine the following devices and therapies based on VISIA quantification and visual subtype classification. Where the concern sits in skin texture rather than laxity, the relevant family is RF microneedling — needle-delivered energy, a different procedure from surface tightening.
Lutronic Genius Gold RF Microneedling
Smart impedance-feedback bipolar RF microneedling delivers energy precisely to the mid-to-deep dermis — U U-type aging pores + post-acne poresThe gold standard. Dr. Xu is a Lutronic Canada Senior Trainer, with protocols specifically calibrated for thin Asian skin.
Sylfirm X Pulsed RF microneedling
Dual-mode RF (continuous + pulsed) + ultra-fine needles, suitable forPost-acne scar-type pores + coexisting rosacea. Gentler energy, well-tolerated by thin Asian skin.
Fotona ClearGlow(FRAC3)
1064nm Long-pulse laser that stimulates collagen + tightens follicular openings + suppresses sebaceous glands;O type oily poresFirst choice, minimal downtime.
HydraFacial HydraFacial®
Vortex suction tip + multi-acid serum deeply cleans the follicular opening,Strawberry nose / blackhead-type poresTop choice for monthly maintenance — minimal downtime, makeup same day.
Chemical Peels (salicylic / lactic / superficial TCA)
Promotes keratin turnover at the follicular opening, reducing plugging and improving overall skin texture. Concentration must be carefully selected to avoid triggering PIH.
OxyGeneo 3-in-1 skin renewal
Exfoliation + oxygenation + serum infusion — gentle pore management suitable for sensitive skin and clients with compromised barriers.
Dr. Xu’s 6-step standard protocol for enlarged pores
Consultation + VISIA pore quantification + subtyping
30 minute free consultation with VISIA skin analysis for quantified pore scoring, Sebumeter sebum measurement, and visual classification into O / U / scarring / strawberry-nose subtypes.No subtyping, no treatment.
2–4 Week of pre-treatment (barrier repair + oil-control preparation)
Build tolerance to topical retinoids / niacinamide / salicylic acid plus strict physical SPF 50+. This step significantly reduces the risk of PIH and post-treatment rebound.
Test spot(Test spot for high-risk individuals)
Patients with a history of PIH, highly sensitive skin, or high Fitzpatrick V undergo a small pre-auricular test spot first, with a 7-day observation period. An essential safety step for thin Asian skin.
Active treatment phase (4–6 sessions, every 4–6 weeks)
Select primary devices based on subtype + adjunctive cleansing/peel. Apply immediate cold compress + barrier-repair skincare after each treatment to avoid compounding inflammation.
Assessment period (8 weeks after the main treatment course)
VISIA Re-measure pore score and compare visually. Decide whether to enter maintenance or add further sessions.
Maintenance phase (1 session every 8–12 weeks, long-term)
Low-frequency maintenance + at-home skincare (retinoids + sunscreen) + monthly HydraFacial (optional). Pores cannot be “permanently shrunk,” but maintenance keeps them stable long-term.
「The biggest reason pore treatments fail isn’t the device — it’sTreating oily pores as aging pores, or treating acne scars as pores. “Getting the subtype right is half the result.” — Dr. Dan Xu, M.D., CCFP
Treatment Timeline — How Long Until You See Results?
| Subtyping | Main treatment cycle | Initial results | Significant improvement | Maintenance cycle |
|---|---|---|---|---|
| O O-type (oily) | 4–5 sessions | After session 2 | After 4th session | Every 8–12 weeks |
| U -type (aging laxity) | 3–4 sessions | After 1st session | After the 3rd session | Every 6–12 months |
| Scar-type | 5–8 sessions | After the 3rd session | After session 6 | Every 3–4 months |
| Strawberry-nose subtype | 4–6 sessions | After 1st session | After the 3rd session | Monthly HydraFacial® |
Clinical note:The biggest mistake in pore treatment is short-interval over-treatment. Collagen remodeling in thinner Asian skin requires 8–12 weeks; shorter intervals trigger inflammation and barrier damage, leading to more obvious pore rebound. Among our Toronto / Markham clients, those who follow the prescribed cadence show significantly lower recurrence than those who self-schedule frequent sessions.
Are You a Candidate for Pore Treatment? 2-Minute Self-Assessment
✅ Suitable to begin assessment
- ✓ Visibly enlarged pores on the nose / T-zone / cheeks lasting more than 6 months
- ✓ 18 and older, Fitzpatrick III–V Asian skin
- ✓ Acne is stably controlled (not in active flare)
- ✓ 30 and older, with elongated / lax pores (U-shape)
- ✓ Willing to follow a structured 3–6 month protocol (rather than expect single-session results)
- ✓ Accepts the concept of long-term maintenance plus home skincare
❌ Should be postponed or addressed alongside other concerns first
- ✗ Currently pregnant or breastfeeding
- ✗ Active acne flare phase (acne must be stabilized first)
- ✗ Active facial eczema / dermatitis / acute rosacea flare
- ✗ Oral isotretinoin (Accutane) use within the past 6 months
- ✗ Expecting 1–2 sessions to “permanently shrink” pores (a common misconception)
- ✗ Unevaluated severe keloid tendency
ID Medical Pore Protocol vs. Standard MedSpa
- ✗ Turn on the device after a quick glance, without VISIA quantification or subtyping
- ✗ A single RF microneedling device for all pore types
- ✗ Energy / needle-depth parameters copied directly from North American Caucasian templates
- ✗ No differentiation between O-type / U-type / scar-type / strawberry-nose
- ✗ Treatments largely delivered by RMTs / aestheticians, no physician consultation
- ✗ Being told to “do another session” after post-treatment hyperpigmentation
- ✗ No maintenance plan — clients leave once treatment ends
- ✓ Required: VISIA + Sebumeter + visual exam — the three-step subtype workup
- ✓ 4 core device combination (Genius / Sylfirm X / ClearGlow / HydraFacial)
- ✓ Fitzpatrick III–V Specialty parameters (Korean / Japanese clinical system)
- ✓ O / U / Tailored protocols for the four subtypes including scar-type and strawberry-nose type
- ✓ Dr. Dan Xu, M.D., CCFP personally consults and treats complex cases
- ✓ PIH Risk monitoring + proactive treatment-pause and recovery protocol
- ✓ 6 Stage-by-stage protocol including long-term maintenance
「In Markham, where Asian aesthetic clinics are highly concentrated, I’ve seen too many clients spend tens of thousands on RF microneedling with no results — not because the device is bad, but becauseNo one takes the time to subtype. 」 —— Dr. Dan Xu
Dr. Dan Xu — fully credentialed physician in Asian-skin pore and skin remodeling in Toronto
Dr. Dan Xu (M.D., CCFP)is a Canadian M.D. and CCFP-certified family medicine specialist, registered with CPSO. She founded ID Cosmetic Clinic in Markham, Toronto in 2017, with a long-standing focus on skin remodeling and pigmentation management for Asian faces.
Dr. Xu is Lutronic Genius / Cynosure PicoSure Pro Canada Senior Trainer,Allergan / Juvéderm North America Official Trainer and author of Timeless Asian Beauty. She brings the Korean and Japanese pore and skin-quality remodeling specialty system to Canada, serving the Chinese and Asian communities in Toronto, Markham, Richmond Hill, North York, Vaughan, and Scarborough.
Credentials · Training · Certification
- ✓ M.D. Canadian M.D.
- ✓ CCFP Family Medicine Specialty Certification
- ✓ CPSO Ontario medical license
- ✓ Lutronic Genius Canada Senior Trainer
- ✓ Sylfirm X / Fotona Advanced certified operators
- ✓ Cynosure PicoSure Pro Canada KOL
- ✓ Allergan / Juvéderm North America Official Trainer
- ✓ 《Timeless Asian Beauty Author of Timeless Asian Beauty
- ✓ Specialty clinical training in Korean / Japanese skin remodeling
《Timeless Asian Beauty》

Dr. Xu’s book systematically presents the aesthetic logic and skin remodeling framework for Asian faces. Chapter 5 is dedicated toFour Asian Pore Subtypes and Protocols,One of the most accessible Chinese-language specialty resources available to Chinese-Canadian aesthetic clients in North America.
「”Pore issues in Asian patients aren’t a hygiene problem — they’re structural. Our faces aren’t smaller versions of Caucasian faces, and our pores aren’t enlarged versions of Caucasian pores.”
Why ID Cosmetic Clinic’s pore content is worth trusting
Experience Experience
8 years of specialty + 80,000 treatment areas + 90% Asian-patient base
Expertise Specialty
Lutronic Genius / Sylfirm X / ClearGlow / HydraFacial Full-device protocol
Authoritativeness Authority
M.D. + CCFP + CPSO · Allergan North America Trainer · Published Author
Trustworthiness Trustworthy
All cases on this page authorized via Media Release Form · Clinical data verifiable
This page was written and reviewed by Dr. Dan Xu, M.D., CCFP. The clinical information provided is based on Dr. Xu’s hands-on experience at ID Cosmetic Clinic (Toronto / Markham) and on specialty literature in Korean and Japanese skin remodeling.This page does not constitute specific medical advice —— Any treatment decision should be based on in-person consultation.
About the cost of enlarged pore treatment
Pricing for pore treatments varies widely across clinics — but the real driver of price is never the device itself. It’s who performs the assessment, who decides the treatment cadence, and how deeply clinical expertise is involved. Enlarged pores fall into four subtypes — O-type, U-type, scar-type, and strawberry-nose type — and each requires a completely different treatment direction and device combination. Cases that involve subtype diagnosis, individualized parameter adjustment, and risk monitoring are handled directly by Dr. Xu, and the pricing reflects that level of medical involvement. For stable clients who only need maintenance, or for simpler cleansing-based treatments (such as HydraFacial / OxyGeneo),A trained medical team can safely deliver treatments under a physician-designed protocol, making care more accessible. The price difference between laser and RF microneedling fundamentally reflects the clinical experience gap between physician and technician operators, as well as the precision of parameter adjustments. Which plan suits you depends on your pore subtype and skin condition — not on price. Specifics will be discussed at consultation based on VISIA quantification and subtyping.
- We accept VISA / Mastercard / Amex / Debit / E-transfer
- Affirm / PayBright financing available (select treatment packages)
- Private insurance: some commercial EHB plans may reimburse consultation fees — inquire case by case
- OHIP:Cosmetic procedures are not covered
- All first-time clients receive a 30-minuteFreeConsultation & Assessment
Risks and contraindications — we must be transparent
What are the main risks?
1. PIH PIH (rebound pigmentation)(moderate risk on Asian skin) — significantly reduced through low-energy layering, test spot, and pre-treatment; 2. Temporary erythema / mild swelling (common, resolves in 1–3 days); 3. Needle sensation during treatment (tolerable, topical anesthetic available); 4. Rare needle-point crusting / transient pigment changes; 5. Pore rebound without proper maintenance — cannot be prevented, only managed.
Who absolutely cannot have this treatment?
Pregnancy, breastfeeding, oral isotretinoin use within the past 6 months, active facial inflammation (eczema / acute acne flare / active rosacea), unevaluated severe keloid tendency, photosensitive conditions, and unrealistic expectations (believing 1–2 sessions will permanently shrink pores) — in these cases, Dr. Xu will recommend postponing or addressing other issues first.
How do we minimize PIH and barrier damage during treatment?
Five core strategies: (1) high-risk patients must undergo a test spot; (2) start energy and needle depth at the lower limit and titrate up gradually; (3) intervals no shorter than 4 weeks; (4) strict physical SPF 50+ for 4 weeks before and after treatment; (5) immediate cold compress + barrier-repair skincare post-treatment; return for follow-up if erythema persists beyond 7 days.
What does the informed consent form include?
Every client signs an Informed Consent before their first treatment, covering: treatment mechanism, possible adverse reactions and their probability, alternative options, stopping criteria, follow-up schedule, and Media Release (voluntary). All content is explained by Dr. Xu personally — not delegated to administrative staff.
Toronto Enlarged Pore Treatment FAQ
Answered personally by Dr. Dan Xu — based on the most common questions from enlarged-pore patients in Toronto and Markham.Can enlarged pores be completely shrunk?
Cannot be "permanently shrunk," but can be significantly improved and maintained long-term。Pore size is determined by the follicular and dermal structure and cannot be permanently eliminated by any device. The clinical goal is40–60% improvement in pore refinement + long-term stability + reduced rebound。Under Dr. Xu's structured protocol, combined with home retinoid use and sun protection, clients who maintain results for 1–2 years show significantly lower rebound rates.
What is the difference between enlarged pores and acne scars?
Enlarged pores areFollicular opening dilation,Skin feels smooth with no irregularities; acne scars (atrophic scars) areDermal defects,Acne scars have a distinctly depressed feel with clearly defined edges. The treatment logic is completely different — enlarged pores respond to ClearGlow / Genius, but acne scars require fractional laser + subcision + deep Genius remodeling. Treating acne scars as pores will always fail. During consultation, Dr. Xu distinguishes the two clearly using VISIA plus visual assessment.
Do peel-off masks, toners, or cold compresses shrink pores?
None can。Peel-off masks only remove surface keratin plugs and, with repeated use, actually damage and widen the pore openings; the "instant tightening" from astringent toners is just an alcohol-evaporation illusion that fades within hours; cold compresses only briefly constrict vessels without changing pore structure. To truly change pore structure, only the following work:RF / laser stimulates dermal collagen remodeling。
I had RF microneedling before with no results — is it the device's fault?
Three common reasons for failure: (1) Treating without subtyping —— RF microneedling has limited effect on oily pores; ClearGlow oil control should come first; (2) Insufficient needle depth and energy —— Concern about PIH leads to overly low settings, so the dermis never reaches an effective stimulation threshold; (3) Insufficient sessions —— A single RF microneedling session only initiates collagen remodeling; 3–4 sessions are required for visible results. The device isn't the issue — the protocol is what matters.
Lutronic Genius What's the difference compared with Sylfirm X?
Both are RF microneedling but serve different purposes.Genius:Intelligent impedance-feedback bipolar RF with stronger energy and needle depth up to 3.5 mm, suitable forU -type aging laxity + tightening needs,Strong collagen stimulation.Sylfirm X:Dual pulsed + continuous mode with a finer, gentler needle, suitable forPost-acne scarring + coexisting rosacea + sensitive skin。Dr. Xu will match treatment based on VISIA assessment.
Can I wear makeup right after? How long is the recovery?
Depends on the device:HydraFacial / OxyGeneo / ClearGlow Makeup same day;Genius / Sylfirm X RF MicroneedlingWe recommend waiting 24–48 hours before applying makeup, and using mineral sunscreen + barrier-repair cream in the meantime;Chemical Peels / Fractional LaserDowntime 3–7 days. Strict SPF 50+ sun protection is required for 4 weeks after every treatment.
Will my pores rebound after treatment?
「"Rebound" is actuallyLack of maintenance + lapses in home skincareThe underlying drivers of enlarged pores (sebum + aging + UV exposure) are ongoing, so post-treatment care is essential: (1) at-home retinoids / niacinamide; (2) strict sun protection; (3) maintenance treatments every 8–12 weeks; (4) no squeezing or aggressive cleansing. Clients who follow this protocol typically maintain stable pore size for 1–2 years.
What age is appropriate to start pore treatment?
No strict age limit — depends on subtype:O Scar-type / strawberry-nose type(Oily + blackheads) — HydraFacial / ClearGlow can be done from age 18 onward;Scar-typeAfter acne stabilizes (typically age 20+), Sylfirm X® can be started;U -type (aging laxity)30 , we recommend starting Genius preventively rather than waiting until age 45 when results become significantly less effective. "Preventive pore management" is a new trend for Asian skin.
Can I have pore treatment during pregnancy or breastfeeding?
Not permitted.Pregnancy and breastfeeding involve large hormonal fluctuations and unstable sebum production; any energy-based device or topical medication increases risk and reduces efficacy. We recommendPostpartum, with full weaning completed at least 3 months agoWait before beginning assessment. During this period, you can start strict physical sunscreen + barrier-repair skincare + gentle cleansing (non-energy treatments such as HydraFacial may be considered 3 months postpartum).
I live in downtown Toronto / North York / Richmond Hill / Scarborough — is it worth traveling to Markham?
ID Cosmetic Clinic Located at 30 Gibson Dr., Markham — 30–40 minutes from downtown Toronto, 20–25 minutes from North York, 15–20 minutes from Richmond Hill / Vaughan, and 20–30 minutes from Scarborough. At the Highway 7 + 404 / 407 interchange.Pore treatments typically require 4–8 sessions,Choosing a physician who understands Asian skin matters far more than distance — the cost of mistreatment and rebound far exceeds a single commute.
Can enlarged pores shrink back to being completely invisible?
Pores cannot disappear completely, but they can be significantly improved and remain stable long-term.Pores are the openings of sebaceous glands — as long as sebaceous glands exist, pores exist. The clinical goal isReduces visible pore area + improves shape + maintains long-term stability。Under Dr. Xu's structured protocol, most patients see a 30–50% improvement in VISIA scores after 3–5 sessions, with results maintained through follow-up treatments every 3–6 months.
What's the difference between enlarged pores and acne marks / acne scars?
Pores areRound or teardrop-shaped dilation of the follicular opening,edges are smooth; acne marks are post-inflammatory pigment / erythema flush with the skin; acne scars areDermal tissue lossIndentations (boxcar / ice-pick / rolling) with palpable depressions. These three often coexist and require different device combinations — HydraFacial® alone is ineffective for acne scars.
Which is better for pores: RF microneedling or fractional laser?
Each has its own indications.RF microneedling (Lutronic Genius™ / Sylfirm X®)More compatible with Asian skin, low PIH risk — suitable for most cases of pore dilation and aging-related laxity;Fractional laserMore effective for mixed post-acne shallow scarring + pores, but energy and density must be tightly controlled for Asian skin. Dr. Xu typically uses a combination protocol rather than an either/or approach.
How long is the recovery after RF microneedling? Can I wear makeup?
Mild erythema and pinpoint micro-crusting may appear within 24 hours of RF microneedling, typically resolving in 2-3 days; makeup can be resumed on day 4. Mineral sunscreen + barrier-repair skincare are recommended on treatment day. Avoid exfoliation / acid peels / saunas / strenuous exercise for 7 days, and use strict mineral SPF 50+ for 4 weeks.
I had pore treatments elsewhere and my pores look worse now — why?
Three common reasons for treatment failure: (1) Starting the device without classification —— Treating oily-dilated pores with deep collagen laser yields poor results; (2) Excessive energy triggers PIH —— Pores look more prominent after PIH; (3) No sebum control or retinoid pre-treatment —— Sebum quickly refills after treatment, causing pores to visually re-expand. Reassessing the subtype and adjusting the protocol usually reverses this.
Real Clients · Google Reviews
What Our Clients Say
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
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Every consultation is conducted personally by Dr. Xu (Mon–Sat).
24 hr response · English/Chinese OK
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Dr. Dan Xu's complete book, free as a PDF. A systematic aesthetic framework built around the skeletal structure, aging trajectory and skin characteristics of Asian faces.
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