Why skin becomes oily
Sebaceous glands are stimulated by androgens, hormones present in everyone, and react according to a family predisposition. Heat, stress, certain overly rich or “comedogenic” cosmetics, and certain periods (adolescence, menstrual cycle, menopause) increase the effect. Very oily skin without acne exists, but the two often go together.
Enlarged pores: what can and cannot be changed
A pore is the opening of the hair follicle. It stretches when filled with sebum, and its baseline size depends mostly on genes; with age and sun, the skin loses firmness and pores look wider. They can be made less visible by limiting sebum, clearing them and improving skin texture, but they cannot be permanently “tightened”.
Cause first: acne, seborrhoeic dermatitis, poor routine
Oily skin with spots calls for acne treatment. Oily skin with redness and flaking on the sides of the nose, the eyebrows or the hairline suggests seborrhoeic dermatitis. Skin that becomes oily because it is stripped too much (harsh soaps, repeated washing) becomes even more unbalanced. Hence the value of an examination before buying yet another product.
Long-term care prescribed in consultation
Depending on the case, the dermatologist prescribes a topical treatment that regulates sebum and unblocks pores, adjusted to the skin’s tolerance, sometimes an oral treatment for acne. A simple routine is often enough: gentle cleanser, light non-comedogenic moisturiser, sun protection suited to oily skin. Piling up products irritates.
Care at the clinic: HydraFacial, Dermapen
Medical cleansing, such as HydraFacial, cleans, gently exfoliates and extracts impurities, with a clear and immediate effect on pores and glow; it needs maintenance. Dermapen (microneedling), over several sessions, improves skin texture, possibly with PRP. These treatments complement the long-term treatment and do not replace it. Olive skin needs adapted settings to avoid marks.
What is better avoided
Squeezing or “cleaning” blackheads yourself, using harsh scrubs, piling up stripping masks, dropping all moisturiser on the grounds that the skin is oily. These habits irritate the skin, encourage spots and sometimes leave marks, especially on olive skin.
Where to consult in Marrakech?
At the Skin & Aesthetic Clinic, in Guéliz, with Dr Sara Zahid, dermatologist, by appointment, in French, English or Arabic.