February 18, 2019

them of their wide size; it can even irritate the skin by removing the protective keratin layer of the skin.

The more oil and dirt settle in the pores, the wider it becomes. It then makes sense to try to unclog pores and prevent black heads and white heads to permanently reside in them. There are products that will help with this unclogging. AHAs and retinol creams are go-tos for unclogging pores. Masks containing such ingredients will also be helpful when used weekly. Ablative lasers can also help reduce scarring from previous acne (which are often mistaken as large pores).

Dear Dr. Jen,

I have very ugly toe nails that I feel like I have to use pedicure all the time. What causes the yellowish stains and thickening of the nails? I would like to try not using nail polish since it further causes yellowing but I’m embarrassed to show my toe nails. What is the best treatment for this?

Michelle

Dear Michelle,

Yellowed and thickened nails may be an indicator of a nail fungal infection. While constant use of polish will lead to yellowing of nails, there should be no irregular thickening. When thickening is present, most likely fungus has entered the nails too.

Are your hands constantly wet from washing clothes, doing the dishes or working in the kitchen? Are your feet always in closed shoes? Do you often get pedicures prior to the yellowing or thickening of the nails?

Most people are unaware that fungus can transfer onto the nails from infected, improperly sterilized, nail apparatus. Nail cutters and clippers that were once used on infected nails can be carriers for the fungus to spread to other customers in the salon. The only treatment for onychomycosis (nail fungus) is with anti-fungals. This can be administered with a medicated nail lacquer (amorolfine) or oral anti-fungals. Creams and ointments will not work on the nail fungus.