What topical therapies and procedures do you recommend for improving facial pore size?

Ablative CO2 or Erb:YAG fractionated resurfacing laser would provide the best and most durable treatment for large pores.

Topical neuromodulators don't have a particular role in reducing pore size.

Topical exfoliants (AHA/BHA and retinoids) can be beneficial with chronic, consistent use by removing ...

Retinoids are my go-to for many things, but if a patient wants to reduce pore size, adding in fractional nonablative lasers makes a visible difference. Using a topical retinoid in conjunction is also helpful.

Topical retinoids and if not successful could use non-ablative laser therapy.

LED Red light

I agree with the above and recommend the SkinBetter Peel pads to be used every 3rd night. Highest repurchase rate of a product in my office.

AlphaRet Exfoliating Peel Pads

They are safe and effective and easy for the patient to use.

Most of my patients are on retinoids and I get more reduction of pore size by adding in non-ablative (as well as ablative) fractional lasers.