Double board-certified dermatology in Ponte Vedra Beach

Monday to Friday, 8:30 am to 3:30 pm (904) 686-7771

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Facial rejuvenation

Skin Texture and Large Pores Treatment in Ponte Vedra Beach

Smoother skin, smaller-looking pores and a brighter complexion, from gentle preventive laser to corrective resurfacing, matched to your skin by a dermatologist.

Book an Appointment (904) 686-7771
Common areas Face, neck
Appearance Rough texture, large pores, dullness
Primary causes Sun damage, slower cell turnover
Treated with Clear + Brilliant, Exion Clear RF

What causes rough skin texture and large pores?

Short answer

Rough texture and enlarged pores come mainly from sun damage, slower cell turnover with age and the loss of collagen. Dead cells build up and dull the surface, UV light breaks down collagen and elastin, and acne can leave scarring. Surface products help only so much. Treatments that resurface the skin and rebuild collagen, such as Clear + Brilliant and Exion Clear RF, refine texture and pores.

As we age, the skin's natural exfoliation slows, so dead cells collect on the surface and the complexion looks rough and dull. The skin also repairs itself less well, which makes it more prone to scarring and pigment changes.

Texture problems often sit in more than one layer of the skin. Effective treatment combines exfoliation to remove damaged surface cells, collagen stimulation to repair and smooth the skin, and targeted therapy for any pigment or redness.

The options run from gentle to strong. Clear + Brilliant is a preventive, low-downtime laser for early changes. Exion Clear RF is a corrective resurfacing treatment with 3 to 5 days of downtime. Opus Plasma and Aerolase handle more significant texture and scarring.

Treatment options

How we refine texture and pores

Dr. Cappel chooses the treatment, or combination, that fits your concerns, your skin type and how much downtime you can take.

  • Clear + Brilliant

    A gentle, non-ablative fractional laser for early texture changes, dullness, uneven tone and enlarged pores. Minimal downtime and cumulative results.

  • Exion Clear RF

    Fractional radiofrequency microablation that resurfaces the skin, refines pores and clears pigment and redness, with 3 to 5 days of downtime.

  • Opus Plasma and Aerolase

    Resurfacing for significant texture, scarring and pores. See laser resurfacing.

  • Microneedling

    Collagen induction therapy for texture, acne scars and enlarged pores. See microneedling.

  • Chemical peels

    Customizable exfoliation that removes damaged outer layers for smoother, clearer skin. See chemical peels.

  • Bela MD+ facials

    A no-downtime, 60-minute facial for immediate glow, hydration and gentle texture refinement. See medical facials.

A young woman with a white top looking down, framed by green foliage

Clear + Brilliant: the gentle, preventive laser

Clear + Brilliant Touch, often called "baby Fraxel," creates thousands of microscopic treatment zones in the upper layers of the skin. Because it is non-ablative, it heats the skin without breaking the surface, which triggers collagen production with minimal downtime. Its Intelligent Optical Tracking keeps the treatment even across every area.

After numbing cream, treatment takes about 15 to 20 minutes. Skin is pink and slightly swollen for 24 to 48 hours and may feel rough, like sandpaper, for a few days. You can return to normal activities and wear makeup right away. Optimal results come after 4 to 6 treatments spaced 2 to 4 weeks apart, with maintenance every 4 to 6 months. Sessions typically cost $300 to $500.

  • Early signs of aging: fine lines, loss of radiance and subtle texture changes
  • Enlarged pores: reduced through collagen stimulation and tightening
  • Uneven tone and mild to moderate sun damage: addressed before it becomes severe
  • Maintenance: extends results from injectables, peels and stronger lasers

Exion Clear RF: corrective resurfacing for texture and tone

Exion Clear RF delivers fractional radiofrequency energy through an array of ultra-fine pins, creating precise microablation zones. The skin heals by shedding damaged, pigmented cells and making new collagen and elastin. An AI-powered system keeps energy delivery uniform and customized to your skin, and the device is FDA-cleared for fractional skin treatment.

Numbing cream goes on 30 to 45 minutes ahead and treatment takes 20 to 30 minutes. Expect 3 to 5 days of redness, swelling and a sandpaper-like texture, with treated skin darkening and flaking over about a week. Most patients return to work and social plans after 5 to 7 days. Many reach their result in 1 to 2 treatments; melasma or extensive sun damage may need 3.

Brightening can show right away, the full result develops over 2 to 4 weeks, and collagen keeps improving the skin for up to 3 months. Results can last 1 to 2 years or longer with sun protection. It is safe for all skin types at energies up to 62 mJ per pin; higher settings are limited to skin types I to IV. Pricing is provided at consultation.

  • Rough texture and enlarged pores: resurfaces the skin and refines pores
  • Age spots and sun damage: targets pigmented lesions for clearer skin
  • Melasma and hyperpigmentation: breaks up excess pigment
  • Redness: calms facial redness and evens tone
  • Dull, uneven tone: clears damaged surface cells to brighten the complexion
Lips and lower face framed by large green tropical leaves

What makes texture and pores worse?

Ultraviolet light is the main culprit. It triggers excess melanin and breaks down collagen and elastin, which leaves skin uneven and rough. Daily broad-spectrum sunscreen of SPF 30 or higher is the most important way to protect your results.

  • Acne and inflammation: can leave scarring and dark marks behind
  • Poor exfoliation: dead cells build up, dull the skin and clog pores
  • Dehydration: dry skin turns rough and flaky, and pores and fine lines look larger
  • Smoking and pollution: reduce blood flow and generate free radicals that dull the skin

Treatment overview

What a Clear + Brilliant or Exion Clear RF visit looks like

  1. 01

    Consultation

    Dr. Cappel assesses your skin, often with Alma IQ skin analysis, and recommends the right treatment and number of sessions.

  2. 02

    Preparation

    Avoid sun and tanning, and stop retinoids and acids, for about two weeks before. Arrive with clean, makeup-free skin.

  3. 03

    Numbing

    A topical numbing cream is applied 20 to 45 minutes before treatment for comfort.

  4. 04

    Treatment

    The handpiece is passed over the skin, felt as warmth and prickling. Clear + Brilliant takes 15 to 20 minutes, Exion Clear RF 20 to 30.

  5. 05

    Recovery

    Clear + Brilliant leaves mild redness for 24 to 48 hours. Exion Clear RF brings 3 to 5 days of redness, swelling and flaking.

  6. 06

    Results

    Texture and tone improve as collagen rebuilds, over 2 to 4 weeks for Exion Clear RF and cumulatively across a Clear + Brilliant series.

Suitability

Is texture and pore treatment right for you?

A good fit if

  • You have rough or uneven texture from sun damage, aging or scarring
  • You have enlarged pores you want to refine
  • Your skin looks dull and you want to restore its glow
  • You are in your 20s to 40s and want to prevent early aging
  • You want to maintain results from other treatments
  • You will commit to daily sun protection

Not the right treatment if

  • You have an active skin infection or open wounds
  • You have a history of keloid scarring
  • You take photosensitizing medication or have a photosensitivity disorder
  • You have active acne or recent isotretinoin use (Clear + Brilliant)
  • You are pregnant or breastfeeding

For deeper scarring, see acne scars. For dark spots and melasma, see sun spots and melasma.

Compared

Texture and pore treatments compared

TreatmentHow it worksDowntimeBest for
Clear + BrilliantGentle non-ablative fractional laserMinimal, 24 to 48 hours of rednessPrevention, maintenance and early texture changes
Exion Clear RFFractional RF microablation, AI-controlled3 to 5 daysTexture, pores, pigment and redness
MicroneedlingMicro-injuries trigger collagen induction24 to 48 hours of rednessTexture, scars, tone and pores
Opus PlasmaFractional plasma resurfacing3 to 5 daysSignificant texture, scars and pores
Bela MD+Multi-step facial with exfoliation and serum infusionNoneImmediate glow and gentle refinement

Results

Patient results

  • Before Clear + Brilliant After Clear + Brilliant Before After
    Clear + Brilliant · Female, age 35 to 44
  • Before Exion Clear RF After Exion Clear RF Before After
    Exion Clear RF · Female, age 35 to 44

Individual results vary. Photographs depict actual outcomes for specific patients and are not a guarantee of the results any individual patient will experience.

Cost

What texture and pore treatment costs

Pricing

Clear + Brilliant typically costs $300 to $500 per session, with package pricing for a series of 4 to 6. Exion Clear RF is priced by the areas treated and the number of sessions in your plan, and is quoted at consultation. Opus Plasma is typically $800 to $1,500 per full-face session.

TreatmentTypical rangeSessions
Clear + Brilliant$300 to $5004 to 6, spaced 2 to 4 weeks
Exion Clear RFQuoted at consultation1 to 3
Opus Plasma, full face$800 to $1,5003 to 4, spaced 4 to 6 weeks

Costs vary with the number of sessions and the areas treated. We give you transparent pricing at your consultation, before any treatment. Cost and payment options

Dr. Mark A. Cappel, MD, Founder and Medical Director

Who performs this

Dr. Mark A. Cappel, MD

Double board-certified dermatologist and dermatopathologist

Dr. Cappel's dual training in dermatology and dermatopathology lets him analyze your skin at both the clinical and microscopic level, so the treatment plan targets the cause of your texture and tone concerns.

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Questions

Questions about Texture and Pore Treatment

It depends on the treatment. Chemical peels and Bela MD+ facials give an immediate glow, while resurfacing builds results over weeks to months as collagen forms. Most patients notice clear improvement within 4 to 8 weeks of starting treatment.

Clear + Brilliant is gentler and designed for prevention and maintenance rather than correcting severe concerns. It has minimal downtime compared with ablative lasers, and results build with each session.

Most patients have 3 to 5 days of redness, swelling and a sandpaper-like texture, and treated skin darkens and flakes off over about a week. You can usually return to work and social activities after 5 to 7 days.

Clear + Brilliant works best as a series of 4 to 6 treatments spaced 2 to 4 weeks apart, then every 4 to 6 months. Many patients achieve excellent results with 1 to 2 Exion Clear RF treatments, and some need 3.

Yes. Microneedling, including Exion RF Microneedling, and Opus Plasma stimulate collagen to fill in and smooth depressed scars, and Exion Clear RF improves scar texture and discoloration. See acne scar treatment.

Many are. Aerolase Neo is designed for all skin tones, and Exion Clear RF is safe for all skin types at appropriate settings. More aggressive lasers and peels carry a higher risk of dark marks in darker skin, so Dr. Cappel selects the safest option for you.

Wear broad-spectrum SPF 30 or higher every day and use medical-grade skincare with ingredients such as retinoids, vitamin C and alpha-hydroxy acids. Periodic maintenance treatments sustain results over the long term.

Yes. Pairing a resurfacing treatment such as Aerolase or Opus Plasma with a hydrating Bela MD+ facial gives both corrective and nourishing benefits. Clear + Brilliant also pairs well with injectables and medical-grade skincare.

Where

Texture and Pore Treatment in Ponte Vedra Beach, FL

At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.

Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.

  • HoursMonday to Friday, 8:30 am to 3:30 pm
  • Phone(904) 686-7771
  • PaymentSelf-pay, credit cards, CareCredit and Cherry

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Book a visit

See a double board-certified dermatologist in Ponte Vedra Beach

Dermatology visits, aesthetic consultations and wellness plans all start the same way: a careful assessment by Dr. Cappel and a plan built around your skin, your health and your goals.

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