Say Goodbye to Rough Skin: Proven Ways to Improve Skin Texture

By: Dr. Calvin Williams

5/15/2025

Say Goodbye to Rough Skin: Proven Ways to Improve Skin Texture

If you've ever looked closely at your skin and noticed it's not as smooth as it once was—perhaps it feels rough, looks dull, or appears bumpy—you’re not alone. Uneven skin texture is one of the most common concerns people bring to dermatology clinics. Whether it’s from acne scars, clogged pores, sun exposure, or aging, rough texture can make the skin look tired and aged, and even interfere with how makeup applies.??

The good news is that there are effective, science-backed ways to dramatically improve skin texture. From medical-grade skincare to advanced in-office treatments, modern dermatology offers multiple solutions for smoother, healthier skin. This blog explores the top treatments for improving skin texture, including topical retinoids, chemical peels, LaseMD Ultra, and SkinPen microneedling.

What Causes Uneven Skin Texture?

Smooth skin is a sign of healthy, youthful skin. But over time, and for various reasons, the surface of the skin can become uneven. Texture issues often manifest as dryness, rough patches, enlarged pores, acne scars, or general dullness.??

Common causes of uneven texture include:?

  • Acne and post-acne scarring?
  • Sun damage and UV exposure?
  • Dehydration or insufficient exfoliation?
  • Loss of collagen and elastin with age?
  • Build-up of dead skin cells?
  • Chronic skin inflammation??

Understanding the root cause of your texture concerns is key to choosing the right treatment approach.

Topical Retinoids: Your First Line of Defense

Topical retinoids are one of the most effective tools for improving skin texture. These vitamin A derivatives work by increasing cell turnover, unclogging pores, and promoting collagen synthesis. Over time, they help to refine the skin’s surface, smooth out rough patches, and minimize the appearance of fine lines and enlarged pores.??

Prescription-strength tretinoin is typically the most effective, but over-the-counter options like retinol or adapalene (Differin) can also deliver excellent results with consistent use.??

Benefits include:?

  • Smoother, more even skin tone and texture?
  • Reduction in fine lines and wrinkles?
  • Improved pore appearance?
  • Faded acne scars and discoloration??

Begin with 2–3 weekly applications and increase usage as tolerated. Always apply sunscreen, as retinoids increase sun sensitivity.

Tretinoin Chemical Peels: A Stronger Resurfacing Option

Tretinoin chemical peels deliver a higher concentration of tretinoin to the skin's surface, exfoliating and encouraging rapid cell turnover. This results in brighter, smoother skin after just one treatment.??

These peels are generally superficial to medium-depth and suitable for most skin types. Post-peel effects include mild redness and peeling for 3–5 days.??

Benefits include:?

  • Smoother skin texture?
  • Diminished hyperpigmentation?
  • Reduced fine lines and wrinkles?
  • Brighter and more even skin tone


Salicylic Acid Chemical Peels: Targeting Texture from Within the Pores

Salicylic acid is a beta hydroxy acid (BHA) that targets oil and congestion, making it perfect for acne-prone or oily skin types. It penetrates deeply to exfoliate and reduce inflammation.??

Benefits include:?

  • Deep pore cleansing?
  • Reduced acne and blemishes?
  • Smoother surface texture?
  • Fewer blackheads and less shine??

Safe for many skin types and effective when done in a series.

LaseMD Ultra: Laser Resurfacing with Little Downtime

LaseMD Ultra is a non-ablative fractional laser that resurfaces the skin without disrupting the top layer. It creates microchannels to trigger collagen and elastin production.??

Benefits include:?

  • Improved texture and tone?
  • Reduced pigmentation and sun spots?
  • Gentle recovery with little downtime?
  • Radiant, healthier skin??

LaseMD is safe for all skin tones and can be customized to your specific skin goals.

Microneedling with SkinPen: Stimulate Natural Healing

Microneedling with SkinPen creates controlled micro-injuries that stimulate your skin's natural repair process, promoting new collagen and elastin.??

Benefits include:?

  • Reduction in acne scars and surface roughness?
  • Smoother, firmer skin?
  • Decreased pore size?
  • Natural collagen remodeling??

Best results occur after 3–6 treatments spaced about a month apart.

How to Choose the Right Treatment for Your Skin

Choosing the right treatment depends on your skin type, concerns, and lifestyle. Here's a quick guide:??

  • Acne scars: SkinPen microneedling, LaseMD Ultra?
  • Dull, sun-damaged skin: LaseMD Ultra or Tretinoin peels
  • Oily or congested skin: Salicylic acid peels?
  • Early aging: Topical retinoids & LaseMD Ultra?
  • Sensitive skin: LaseMD??or gentle introduction of retinoids 

Consult with a dermatologist to create a customized plan.

The Bottom Line

Improving skin texture is possible through consistent care and the right combination of treatments. From topical retinoids to in-office procedures, you have powerful options to achieve glowing, smooth skin. Pair treatments with sunscreen and hydration to maintain your results.

Let Us Help You Reveal Your Best Skin

At Essential Dermatology Group, we offer customized treatments including LaseMD Ultra, chemical peels, and microneedling with SkinPen. Let us help you achieve your smoothest, healthiest skin yet.??Schedule a consultation today to begin your journey to better skin.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.