How do you manage enlarged pores?

Lately, I can't sleep because of the deepening concerns about my skin that keep me up every time I look in the mirror. I'm a 30-something office worker, and enlarged pores are a long-standing problem that started during puberty. Since I was young, I've had oily skin, so the enlarged pores around my nose and cheeks were particularly noticeable. Now, as I've gotten older, my skin has lost elasticity, and I can see the pores becoming even more elongated and stretched.

I tried primers and pore-tightening packs, which were said to be good, but they only provided temporary relief and didn't address the underlying cause. Trying to cover them up with makeup only made the unevenness worse, so I'm thinking about getting professional help.

Looking at dermatology forums and online communities, there are so many options, including Fraxel, needle RF, and Skin Booster, it's hard to choose. For someone like me who suffers from chronic enlarged pores, what's the most effective treatment? If anyone has tried a similar treatment, I'd appreciate some advice on pain, recovery time, and satisfaction!