Is dermatological treatment the only answer for pore management?

When I was single, I took tennis lessons diligently without thinking much about it. One day, while I was getting my fortune told after a lesson, the person next to me said, "If you play tennis too hard when you're young, your pores on your face will get bigger."

I didn't realize it back then, but one day I noticed my pores had really gotten huge. Of course, I'm sure that wasn't the only reason, though.

It doesn't work even with cosmetics.

Going to Esthetic doesn't have much effect.

Is dermatological treatment the only answer?