Milling-induced surface topography of porous titanium, critical for its functional performance, is governed by cellular pore deformation. This study establishes how milling parameters control this deformation to tailor the generated surface topography in terms of porosity, roughness, and fractal dimension. The key finding is that the axial depth of cut dictates the deformation mode: low depths (≤1.5 mm) promote plastic smearing, reducing surface porosity by up to 49% for densified surfaces, while high depths (≥2.0 mm) trigger brittle peeling, increasing porosity by up to 74% for enhanced permeability or osseointegration. Areal roughness (Sa: 40.69–114.95 μm) is primarily governed by pore-induced topography, with axial depth being the most influential parameter (65.85% contribution). Fractal dimension (1.39–1.95) peaks at a 2.0 mm depth, indicating maximum complexity from pore fragmentation. These insights provide a direct parameter selection framework for engineering porous titanium surfaces to meet application-specific demands.