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Blackheads are thought to be due to oxidised sebum and keratin, found in acne comedome. If this has no opening the skin’s surface it is called a whitehead. Blackheads are commonly found on the nose, cheeks, chin, and forehead. In extensive blackhead acne, they may also occur on the chest, back, arms and even legs, and in unusual places such as the ears.
Blackheads clog up the oil gland – acne comedome and may lead to infection, forming acne cysts, leading to pus and zits. This is called papular pustular cystic acne. If left untreated it may lead to acne scars.
Blackheads can be popped, squeezed or extracted. Dr Sandra Lee AKA Dr Pimple Popper has done many videos on acne, cyst and blackhead extractions, and shows the correct technique. I have a few videos on my method of blackhead extraction, using comedone extractors that can be cheaply purchased online. By prepping the skin, blackheads can be removed with minimal discomfort and no scarring. Stubborn blackheads that are deep can be softened with a warm towel, or even a prep of AHA several days before extractions are performed.
Blackheads can also be removed with peels, and creams as well as techniques such as microdermabrasion skin needling and microneedling.
Treating blackheads is important, and yes, that's why you are watching this video, but for the patient’s sake, preventing blackheads, open pores, and whiteheads is equally as important. I like to use a mixture of AHA or glycolic acid as well as BHA peels, and vitamin A creams.
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