Chest Skin Issues: Blackheads and Irritation Explained - Dermatology

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Chest issues


Hello, doctor.
When I wear a bra, I noticed some small black spots on my breasts that feel like blackheads.
I used a comedone extractor to squeeze them, and some white and black material came out, but after a while, the squeezed area became red and swollen and it itches a bit, similar to a mosquito bite.
Is this because I didn't disinfect the extractor before using it? Is it an allergy, or could it be another issue?

Ru Ru, 20~29 year old female. Ask Date: 2020/03/20

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is not possible to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2020/03/20

More Info


Hello! Thank you for your question regarding the skin issues you're experiencing on your chest. It sounds like you're dealing with blackheads and some irritation, which can be quite bothersome. Let's break down the potential causes and treatments for your symptoms.


Understanding Blackheads and Skin Irritation
Blackheads are a type of acne that occurs when hair follicles become clogged with oil (sebum) and dead skin cells. When the clogged pore is open to the air, the surface oxidizes and turns black, hence the name "blackhead." They are commonly found on the face, back, and chest. The irritation and redness you're experiencing after attempting to extract the blackheads could be due to several factors:
1. Mechanical Irritation: Using a comedone extractor (the "blackhead remover" tool) can cause trauma to the skin, especially if not done gently. If the tool is not sanitized, it can introduce bacteria into the pores, leading to inflammation and possibly infection.

2. Allergic Reaction: If you have sensitive skin, the products you use (like cleansers or moisturizers) or even the fabric of your bra could cause an allergic reaction, leading to redness and itching.

3. Infection: If you squeezed the blackheads too aggressively, you might have caused micro-tears in the skin, which can become inflamed and infected, leading to the symptoms you described.


Recommendations for Treatment
1. Gentle Cleansing: Use a gentle, non-comedogenic cleanser to wash your chest area daily. Avoid harsh scrubs or exfoliants that can irritate the skin further.

2. Avoid Squeezing: It’s best to avoid squeezing blackheads yourself, as this can lead to scarring and infection. Instead, consider using over-the-counter products containing salicylic acid or benzoyl peroxide, which can help to unclog pores and reduce inflammation.

3. Sanitize Tools: If you choose to use tools like a comedone extractor, make sure to sanitize them with alcohol before and after use to minimize the risk of introducing bacteria.

4. Moisturize: Use a lightweight, oil-free moisturizer to keep your skin hydrated without clogging pores.

5. Consult a Dermatologist: If the irritation persists or worsens, it’s advisable to consult a dermatologist. They can provide a proper diagnosis and may recommend treatments such as topical retinoids, which help to prevent clogged pores, or professional extraction methods that are safer and more effective.


Additional Considerations
- Clothing and Fabric: Ensure that your undergarments are made from breathable materials. Synthetic fabrics can trap moisture and heat, leading to irritation and breakouts.


- Diet and Lifestyle: Sometimes, diet can play a role in skin health. Consider reducing intake of high-glycemic foods and dairy, which may exacerbate acne for some individuals.

- Skin Care Routine: Establish a consistent skin care routine that includes cleansing, treating, and moisturizing. This can help manage and prevent future breakouts.

In summary, while blackheads and skin irritation can be common issues, they can often be managed with proper skin care and hygiene practices. If you find that your symptoms do not improve or if they worsen, seeking professional advice from a dermatologist is the best course of action. They can provide tailored treatment options based on your specific skin type and condition.

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