Effective Solutions for Stubborn Blackheads: What You Need to Know - Dermatology

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Regarding blackheads... I really dislike them >_<


Doctor, I have blackheads.
What should I do? The advertisements for those nose strips are all a scam.
I've used them so much that I don't want to use them anymore, but they're still there.
Many people say I shouldn't squeeze them with my hands.
Is there any way to make them go away? They look so ugly.
Please help me, doctor!

Chen Tongxue, 10~19 year old female. Ask Date: 2006/03/30

Dr. Jiang Zheen reply Dermatology


The best treatment for acne is the use of vitamin A acid for 4-6 months, or intermittent use of alpha hydroxy acids for chemical peels, both of which can achieve ideal results.
Wishing you peace, Jesus loves you.

Reply Date: 2006/03/30

More Info


Dealing with stubborn blackheads can be frustrating, especially when over-the-counter solutions like nose strips seem ineffective. Blackheads, which are a type of acne, occur when hair follicles become clogged with oil, dead skin cells, and bacteria. The open comedones (blackheads) appear dark due to oxidation when the clogged material is exposed to air. Here are some effective solutions and tips to help you manage and reduce blackheads.


1. Gentle Cleansing Routine
Start with a gentle cleanser that suits your skin type. Look for products containing salicylic acid or glycolic acid, which can help exfoliate the skin and prevent clogged pores. Cleansing twice a day can help remove excess oil and dirt, reducing the likelihood of blackhead formation.


2. Exfoliation
Regular exfoliation is crucial for removing dead skin cells that can clog pores. You can use physical exfoliants (scrubs) or chemical exfoliants (like AHAs and BHAs). However, be cautious not to over-exfoliate, as this can irritate the skin and lead to more breakouts. Aim for 1-2 times a week for physical exfoliation and incorporate chemical exfoliants into your routine as tolerated.


3. Non-Comedogenic Products
Ensure that all skincare and makeup products you use are labeled as "non-comedogenic." This means they are formulated not to clog pores, which can help prevent the formation of blackheads.


4. Topical Treatments
Consider using topical treatments that contain retinoids, such as adapalene or tretinoin. These medications promote cell turnover and help prevent clogged pores. They can be particularly effective for treating and preventing blackheads. Start with a lower concentration to see how your skin reacts.


5. Clay Masks
Using clay masks once or twice a week can help absorb excess oil and draw out impurities from the skin. Look for masks containing bentonite or kaolin clay, which are known for their oil-absorbing properties.


6. Professional Treatments
If home remedies aren’t effective, consider seeking professional help. Dermatologists can perform extractions safely and effectively. They may also recommend treatments like chemical peels or microdermabrasion, which can help improve skin texture and reduce blackheads.


7. Avoid Picking or Squeezing
It’s essential to avoid picking or squeezing blackheads, as this can lead to scarring, infection, and inflammation. Instead, focus on a consistent skincare routine and consider professional extraction if necessary.


8. Lifestyle Factors
Diet and lifestyle can also impact skin health. Staying hydrated, eating a balanced diet rich in fruits and vegetables, and managing stress can contribute to healthier skin. Some people find that reducing dairy or high-glycemic foods helps improve their skin condition.


9. Patience and Consistency
Finally, remember that treating blackheads takes time and consistency. It may take several weeks to see significant improvements, so be patient with your skincare routine.

In summary, while blackheads can be stubborn, a combination of proper cleansing, exfoliation, non-comedogenic products, and possibly professional treatments can help you manage them effectively. If you find that over-the-counter products are not working, consulting with a dermatologist can provide you with tailored advice and treatment options.

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