Should blackheads be squeezed out?
My niece is currently in the first year of junior high school, 13 years old, and is going through puberty.
As a result, she has a lot of acne on her face and back, and since she has oily skin and has developed earlier, she has noticeable blackheads.
I initially thought it would be better not to extract her blackheads to avoid scarring; however, a friend suggested that I should remove the blackheads, as they could become larger and lead to significant scarring, or even become difficult to remove and leave dark spots on her face.
I would like to ask a doctor: should blackheads be extracted? How can I help her? Please advise me, thank you!
Ayi, 40~49 year old female. Ask Date: 2009/06/14
Dr. Zhang Zhibo reply Dermatology
Hello: The recommended method for treating blackheads is to use medications for gentle exfoliation, which can be effective.
Medications that can be used include retinoids (such as tretinoin), salicylic acid, and alpha hydroxy acids (AHAs) – it's best to have a dermatologist prescribe these.
Acne scars are often the result of blockage and inflammation, commonly occurring after squeezing pimples, so it's advisable to avoid using your hands to squeeze them to reduce the likelihood of scarring.
Reply Date: 2009/06/14
More Info
When it comes to managing blackheads, especially in teenagers like your niece, it's essential to approach the situation with care and knowledge. Blackheads, which are a type of acne, occur when hair follicles become clogged with oil and dead skin cells. They are particularly common during puberty due to hormonal changes that increase oil production in the skin.
Firstly, it's generally not advisable to squeeze blackheads. While the urge to do so may be strong, squeezing can lead to several issues, including:
1. Skin Damage: Squeezing can cause trauma to the skin, leading to inflammation, redness, and even scarring. This is particularly concerning for teenagers whose skin is still developing.
2. Infection: When you squeeze a blackhead, you may inadvertently push bacteria deeper into the skin, which can lead to infections and the formation of more severe acne lesions.
3. Worsening the Condition: Instead of clearing the blackhead, squeezing can cause it to become more embedded, making it harder to remove in the future.
Instead of squeezing, here are some expert-recommended strategies for managing blackheads and acne in teenagers:
1. Gentle Cleansing:
Encourage your niece to wash her face twice a day with a gentle cleanser designed for oily skin. Look for products that contain salicylic acid or benzoyl peroxide, as these ingredients can help unclog pores and reduce oiliness without being overly harsh on the skin.
2. Exfoliation:
Regular exfoliation can help remove dead skin cells that contribute to clogged pores. However, it's crucial to choose a mild exfoliant to avoid irritating the skin. Chemical exfoliants containing alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) are often more effective and gentler than physical scrubs.
3. Non-Comedogenic Products:
Ensure that any skincare or makeup products your niece uses are labeled as "non-comedogenic," meaning they won't clog pores. This is particularly important for oily skin types.
4. Topical Treatments:
Consider using over-the-counter topical treatments that contain retinoids, such as adapalene. These can help prevent clogged pores and promote cell turnover, which is beneficial for acne-prone skin.
5. Professional Treatments:
If blackheads persist or worsen, it may be beneficial to consult a dermatologist. They can perform professional extractions safely and recommend treatments such as chemical peels or microdermabrasion, which can help improve skin texture and reduce blackheads.
6. Avoid Picking:
Encourage your niece to avoid touching her face and picking at her skin. This habit can introduce bacteria and lead to more breakouts.
7. Healthy Lifestyle:
Promote a healthy lifestyle that includes a balanced diet, adequate hydration, and regular exercise. Stress management techniques, such as mindfulness or yoga, can also be beneficial, as stress can exacerbate acne.
Conclusion:
In summary, while the temptation to squeeze blackheads may be strong, it's best to avoid this practice to prevent skin damage and potential scarring. Instead, focus on a consistent skincare routine that includes gentle cleansing, exfoliation, and the use of non-comedogenic products. If issues persist, seeking professional advice from a dermatologist can provide tailored solutions for your niece's skin concerns. By taking these steps, you can help her achieve clearer skin and boost her confidence during this transitional phase of her life.
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