Nasal comedones and sebaceous cysts?
Hello, doctor.
I have many blackheads on the tip of my nose, and my pores seem a bit enlarged.
I have gone to a beautician for facial treatments, and it became very clean, but soon it became congested again.
Additionally, I have small white bumps under my eyes, which I heard are called milia.
They also reappear after extraction.
I'm unsure how to prevent this.
Should I pay attention to my diet or my cleansing routine? Thank you for your guidance.
Jialin, 20~29 year old female. Ask Date: 2010/06/28
Dr. Huang Ruiyun reply Dermatology
Hello: This is a constitution that cannot be completely eliminated; dietary changes and hygiene have limited effects.
I hope that one day you can accept it calmly.
Wishing you peace.
Reply Date: 2010/06/28
More Info
To effectively prevent blackheads and fatty bumps on your skin, it is essential to understand the underlying causes and adopt a comprehensive skincare regimen. Blackheads, which are a type of acne, occur when hair follicles become clogged with excess oil (sebum), dead skin cells, and bacteria. Fatty bumps, often referred to as milia or sebaceous cysts, can also form due to clogged pores or the accumulation of keratin.
Understanding the Causes
1. Excess Oil Production: Overactive sebaceous glands can lead to an increase in oil production, which contributes to clogged pores. Factors such as hormonal changes, genetics, and diet can influence oil production.
2. Dead Skin Cells: The skin naturally sheds dead cells, but if these cells do not slough off properly, they can accumulate and mix with oil, leading to clogged pores.
3. Bacteria: The presence of certain bacteria on the skin can exacerbate acne and lead to inflammation.
4. Diet: Some studies suggest that high-glycemic foods (like white bread and sugary snacks) and dairy products may contribute to acne development in some individuals.
Prevention Strategies
1. Regular Cleansing: It is crucial to cleanse your face at least twice a day using a gentle, non-comedogenic cleanser. This helps remove excess oil and dead skin cells. Look for products containing salicylic acid or benzoyl peroxide, as these ingredients can help prevent clogged pores.
2. Exfoliation: Regular exfoliation (1-2 times a week) can help remove dead skin cells and prevent them from clogging pores. Consider using chemical exfoliants like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), which are effective in keeping the skin clear without the harshness of physical scrubs.
3. Moisturizing: Even if you have oily skin, it is essential to use a lightweight, oil-free moisturizer. This helps maintain skin hydration and balance oil production.
4. Avoid Picking or Squeezing: While it may be tempting to pick at blackheads or fatty bumps, doing so can lead to inflammation, scarring, and further breakouts. Instead, consider professional treatments from a dermatologist or licensed esthetician.
5. Dietary Considerations: While the relationship between diet and acne is still being studied, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins may help improve skin health. Reducing sugar and dairy intake could also be beneficial for some individuals.
6. Use of Non-Comedogenic Products: When selecting makeup or skincare products, opt for those labeled as non-comedogenic, meaning they are less likely to clog pores.
7. Professional Treatments: If over-the-counter products are not effective, consider consulting a dermatologist. They may recommend treatments such as chemical peels, microdermabrasion, or prescription medications like topical retinoids, which can help prevent blackheads and improve skin texture.
8. Sun Protection: Always apply sunscreen daily, as sun exposure can lead to skin damage and exacerbate acne. Look for oil-free, non-comedogenic formulations.
Conclusion
Preventing blackheads and fatty bumps requires a multifaceted approach that includes proper skincare, dietary considerations, and possibly professional interventions. By maintaining a consistent skincare routine and being mindful of the products you use, you can significantly reduce the occurrence of these skin issues. If you continue to struggle with persistent blackheads or fatty bumps, it is advisable to seek guidance from a dermatologist who can provide tailored recommendations based on your skin type and concerns.
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