Pimples come in all shapes, sizes, and colors – and sometimes skin conditions don’t seem like the obvious fault at all.

Take the black dots, those pesky dark spots full of blobs. If you’ve ever tried to blackmail him, chances are you’ll take a huge hit and instantly regret it.

So what is the best way to get rid of this type of acne on your skin?

First, let’s look at the causes and who is most prone to developing blackheads.

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What causes comedones?
“Blackheads are caused by a buildup of sebum, oil, dead skin cells, and possibly C. acnes (acne-causing bacteria) in the hair follicles,” says Nazanin Saedi, PhD, director of the Jefferson Laser Surgery and Cosmetic Dermatology Center. – Center based in Philadelphia. “When this substance oxidizes in air, the holes turn black,” says Dr. Saedi.

dr. Kathleen Cook Suozzi, director of the Aesthetic Dermatology Program at Yale Medicine and Assistant Professor of Dermatology at Yale School of Medicine in New Haven, Connecticut, reveals that blackheads have a medical term: comedones. “Blackheads are the early stages of acne,” explains the doctor. “When the follicle expands, it can rupture and spill its contents onto the surrounding skin called the dermis, and this can trigger an inflammatory response.” It manifests itself on the skin as inflammatory papules – more commonly referred to as pimples – a far greater evil than dark spots.

Acne-prone people are most prone to blackheads, but there’s also a genetic factor, Saedi explains. dr. Suotsi says: “Hormonal influences also play a role in stimulating the production of sebum (skin oil).

Prescription and non-prescription retinoids (such as Retin-A) are reliable ways to get rid of blackheads. “Retinoids work by promoting skin regeneration and reducing the ‘stickiness’ of skin cells to prevent clogging of the bone follicles,” explains Suotsi.

He noted that at the start of treatment with retinoids, comedones may worsen as cell turnover increases against the blocked orifice, leading to further expansion. “However, as treatment continues, purchased thorns begin to improve and by promoting skin regeneration, they are less likely to become clogged in the future,” he says.

Retinoids not only help with acne, they are also great for preventing aging and regenerating skin. A study published in the March 2016 issue of the Journal of Cosmetic Dermatology found that subjects experienced increased collagen production and epidermal thickness in just four weeks using retinol (a low concentration retinoid), and significantly reduced facial wrinkles after 12 weeks. . “Saedi suggests trying an OTC product like Differin ($12.88, Amazon.com) first, but if that doesn’t help, see a doctor for prescription strength.”

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Consider alpha hydroxy acids
Alpha hydroxy acids like glycolic acid and lactic acid also help, says Saedi, but she says salicylic acid is better at helping clean pores. Drunk Elephant T.L.C. Framboo’s Glycolic Resurfacing Night Serum ($90, Sephora.com) and Sunday Riley’s Good Genes Glycolic Acid Treatment ($48, SundayRiley.com) are two highly-rated AHAs on the internet.

Choose office maintenance
A dermatologist can help clear your skin of blackheads. “There are procedures in the office that can help shrink pores,” says Suotsi. These include non-ablative surface restorations (also called laser procedures) such as the Fraxel laser or the Clear + Brilliant laser or microneedles. Prices vary and can range from a few hundred dollars to $1,500 or more, dermatologists say. While some people are happy with the results of the treatment, others may require several sessions to achieve the results they want.

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Worst Way To Get Rid Of Blackheads
Use of coarse scrubs
It may be tempting to use an exfoliator to remove dead skin for instant gratification. While chemical peels (such as AHAs) can help, Saedi recommends avoiding over-exfoliating beads, as you may have been taught as a teenager, when manually rubbing the beads into your skin until they turn red. “Heavy skin can strip your natural oils and produce more oil,” she says. Dermatologists generally recommend exfoliating up to three times a week, depending on the products you use and your skin type.

Do manual fetch
Suozzi recommends fighting the urge to have acne. “If you pinch blackheads together, you can cause the follicle to rupture and form an inflammatory lesion or cyst,” he says. In other words, you can turn blackheads into a much more serious skin condition. Remember that the closer the black dot is to the surface of the skin, the safer it is to squeeze.

Switch to suction device
Technology that promises to suck sebum from your pores may sound tempting, but these products can do more harm than good, says Suotsi. “This suction can damage the sensitive skin of the face and cause telangiectasia or ‘rupture of blood vessels’, especially in and around the nose,” explains Suotsi.