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Milia: What are they & How to Remove Them?
Apr 30, 2025

Milia: Causes, Differences, and Removal Tips

Milia are small, firm bumps often mistaken for whiteheads. This article explains the difference between milia and whiteheads, highlighting their causes and characteristics. Learn where milia typically appear and gain insights into effective removal methods for clearer skin.

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What Causes Blackheads? Uncover the Science Behind Skin Clogs

Published at: Apr 11, 2025

What Causes Blackheads?

Illustration of skin pore and sebaceous gland

Blackheads are a type of non-inflammatory acne called a comedo. They form when hair follicles become clogged with dead skin cells and sebum (an oily substance produced by the sebaceous glands). Here's a deeper look:

Sebum and Skin Pores

Our skin has countless tiny hairs, each growing from a follicle. Alongside each follicle is a sebaceous gland, which produces sebum to keep the skin moisturized. This sebum travels up the hair follicle and onto the skin surface through an opening called a pore.

The Clogging Process

Problems arise when dead skin cells accumulate within the hair follicle. Combine this with sebum, and you have a recipe for a clog. When this clog is exposed to air, oxidation occurs, turning the surface of the plug black. This isn't dirt; it's simply the result of the mixture undergoing a chemical reaction with oxygen.

Whiteheads vs. Blackheads

A whitehead is similar to a blackhead, but the pore remains closed. The plug isn't exposed to air, so it remains white or skin-colored.

Who is Prone to Blackheads?

Portrait of a woman with combination skin

While anyone can develop blackheads, certain factors increase your risk:

Skin Type

People with oily skin are generally more prone to blackheads because their sebaceous glands produce more sebum, which can contribute to clogging. Those with combination skin—oily in the "T-zone" (forehead, nose, and chin) and drier elsewhere—also frequently experience blackheads in the T-zone.

Cosmetic Use

Heavy use of makeup, particularly foundations and compact powders, can clog pores if not properly removed. Ingredients in these products can mix with sebum and dead skin, creating a pore-blocking concoction.

Hair Oil

Applying hair oil can indirectly cause blackheads. Oil can transfer to the forehead and other facial areas, contributing to clogged pores.

Excessive Sweating

Excessive perspiration can also lead to blackhead formation. Sweat can mix with sebum and dead skin cells, increasing the likelihood of pore blockage.

How to Reduce Blackheads

Selection of products for treating blackheads.

Fortunately, there are many ways to reduce and prevent blackheads:

Chemical Exfoliation

Chemical exfoliants dissolve the bonds between dead skin cells, promoting their shedding and preventing pore clogging. Using a face wash containing Salicylic Acid can be an easy and effective way to incorperate into your routine.

  1. Salicylic Acid Face Wash: Use a salicylic acid face wash once or twice daily, depending on your skin type. Gently massage it onto wet skin, let it sit for 30 seconds to a minute, and rinse thoroughly.
  2. Salicylic Acid Gel: A more concentrated salicylic acid gel can be applied topically at night to blackhead-prone areas.

Retinoid Creams

Retinoid creams, like tretinoin, are Vitamin A derivatives that promote cell turnover and prevent dead skin cells from accumulating. They also help to reduce oil production.

  • Always consult a dermatologist before starting retinoid creams, as they can cause irritation and sensitivity.

Home Remedies

  • Steaming: Steaming your face opens the pores, making it easier to extract blackheads. Steam for 5-10 minutes before attempting extractions.

Safe Extraction Techniques

Comedone Extractor

If you choose to extract blackheads at home, do so carefully:

Using a Comedone Extractor

A comedone extractor is a small tool with a loop on one end that is designed to gently remove blackheads.

  1. Cleanse your face.
  2. Steam your face to open pores.
  3. Position the loop over the blackhead.
  4. Gently press down and rock the tool back and forth until the blackhead is released.
  5. Avoid applying excessive pressure, which can damage the skin.

Important Precautions

  • Never squeeze blackheads with your fingers, as this can push the clog deeper and cause inflammation, potentially leading to acne.
  • If a blackhead doesn't come out easily, don't force it. You could damage your skin.

More Severe Cases

Diagram of the progression of a White Head to a Cyst

In severe cases, home remedies and over-the-counter treatments may not be sufficient.

Consulting a Dermatologist

If you have numerous or persistent blackheads, consult a dermatologist. They can perform extractions using sterile techniques and recommend stronger prescription treatments.

Prescription Medications

Dermatologists may prescribe oral medications, like isotretinoin, for severe cases of comedonal acne. These medications are potent and can have side effects, so they should only be used under medical supervision. The oral medications help decrease oil gland function and also reduce dead skin cells that can plug up your pores.

It is essential to remember that blackhead management requires a long-term commitment to a good skincare routine and, in some cases, medical intervention.

Conclusion

Blackheads are a common skin issue, but with the right knowledge and approach, they can be effectively managed. By understanding the causes, adopting a consistent skincare routine, practicing safe extraction techniques, and seeking professional help when needed, you can achieve clearer and healthier-looking skin. Remember that consistency is key, and it may take time to see significant results.

Frequently Asked Questions

Q: Can scrubbing my face get rid of blackheads?

Scrubbing the face rigorously can irritate the skin and worsen blackheads. Instead, opt for chemical exfoliation with products like Salicylic Acid.

Q: Are pore strips a good solution for removing blackheads?

Pore strips can temporarily remove surface-level blackheads, but they don't address the underlying causes and can irritate the skin. They can also damage hair follicles.

Q: Can toothpaste remove blackheads?

Using toothpaste on blackheads is not recommended. Toothpaste can be harsh and irritating, potentially causing inflammation and damage to the skin.

Q: How often should I exfoliate my face?

Exfoliating your face 1-3 times per week is generally recommended, depending on your skin type and the type of exfoliant you're using.

Q: Is it normal to have blackheads on my nose?

Yes, it's very common to have blackheads on the nose due to the high concentration of oil glands in this area.

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