by auria
Notes on change, skin, and the journey to your truest self.
Blackheads and whiteheads are both types of comedones, which are essentially blocked hair follicles. On our face, we have many fine, thin hairs referred to as vellus hairs. Each hair follicle is attached to a sebaceous gland, and this entire unit—the hair and the gland—is called a pilosebaceous unit. The gland produces sebum, an oily substance that helps to keep the skin moisturized. When this hair follicle becomes blocked with sebum, skin debris, or keratin, a comedone forms.
When there's a thin layer of skin on top of the accumulated sebum and debris, a whitehead forms. This is also known as a closed comedone.
If the blocked hair follicle is exposed to the air, the keratin oxidizes, resulting in a blackhead, also known as an open comedone. The black color isn't dirt, but rather a chemical reaction with oxygen.
Several factors contribute to the development of these skin blemishes. Identifying these factors is key to creating a preventative skincare routine.
People with oily or combination skin are more prone to blackheads and whiteheads because their sebaceous glands produce more sebum. This excess oil can easily clog pores, especially when combined with dead skin cells.
The heavy use of cosmetics can also contribute to blocked pores. Thick layers of makeup can occlude the pilosebaceous unit, preventing sebum from escaping. This leads to an accumulation that encourages comedone formation.
Applying excessive hair oil, which can trickle down onto the forehead and sides of the face, can clog pores. Similarly, excessive sweating, especially under makeup or without proper cleansing, can lead to pore blockage.
Acne lesions fall into two main categories: inflammatory and non-inflammatory. Understanding this distinction is vital for effective treatment.
Blackheads and whiteheads represent non-inflammatory acne lesions. They are essentially precursors to inflammatory acne. If left untreated, whiteheads can eventually evolve into more severe, inflamed acne.
Inflammatory acne encompasses conditions like papules (small, raised bumps), pustules (pimples with pus), nodules (large, solid bumps), and cysts (deep, pus-filled lesions). These often require more aggressive treatment than blackheads and whiteheads.
Treating blackheads and whiteheads aims to reduce oil accumulation and keratin buildup in the hair follicles. Here's a breakdown of the most effective approaches:
Chemical exfoliants help to shed dead skin cells, allowing sebum to flow freely. Salicylic acid is a particularly effective ingredient.
Retinoid creams, such as tretinoin, help to reduce sebum production and shed dead skin cells.
While there are many touted home remedies, it's best to avoid harsh scrubs or ingredients like lemon, which can irritate the skin.
If over-the-counter treatments are ineffective, or if you have numerous or stubborn blackheads and whiteheads, a visit to a dermatologist is advisable.
A dermatologist can offer more potent treatments, including:
For severe cases, a dermatologist may prescribe oral medications to control sebum production and reduce inflammation.
Blackheads and whiteheads are common, but manageable skin concerns. Understanding their causes and implementing a consistent skincare routine with effective ingredients like salicylic acid or, under professional guidance, retinoids, can significantly improve skin clarity. Remember to be gentle with your skin and seek professional help when needed. With the right approach, achieving a clear, radiant complexion is within reach.
While blackhead strips can temporarily remove some blackheads, they can also irritate the skin and damage hair follicles, potentially leading to more problems in the long run.
While not a direct cause, a diet high in processed foods and sugars may contribute to inflammation in the body, potentially exacerbating acne.
For oily skin, exfoliating 2-3 times a week is generally safe. For dry or sensitive skin, exfoliating once a week or even less frequently may be more appropriate. Pay attention to how your skin responds and adjust accordingly.
Popping pimples, especially without proper technique, can lead to inflammation, scarring, and infection. It's best to avoid popping pimples and consult a dermatologist for appropriate treatment.
For acne-prone skin, choose a gel-based, non-comedogenic moisturizer to avoid clogging pores. Look for ingredients like hyaluronic acid or aloe vera for hydration without adding excess oil.