What Causes Blackheads?Blackheads, also known as open comedones, form when dead skin cells, sebum, and bacteria become trapped in a hair follicle. This is due to a clogged pore that doesn’t let the skin cell and oil debris escape. As a result, a blackhead forms. They can appear on the nose, chin, forehead, chest, and other areas of the body. To prevent blackheads from forming, it’s important to regularly wash your face with a gentle cleanser to remove dirt and oils. Exfoliating two to three times per week can also help to keep pores unclogged and avoid the buildup of dead skin cells. However, if blackheads do form, there are ways to treat them. One method is popping or squeezing the blackheads. Dr. Fua can incorporate all of these treatment options into your acne treatment plan, depending on what works for your skin.
If topical treatment alone does not improve acne, or if acne is severe or extensive, oral medications are the best option. If you’ve tried several topical medications without success, or if your condition is severe, oral acne medications are usually the next step in the treatment process. Treatment usually includes oral antibiotics and applying a prescription gel or topical cream to the skin. Depending on people with acne, treatment may include using prescription creams to prevent acne, taking antibiotics to kill bacteria that contribute to acne, or, if acne is severe, taking stronger medications such as like isotretinoin, or even minor surgery. Even if you have tried topical acne treatments such as creams or gels without any lasting results, laser therapy may be the right solution for you. While I would like you to try natural remedies first, if you are not seeing improvement and severe hormonal acne is making your quality of life worse, other treatments can make a real difference. While it may take a while, treating hormonal acne from the inside out until your hormones are in their natural, happy balance will allow your skin to truly heal.
Removing blackheads safely involves cleansing, exfoliating, and using targeted treatments — all while being gentle with your skin to avoid irritation or scarring. Here’s a clear, step-by-step guide:
🧼 How to Remove Blackheads (Safely & Effectively)
✅ Step 1: Cleanse Twice a Day
Use a gentle facial cleanser with ingredients like:
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Salicylic acid – helps unclog pores.
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Benzoyl peroxide – reduces bacteria and oil.
🛒 Examples:
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CeraVe SA Cleanser
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Neutrogena Oil-Free Acne Wash
✅ Step 2: Exfoliate (2–3x Per Week)
Avoid harsh scrubs! Use chemical exfoliants instead:
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BHA (salicylic acid): Cleans inside the pore.
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AHA (glycolic or lactic acid): Removes dead skin cells on the surface.
🛒 Top Pick:
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Paula’s Choice 2% BHA Liquid Exfoliant
✅ Step 3: Use a Clay or Charcoal Mask (1–2x/Week)
These help absorb oil and draw out blackheads.
🛒 Popular Options:
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Aztec Secret Indian Healing Clay
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The Ordinary Salicylic Acid 2% Masque
✅ Step 4: Try a Retinoid (Night Use)
Retinoids improve skin turnover and prevent clogged pores.
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Adapalene (Differin) – available over-the-counter
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Tretinoin – prescription-strength
📝 Tip: Start 2–3 times a week, then increase as tolerated. Always apply at night and use sunscreen daily.
✅ Step 5: Manual Extraction (Only If Done Safely)
If blackheads are ready to come out:
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Steam your face for 5–10 minutes.
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Use clean hands or a sterile extractor tool.
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Gently press around the blackhead — don’t force it.
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Clean the area with toner or an astringent afterward.
💡 Best done by a dermatologist or licensed esthetician to avoid scars or infections.
❌ What to Avoid
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Picking or squeezing with dirty nails
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Over-washing or over-scrubbing
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Heavy makeup or oily skincare products
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Skipping sunscreen (UV damage can make pores worse)
🧑⚕️ When to See a Dermatologist
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If blackheads are large, deep, or recurring
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If over-the-counter products don’t help after 2–3 months
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For professional extraction, chemical peels, or stronger treatments
✅ PART 1: Solutions (Daily Care & Prevention)
These are simple steps and products you can use at home to prevent and reduce blackheads over time.
1. Gentle Cleansing (2x Daily)
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Use a mild, non-comedogenic cleanser (won’t clog pores).
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Best if it contains salicylic acid or benzoyl peroxide.
🛒 Try:
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CeraVe SA Cleanser
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La Roche-Posay Effaclar Gel Cleanser
2. Exfoliation (2–3x per Week)
Use chemical exfoliants, not physical scrubs:
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BHA (salicylic acid): unclogs pores from the inside.
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AHA (glycolic/lactic acid): removes surface dead skin.
🛒 Try:
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Paula’s Choice 2% BHA Liquid Exfoliant
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The Ordinary Glycolic Acid 7% Toning Solution
3. Use Retinoids (Nightly or 3x/Week)
Retinoids increase skin cell turnover and reduce blackhead formation.
🛒 Try:
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Differin Gel (Adapalene) – OTC
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Tretinoin – prescription
💡 Use at night and always apply sunscreen in the morning.
4. Apply Clay or Charcoal Masks (1–2x/Week)
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Absorb excess oil
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Tighten pores
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Draw out impurities
🛒 Try:
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Aztec Secret Indian Healing Clay
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The Ordinary Salicylic Acid 2% Masque
5. Moisturize (Daily)
Even oily skin needs moisture!
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Choose an oil-free, non-comedogenic moisturizer.
🛒 Try:
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CeraVe PM Lotion
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Neutrogena Hydro Boost Gel-Cream
6. Sun Protection (Daily)
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Sun damage can make pores larger and blackheads worse.
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Use broad-spectrum SPF 30+.
🛒 Try:
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EltaMD UV Clear SPF 46
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Neutrogena Clear Face SPF 55
🔬 PART 2: Professional Treatments
These are done by dermatologists or licensed estheticians for deeper or stubborn blackheads.
1. Manual Extraction
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A sterile tool is used to remove blackheads.
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Safer and more effective when done by a pro.
2. Chemical Peels
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Use stronger acids like salicylic, glycolic, or TCA.
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Removes dead skin and reduces clogged pores.
3. Microdermabrasion
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Uses a machine to gently “sand” away dead skin.
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Can help reduce blackheads and smooth skin.
4. HydraFacial
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Uses suction and water-based serums to deep-clean pores.
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Great for oily and blackhead-prone skin.
5. Prescription Medications
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Tretinoin or Tazarotene (stronger retinoids)
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Antibiotics or hormonal therapy if blackheads are part of more severe acne.
📝 Summary Table: At-Home vs Professional Treatments
Treatment Type | Example Products or Services | Use Case |
---|---|---|
Daily Cleanser | CeraVe SA Cleanser, Neutrogena Acne Wash | Basic prevention |
Exfoliation | Paula’s Choice BHA, The Ordinary AHA/BHA | Unclogging pores |
Retinoid | Differin, Tretinoin | Preventing and clearing blackheads |
Clay Mask | Aztec Secret, The Ordinary Masque | Oil absorption, pore detox |
Manual Extraction | By dermatologist or esthetician | Large or stubborn blackheads |
Chemical Peel | In-office peel sessions | Deep exfoliation, prevention |
HydraFacial | Medical spa facial | Deep cleansing |