Blackheads (Comedones)

A blackhead (medically known as comedones) is a yellow or blackish bump or plug on the skin, and usually found on the cheeks, nose, lip area, and chin. Blackheads are one of the common findings in acne vulgaris. Contrary to the common belief that it is caused by poor hygiene, blackheads are caused by excess oils that have accumulated in the sebaceous gland’s duct. The substance found in these bumps mostly consists of dead skin cells and modified sebum (an oily secretion of the sebaceous gland), which darkens as it oxidizes. In contrast, a “whitehead”or a closed comedone is a follicle that is filled with the same material, sebum, but lacks a small opening to the skin surface. Since the air cannot reach the follicle, the material is not oxidized, and remains white.

Treatment advice

Blackheads can be removed through a minor procedure called “extraction”. This is best done by our Skin therapist . Once removed, the best way to prevent blackheads from recurring is to use a combination of ingredients that unclog pores and reduce oil flow. Topical niacinamide, and alpha + beta hydroxy acids are best for this purpose. Avoid the use of heavy moisturisers in areas that are prone to blackhead formation. To prevent blackheads from becoming inflammatory acne lesions, the use of a benzoyl peroxide based product and topical Vitamin A may be recommended.

Regular Peels and Extractions at Complete Skin Specialists with a good home care routine can keep the skin clear.

Prescribed Treatments

As blackheads are physical blockages in the skin and are not infected they are not cleared by antibiotics.

There are a number of prescription creams which may help.

If they are extensive the best treatment is Roaccutane (Isotretinoin). This can be prescribed by your Dermatologist.

RATIONALE STASIS-B is a specialist treatment gel targeting breakout prone areas and adult acne. It contains 10% Bitter Orange Extract which assists in the control of acne-causing bacteria and helps to prevent breakouts. An effective drug-free alternative to topical acne drugs such as benzoyl peroxide and erythromycin. Apply twice daily to breakout prone areas or as directed.

We recommend ASAP Mineral makeup

Remember: Please talk to one of our skin therapists before starting on the skin care so a treatment plan can be prescribed for your skins needs.