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What Is The Best Way To Get Rid Of Bedbugs – Acne comes in many shapes, sizes and colors – and sometimes the skin condition doesn’t seem like an obvious blemish.

Take blackheads, those pesky dark spots filled with dirt. If you have ever tried to squeeze one, you may have found yourself facing an angry bump instead and immediately regretted it.

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(acne-causing bacteria) that get stuck in the hair follicle,” says Nazanin Saedi, MD, director of Jefferson Laser Surgery and Cosmetic Dermatology Center, based in Philadelphia. “When this substance oxidizes in the air, the opening becomes black,” says Dr. Saedi.

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Kathleen Cook Suozzi, MD, director of the aesthetic dermatology program at Yale Medicine and assistant professor of dermatology at the Yale School of Medicine in New Haven, Connecticut, revealed that blackheads have a medical term: comedones. “Comedones are the initial stages of acne formation,” says the doctor. “When a follicle grows large, it can rupture and spill its contents into the layer around the skin, called the dermis, and this can cause an inflammatory reaction.” It manifests itself on the skin as an inflammatory papule – which is more often called a pimple – a bigger evil than a blackhead.

People who are prone to acne are most susceptible to the appearance of blackheads, but there is also a genetic predisposition, explains Saedi. Dr. Suozzi says, “Hormonal influences also play a role, stimulating the production of sebum (skin oil).”

“Enlarged pores can also be present in people with severe sun damage,” says Suozzi. “A decrease in the collagen support of the dermis around the hair follicle can cause the ostia (small opening) to appear larger and more widespread. An extreme example of this is the Favre-Racouchot condition, where the patient has large comedones in areas of skin damaged by the sun, especially in around the eyes,” he said.

To prevent blackheads, Suozzi recommends topical or oral retinoids, including prescription drugs such as tretinoin or Retin-A. “Now, a prescription retinoid called adapalene or Differin is available over the counter for the treatment of comedonal acne,” he says. “In the case of more severe comedonal acne, patients may need treatment with oral retinoids, such as isotretinoin or Accutane.” Saedi adds that chemical peels can also be effective, but not for scrubs because they can cause irritation.

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If you already have blackheads, there are several dermatologist-approved methods to get rid of them—and some of them are preventative.

One of the most important blackhead-clearing ingredients is salicylic acid, a beta hydroxy acid that increases cell turnover and unclogs pores, says Saedi. Suozzi adds that anti-acne medications can help dry out active acne lesions because they are mild chemical irritants.

Many studies have shown that salicylic acid helps in the treatment of acne. This includes a small double-blind, controlled study, which found that using 2 percent salicylic acid water for two weeks led to a reduction in acne lesions in 30 people.

Saedi recommends two frugal but effective drugstore products with salicylic acid: Neutrogena Pink Grapefruit Oil Free Acne Wash ($7.97, Amazon.com) and Neutrogena Gel Cleanser Acne Proofing ($8.29, Amazon.com).

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If you’re willing to spend a little more for a more powerful multitasking product, Suozzi recommends Skinceutical Blemish + Age Defense ($92, Dermstore.com) a combination of 2 percent dioic acid and an optimal formulation of alpha and beta hydroxy acids. Not only does it help with acne, as it reduces sebum, it also has anti-aging properties. Plus, she’s a fan of DCL Multi Action Penta Peel Pads ($65, Dermstore.com), a concentrated peel or chemical peel.

Retinoids, available by prescription (such as Retin-A) and over-the-counter (Differin), are a reliable method for ridding the skin of blackheads. “Retinoids work by stimulating skin turnover and reducing the ‘stickiness’ of skin cells to prevent clogging of the follicular orifice,” explained Suozzi.

He says that when you start a retinoid treatment, comedones can worsen because cell metabolism increases against the clogged opening, causing further dilatation. “However, with continuous treatment, the blocked ostia begin to improve, and with the stimulation of skin renewal, they are unlikely to become blocked in the future,” he said.

Not only do retinoids help fight acne, but they are also great for slowing down aging and skin regeneration. A study published in March 2016 in the Journal of Cosmetic Dermatology found that in just four weeks of using retinol (a low-concentration retinoid), subjects experienced an increase in collagen production and epidermal thickness, and in 12 weeks “a significant reduction in facial wrinkles.” Saedi recommends trying an OTC product like Differin ($12.88, Amazon.com) first, but if that doesn’t help, “then see a doctor for prescription strength.”

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Alpha hydroxy acids, such as glycolic acid and lactic acid, also help, Saedi says, but she says salicylic acid is better at unclogging pores. Drunk Elephant T.L.C. Framboos Glycolic Resurfacing Night Serum ($90, Sephora.com) and Sunday Riley Good Genes Glycolic Acid Treatment ($48, SundayRiley.com) are two highly rated AHAs on the web.

A dermatologist can help you get rid of blackhead skin. “There are in-office treatments that can help reduce the appearance of pores,” says Suozzi. This includes non-ablative resurfacing (also known as laser treatment) such as Fraxel laser or Clear + Brilliant laser or microneedling. Prices vary and can range from a few hundred dollars to $1,500 or more, dermatologists say. While some people are satisfied with the results of one treatment, others may need more treatments to achieve the desired results.

It can be tempting to peel off all your dead skin with the instant gratification of an exfoliator. While chemical exfoliants (such as AHAs) can help, Saedi recommends avoiding over-exfoliating with a granule scrub like you were taught to do as a teenager, when you manually rubbed the granules into your skin until it turned red. “Rough exfoliation can strip away your natural oils and create more oil,” she says. Dermatologists generally recommend exfoliating up to three times a week, depending on the products you use and your skin type.

Suozzi recommends resisting the urge to pop pimples. “If you squeeze blackheads, you can cause the follicle to burst and encourage the formation of an inflammatory lesion or cyst,” he said. In other words, you can turn your blackhead into a more serious skin condition. Remember that the closer the blackhead is to the surface of your skin, the safer it is to replace it.

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Techniques that promise to suck sebum out of pores may sound appealing, but these products can do more harm than good, says Suozzi. “This suction can be harmful to the delicate skin of the face and can cause telangiectasias or ‘broken blood vessels’ to appear, especially in and around the nose,” explained Suozzi.

Although it’s almost impossible to resist trying to pop a blackhead with your two fingers, try to leave it at that.

“The best treatment is prevention,” Suozzi said. Get help from some effective ingredients – like retinoids, dual-medicine that will not only help treat skin conditions, but also prevent new blackheads from forming. Or make an appointment with your dermatologist for professional treatment.

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