Blackhead Removal Guide: How to Properly Extract Blackheads Safely at Home

How to Properly Remove Blackheads: A Dermatologist’s Guide

If you struggle with pesky blackheads, you may be tempted to watch video blackhead removals for entertainment and self-treatment inspiration. However, dermatologists caution that improper at-home extraction can damage skin and worsen blackheads. Read on for an overview of blackheads, why you should avoid picking them, and the best dermatologist-recommended methods for safely clearing clogged pores.

What Are Blackheads?

Blackheads, also called open comedones, are small dark bumps that appear on the skin when dead skin cells, oil, and bacteria clog a pore. The tip of the clog is exposed to air, which causes it to oxidize and turn black. Blackheads commonly form on the face, especially the nose, chin, and forehead.

While blackheads are harmless, they can progress to inflamed, painful acne lesions if not properly cared for. It’s important not to pinch or squeeze blackheads to avoid spreading bacteria deeper into the pore.

Why You Should Avoid Picking at Blackheads

Popping or picking at blackheads often makes them worse by:

• Pushing debris and bacteria further into the pore, causing more congestion
• Damaging pores and skin, leading to enlarged pores, redness, and sensitivity
• Causing bleeding, infection, and acne scarring if pores are injured
• Spreading acne-causing bacteria to other areas of skin

While video blackhead removals may look satisfying, the techniques used (like excessive pinching and squeezing) can harm skin. Dermatologists caution against attempting to extract blackheads at home, especially if they cause pain or bleeding.

Dermatologist-Recommended Blackhead Removal Methods

Instead of picking, dermatologists recommend using medicated skin care products to loosen and gently draw out blackheads over time. Professional extractions and procedures can also clear stubborn blackheads safely. Options include:

1. Prescription Acne Medications

Prescription products containing retinoids (like tretinoin or tazarotene) or benzoyl peroxide can help unplug pores by exfoliating dead skin cells and killing acne bacteria. Apply as directed to allow medications time to work.

2. Salicylic Acid Cleansers and Toners

Over-the-counter skincare containing salicylic acid or beta hydroxy acids (BHAs) gently break down dead skin and oil. Using a salicylic cleanser or toner daily can help keep pores clear.

3. Clay Masks

Clay masks containing bentonite or kaolin clay can draw out impurities as they dry on skin. Apply to blackhead-prone areas once or twice per week, allowing the clay to set for 10-15 minutes before rinsing.

4. Chemical Peels

In-office chemical peels containing alpha hydroxy acids (AHAs) or trichloroacetic acid (TCA) can deeply exfoliate to unclog congested pores. Peels are applied by a professional for 8-15 minutes then neutralized.

5. Extractions

During a facial, a licensed esthetician can safely extract blackheads using sanitized tools, avoiding damage from excessive picking and squeezing. Extractions get out blockages that products can’t.

6. Microdermabrasion

Microdermabrasion uses a wand that sprays fine crystals to slough off dead skin cells on the face. Professional treatments can reveal clearer skin and minimize pore blockages.

7. Laser and Light Therapies

In-office laser and light treatments like Clear + Brilliant can diminish the appearance of pores and improve skin tone and texture. Some also destroy acne bacteria to prevent breakouts.

Tips for Safely Removing Blackheads at Home

While professional extraction is best for congested pores, you can safely remove some blackheads at home if you follow dermatologist recommendations:

• Gently exfoliate with a salicylic cleanser before extracting.
• Use an extractor tool with a small pointed loop instead of fingers.
• Avoid picking at blackheads that don’t come out easily with light pressure.
• Extract blackheads after a shower when pores are softened.
• Always sanitize extractors with alcohol wipes and wash your face after.
• Apply a benzoyl peroxide spot treatment after to kill acne bacteria.
• See a dermatologist if any redness, swelling, or pain develops.

Refrain from harsh scrubbing, squeezing, or using needles. This can worsen inflammation and lead to scarring. Seek professional help for severe blackheads instead of attempting risky at-home removals.

Caring for Skin After Blackhead Removal

Proper skin care after extraction helps prevent new blackheads from forming. Follow these dermatologist tips:

1. Use Acne-Fighting Ingredients

Continue using over-the-counter products containing salicylic acid or benzoyl peroxide. You can also ask your dermatologist about prescription topical retinoids to keep pores clear.

2. Moisturize Regularly

Apply an oil-free, non-comedogenic moisturizer suited to your skin type every morning and evening. Hydrating ingredients like hyaluronic acid promote healing.

3. Wear Non-Comedogenic Sunscreen

Protect skin daily with an SPF 30+ sunscreen labeled non-comedogenic or oil-free. Sun exposure can worsen acne breakouts and potentially cause dark spots on affected areas.

4. Exfoliate 2-3 Times Per Week

Gently exfoliating with a scrub, peel, or cleansing device removes built-up dead skin to reveal clearer, smoother skin. Don’t over-exfoliate or use harsh products that may cause irritation.

5. Cleanse Twice Daily

Washing morning and night with a cleanser suited to acne-prone skin prevents pore-clogging oil and bacteria buildup. Avoid scrubbing vigorously, which can inflame skin.

6. Shampoo Regularly

Shampoo every other day at minimum to keep hair oils from potentially transferring to the skin and clogging facial pores. Also, avoid touching your face throughout the day.

7. Drink Plenty of Water

Staying hydrated helps keep skin balanced and reduces oiliness. Aim for the recommended daily water intake to reap skin and overall health benefits.

8. Monitor Diet

A nutritious, anti-inflammatory diet high in skin-healthy fats, antioxidants, and probiotics may improve acne. Limit dairy, sugar, and refined carbs, which may worsen breakouts.

When to See a Dermatologist

Consult a board-certified dermatologist if you experience:

• No improvement with proper blackhead removal and home care
• Deep, painful blemishes
• Moderate to severe inflammatory acne
• Signs of skin infection like oozing pus
• Acne primarily along the jawline or lower face
• Acne scarring

A dermatologist can determine if prescription medications, in-office treatments, or dietary and lifestyle changes may help manage stubborn blackheads and other forms of acne.

The Takeaway

Scrubbing, squeezing, and picking at blackheads usually causes more harm than good. Allow properly formulated skin care products to gently loosen dead skin and oil over time for a clear complexion. See a dermatologist for professional extractions or clinical treatments if over-the-counter methods are ineffective. With consistent care, your skin can look and feel clear, healthy, and radiant.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.