Blackheads on the Nose May Be More Than Just Excess Oil
A photo showing a specialist removing a large plug of sebum from a patient’s nose has gone viral on social media. While the image is fascinating and grabs people’s attention, dermatologists emphasize that these lesions are not always just ordinary blackheads.
In most cases, what we see are open comedones, commonly known as blackheads. They develop when pores become clogged with a mixture of oil (sebum), dead skin cells, and debris. When the material inside the pore is exposed to air, it oxidizes, giving the surface its characteristic black color.
People with oily skin, enlarged pores, or long-term sun exposure are more likely to develop this condition. The nose is especially prone to blackheads because it contains a high concentration of sebaceous glands.
Why Do So Many Blackheads Form?
Several factors can contribute to their development, including:
- excessive sebum production;
- hormonal changes;
- skin aging;
- chronic UV exposure;
- unsuitable skincare products;
- an inadequate skincare routine.
In some cases, what appears to be a blackhead may actually be an enlarged sebaceous filament. Sebaceous filaments are normal skin structures, but when they become filled with excess oil, they become much more visible and are often mistaken for acne.
Is It Safe to Remove Them at Home?
Many people try to squeeze blackheads using their fingers or extraction tools purchased online. However, dermatologists warn that this can lead to:
- skin infections;
- bleeding;
- permanent scarring;
- inflammation;
- enlarged pores.
The image shows the use of a professional comedone extractor, a sterile medical instrument designed for safe removal under controlled conditions.
When Should You See a Doctor?
You should consider visiting a dermatologist if you notice:
- numerous recurring blackheads;
- painful lumps;
- foul-smelling discharge;
- repeated bleeding;
- sores that do not heal;
- rapid changes in the appearance of the skin.
Sometimes what looks like a simple blackhead may actually be an epidermoid cyst, a localized infection, or, in rare cases, another skin condition that requires professional medical treatment.
How Can They Be Prevented?
A consistent skincare routine can significantly reduce the appearance of blackheads:
- cleanse your face twice a day with a gentle cleanser;
- use products containing salicylic acid or retinoids under medical guidance;
- consider regular chemical exfoliation;
- wear sunscreen every day;
- avoid aggressively squeezing clogged pores.
Conclusion
Although videos and photos of blackhead extractions attract millions of views online, they also highlight an important message: skin health should never be ignored. In most cases, blackheads are a manageable cosmetic concern, but when they become widespread, inflamed, or are accompanied by other symptoms, a dermatological evaluation is the safest approach. Early diagnosis and appropriate treatment can help prevent complications and keep your skin healthy over the long term.