Blackheads are a form of acne that occur when pores become clogged with dead skin cells and oil. The surface of the skin over the clogged pore oxidizes, turning it black. Blackheads can range in size from barely visible to large and deep.
What are deep blackheads?
Deep blackheads refer to blackheads that are larger in size and more deeply embedded in the skin. They form when the clogged pore goes deeper into the skin. Deep blackheads may not be as dark in color as superficial blackheads because the air cannot reach the bottom of the clogged pore to oxidize the contents.
Deep blackheads tend to occur more often in areas with lots of oil production, like the nose, chin, and forehead. They can be more difficult to extract than regular blackheads.
Should you try to squeeze out deep blackheads?
Squeezing or picking at deep blackheads is generally not recommended. Here are some key reasons why you should avoid squeezing deep blackheads yourself:
- You may push the clogged contents deeper – Trying to squeeze out a deep blackhead can force the trapped debris further down into the pore, making the problem worse.
- Scarring can occur – Excessive squeezing or digging at a deep blackhead can damage the nearby skin and lead to permanent scarring.
- Infection risk – Attempting to extract deep blackheads can introduce bacteria into the pore and follicle, raising the risk of infection.
- Pain and skin irritation – Squeezing deep blemishes can be very uncomfortable and leave the skin red and sore.
- No removal of entire clog – It’s difficult to squeeze out all of the trapped contents of a deep blackhead, so the pore will likely refill.
What to do instead of squeezing deep blackheads
Rather than try to squeeze out deep blackheads, it’s better to use other treatment approaches:
- Over-the-counter retinoids – Retinoids can help unclog pores and exfoliate dead skin cells.
- Prescription retinoids – Stronger prescription retinoids may be needed for very deep/large blackheads.
- Extractions by dermatologist – A dermatologist can safely extract deep blackheads using sterile tools.
- Chemical peels – Light chemical peels containing glycolic or salicylic acid can clear pores and remove blackheads.
- Laser treatment – Lasers are an effective way to clear up deep, stubborn blackheads.
- Other acne medications – Medications like benzoyl peroxide can help open up clogged pores.
Risk factors for deep blackheads
Certain factors can increase your risk of developing deep and large blackheads:
- Excessive oil production – People with very oily skin tend to get more enlarged pores and blackheads.
- Hormones – Hormonal changes during puberty, pregnancy, and menopause can trigger increased oil production.
- Obstructed pores – Thick makeup and skin products can block pores and lead to blackheads.
- Genetics – Some people are just prone to getting blackheads due to hereditary factors.
- Stress – High stress levels can worsen blackheads in acne-prone individuals.
- Medications – Certain drugs like corticosteroids, lithium, and birth control pills are linked to blackheads.
- Friction – Tight collars, headphones, and helmets can produce friction that irritates pores.
Signs you have a deep blackhead
Here are some signs that identify a blemish on your skin as a deep blackhead rather than a regular blackhead:
- Large, dilated pore openings
- Dark appearance, but not completely black
- Protrude outward from the skin
- Firm to the touch
- Don’t come out with light squeezing
- Appear in typical acne-prone areas like nose, chin, and forehead
- Persist for long periods without resolve
- Cause pain or discomfort
Preventing deep blackheads
You can take steps to prevent deep blackheads from forming in the first place:
- Wash face twice daily and after sweating
- Use oil-free, non-comedogenic cosmetics and sunscreen
- Avoid touching or picking at the face
- Shampoo hair frequently
- Avoid hair products that contact the face
- Use acne medications like retinoids, benzoyl peroxide, etc.
- Get blackheads extracted by a professional if they develop
- Use a clay mask weekly to deep clean pores
When to see a dermatologist
You should make an appointment with your dermatologist if:
- You have recurring or worsening deep blackheads
- Over-the-counter products are not improving blackheads
- Blackheads are widespread or leaving scars/discoloration
- You experience pain, redness, or swelling of blackhead sites
- You develop nodules or cysts along with blackheads
A dermatologist can help determine if an underlying condition is contributing to your blackheads. They can safely extract deep blackheads, prescribe stronger acne medications, or perform in-office treatments.
Conclusion
Deep blackheads can be frustrating to deal with, but squeezing or picking at them is not the solution. This usually results in more harm than good. It’s better to see a dermatologist to have stubborn blackheads properly extracted if over-the-counter options don’t clear them. With a good skin care regimen, you can successfully manage and prevent the return of deep blackheads.