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Deep Blackhead - Causes, Symptoms, and Treatment

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Deep blackheads are common skin conditions affecting people of various ages and skin types. Read this article to learn more about deep blackheads.

Medically reviewed by

Dr. V. Srikanth Reddy

Published At January 17, 2024
Reviewed AtJanuary 17, 2024

Introduction

Deep blackheads are the prevalent skin conditions that impact individuals across the globe of several age groups and skin types. These deep blackheads are enlarged pores that can affect physical and psychological well-being. Understanding the causative factors of deep blackheads is crucial for developing effective prevention and treatment strategies. The condition may appear on the skin surface. When an individual has acne, the skin pores may get mixed with sebum and dead skin cells.

Several individuals are prone to deep blackheads. Adolescent people, menstruating women, and people with a family history of acne are at high risk of developing the condition. Preventive measures and skincare routines can manage the condition. Adopting cleansing habits and extraction techniques may improve overall health and skin appearance. The article discusses deep blackheads, their causes, symptoms, diagnosis, and treatment strategies.

What Are Deep Blackheads?

Deep blackheads are a type of acne. Open pores characterize it. It consists of dead skin cells, sebum, and oxidized melanin. The other name of deep blackheads is open comedones. These appear as small, black, or dark-colored spots on the skin's surface. The two types of blackheads are superficial and deep. Superficial blackheads are present on the skin surface, and deep blackheads are present deeper into the hair follicle. Deep blackheads can be more challenging to manage or treat. The common areas for deep blackheads are the face, neck, chest, and back. The dark appearance of deep blackheads is due to the oxidation of melanin on exposure to air.

What Are the Causes of Deep Blackhead?

Various factors can lead to the development of deep blackheads. The common causes of deep blackheads are as follows:

  • Hormonal Changes: Alteration in the hormone level can lead to an increase in sebum production. The hormonal fluctuations can be during pregnancy, menstruation, puberty, and menopause. The change in the hormonal level can lead to a change in the skin texture. This can lead to the development of deep blackheads.

  • Excess Sebum Production: The excess production of sebum and natural skin oil can lead to hair follicle clogging. The excess oil may mix with dead skin cells. These may form plugs that obstruct the pores and lead to the development of deep blackheads.

  • Abnormal Skin Cell Shedding: The skin tends to shed dead skin cells. The irregular shedding process can lead to a mixture of sebum and dead skin cells. This can lead to the formation of deep blackheads.

  • Genetic Cause: People with a family history of acne or blackheads are genetically predisposed to developing skin concerns. Genetic factors can influence sebum production.

  • Cosmetic Products: Certain makeup and skincare products may contain ingredients that can exacerbate existing blackheads. Skin care professionals may recommend oil-free products for people more prone to deep blackheads.

  • Environmental Factors: When an individual skin is exposed to environmental pollutants, excessive sweating, and humidity, it can lead to the accumulation of dust and debris on the skin. This can lead to the formation of deep blackheads.

  • Dietary Factors: Food with highly refined carbohydrates and sugars can form acne and deep blackheads.

  • Medications: Certain medications, such as birth control pills and steroids, can lead to sebum production and affect the skin's health. This can contribute to deep blackheads.

What Are the Signs and Symptoms of Deep Blackhead?

The common signs and symptoms of deep blackheads are as follows:

  • Black Spots: Deep blackheads appear as small-sized, black, or dark-colored spots on the skin's surface. The deep blackheads are present in the deeper location within the hair follicle.

  • Enlarged Pores: When the hair follicles get mixed with sebum and dead skin cells, the pores can get larger, providing an uneven skin tone.

  • Location: Deep blackheads commonly occur in areas with a high concentration of sebaceous glands. The common locations are the face, nose, chin, neck, chest, back, and forehead.

  • Inflammation: The surrounding area of the affected skin may show mild inflammation. The other symptoms include redness and irritation around blackheads.

  • Texture Changes: The skin texture of the affected area can be rough or uneven.

  • Dark Color: Blackheads' dark or black color can be due to melanin oxidation when the skin is exposed to air.

  • Complications: If the condition is not managed on time, this can lead to the development of secondary infections and inflammatory lesions, such as papules and pustules.

How Is Deep Blackhead Diagnosed?

The diagnosis of a deep blackhead can be done by visual inspection by the skin care professional. Dermatologists may find various skin conditions and assess the presence of blackheads as follows:

  • Visual Inspection: The skin care provider may physically examine the affected areas of the skin. The black or dark color of the spots is associated with enlarged pores.

  • Skin Analysis: The skin care specialist may assess the affected skin area. The oiliness and inflammation of the skin may determine the appropriate treatment approach.

  • Patient History: The dermatologist may ask the patient about the skincare routine, the use of cosmetic products, and any lifestyle changes. These can lead to the contribution of deep backheads.

  • Wood’s Lamp Examination: The doctor may perform this examination to examine the skin. The wood lamp may emit ultraviolet light that can assess the extent of pigmentation associated with blackheads.

How Is Deep Blackhead Treated?

Treating deep blackheads involves targeted skin care practices and healthcare professional interventions. The treatment approaches to manage deep blackheads are as follows:

  • Topical Retinoids: Dermatologists may prescribe topical retinoids, such as Adapalene, Tazarotene, and Tretinoin. These can promote cell turnover and prevent the formation of blackheads. These medications prevent the formation of plugs.

  • Salicylic Acid: Dermatologists may recommend over-the-counter drugs and skin care products containing salicylic acid. This can help in exfoliating the skin and unclogging pores.

  • Benzoyl Peroxide: The doctor may prescribe products containing benzoyl peroxide that can effectively reduce inflammation and inhibit the growth of acne-causing bacteria.

  • Exfoliation: Regular exfoliation may help in removing dead skin cells. It prevents the mixing of sebum with hair follicles. Facial scrubs and chemical exfoliants can do the exfoliation.

  • Chemical Peels: The doctor may suggest applying a chemical solution to the skin. This can promote the removal of dead skin cells.

What Are the Preventive Measures for Deep Blackhead?

The preventive measures for deep blackheads are as follows:

  • Regular cleansing of the face twice daily.

  • Regular exfoliation helps prevent the accumulation of dead skin cells.

  • Choose cosmetic products that are less likely to clog pores.

  • Stay hydrated.

  • Wear sunscreen with SPF (sun protection factor) 30 to protect the skin.

  • Take a balanced diet.

  • Avoid touching the face.

  • Cleanse face after sweating.

Conclusion

In conclusion, deep blackheads can be managed by adopting a well-managed skincare routine, including regular cleansing, exfoliation, and non-comedogenic products. Maintaining a healthy diet, staying hydrated, and wearing protective sunscreen can help manage the condition. There is a need for personalized care or guidance from a healthcare professional or dermatologist to prevent deep blackheads.

Dr. V. Srikanth Reddy
Dr. V. Srikanth Reddy

Dermatology

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blackheadsdeep blackheads
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