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Extraction in Dermatology - Fighting Acne

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Extraction is a standard procedure used in dermatology to treat or pull out various forms of acne.

Medically reviewed by

Dr. Nidhin Varghese

Published At February 19, 2024
Reviewed AtFebruary 19, 2024

What Is an Extraction in Dermatology?

Dermatology extraction refers to removing or expelling acne, whiteheads, or blackheads from the skin. Acne extraction is a skin procedure by which the comedones (whiteheads and blackheads) and acne are extracted from the skin tissue. This is done using sterile and non-equipped tools. Acne extraction is not recommended to be done by anyone in the home.

An esthetician, cosmetologist, or dermatologist usually does it. This is a skin treatment where the clogged pores are opened and cleansed using appropriate instruments. The pimple or acne is usually extracted by using an extractor. This includes pulling out of fluid or solid constituted inside the acne by applying pressure and expulsing the content.

What Are the Potential Benefits of Acne Extraction?

Acne extraction procedures yield instant and effective results at the professional’s office. Acne extraction is an effective procedure that contributes numerous benefits to the skin tissue when performed appropriately by the dermatologist. The potential benefits of acne extraction include the following.

  • It helps eliminate the primary cause of the acne, whiteheads, and blackheads.

  • It aids in the healing of breakouts at a rapid rate, even without causing any additional skin damage.

  • Acne extraction helps open and clear the pores, allowing skin care products to be absorbed more effectively.

  • This approach targets the pores, preventing breakouts in the future.

  • This serves as a quick fix for individuals suffering from acne issues regularly.

  • Unlike cleansers and acne treatment gels, this acne extraction procedure has the potential to show results straight away. The cleansers and gels for acne usually take a week or two to begin functioning.

  • This could help clear large and severe forms of acne that show no or less response to the medications.

  • Acne scarring seems less likely to occur when acne is treated promptly at an early stage with the treatment extraction procedure.

  • Acne extraction can help remove stubborn pimples on a safe and effective basis.

  • Acne extraction reduces the risk of getting acne scars.

  • Pore extraction regularly keeps aging away, preventing wrinkle formation in the future. So, extraction yields a youthful look by cleansing the skin and allowing it to breathe.

How Is Acne Extraction Procedure Done?

Firstly, healthcare professionals like estheticians or dermatologists assess the comedones (small bumps giving the skin a rough texture) or pimples.

  • The skin is first prepared for the extraction procedure. This is done by streaming the face to open and clear the pores. Also, a desincrustation fluid is given with the steam to soften it.

  • The specialized equipment used to remove acne or comedones is cleaned and sterilized before the sessions to prevent infections. An ultrasonic device called the skin scrubber is used to loosen the pores.

  • Then, the healthcare professional will cautiously stretch the particular skin area using the fingers.

  • The doctor gently pressures that area and uses the tool to squeeze or extract the acne.

  • The pressure and directions matter greatly in the acne extraction procedure. Applying the appropriate amount of pressure and the direction of pressure serve as essential factors in the acne extraction procedure. Misdirection or abnormal pressure can result in scarring.

  • The professional cleanses the skin after extracting acne, whiteheads, and blackheads.

  • This skin cleansing is followed by toning and moisturizing with effective skin care products.

  • The last step in acne extraction treatment or any skincare routine includes sunscreen application.

  • In addition, an antiseptic cream is used to soothe the skin, preventing the redness and breakout that might occur after the procedure.

What to Expect During Acne Extraction Procedure?

It is essential to follow the post-procedure instructions to avoid possible risks and infections. The healthcare professionals advise not to apply heavy makeup for a few days following the procedure. In most cases, individuals can continue doing the routine work as there is no downtime and risk. Some people might experience blotchiness and redness that they could eventually face within hours. One can use moisturizing cream or cooking gel after the procedure to cure redness and inflammation. It is essential to inform the doctors about sensitive skin if one has it.

What Are the Cons of Acne Extraction Procedure?

Acne extraction is a safe and effective procedure, though. It has certain downsides.

  • At times, the pores could get damaged, resulting in scarring. This happens only when a professional does not do the acne extraction procedure. Some scars from such incidents can be permanent, while some could take longer for complete healing.

  • The acne extraction procedure is generally done with appropriate direction and pressure. Increased or excessive pressure can result in enlarged pores, pain, and bleeding.

  • The equipment used for acne procedures should be kept clean and sterilized before each use. Contaminated or unsterile equipment can cause the entry of bacteria, resulting in the spread of acne to the adjacent unaffected skin tissues. Such instances could result in worsening of acne and scarring with a longer period to heal.

Complications of Acne Extraction

Acne extraction, when done improperly or in non-sterile conditions, can lead to several complications. Some potential complications include:

  • If the extraction tools or the area being treated are not adequately sterilized, bacteria can enter the open pores, leading to infections. Infected acne lesions can cause increased redness, swelling, and pain.

  • Aggressive or improper extraction techniques can damage the surrounding skin tissue, leading to scarring. This is especially true if the extraction is performed on deep or cystic acne lesions.

  • Manipulating acne lesions can cause post-inflammatory hyperpigmentation, resulting in dark spots or discoloration at the extraction site. This is more common in individuals with darker skin tones.

  • Squeezing or picking at acne can potentially cause the spread of bacteria to nearby pores, leading to the development of new acne lesions.

  • Aggressive extraction attempts on cystic acne can rupture the cyst, causing the contents to spread within the skin and potentially lead to larger, more painful lesions.

  • Excessive force during extraction can cause bruising or damage to tiny blood vessels (capillaries) near the surface of the skin.

Conclusion

In dermatology, extraction is typically called acne or comedo extraction. The extraction procedure involves the removal of the clogs, comedogenic substances, and acne from the skin, usually carried out by a dermatologist or esthetician. This procedure aids in clearing the acne while improving the skin's overall appearance. It is essential to have extractions performed by certified and trained professionals to minimize the risk of infection and skin damage.

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Dr. Nidhin Varghese
Dr. Nidhin Varghese

Dermatology

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