Practicing Safe Aesthetic Medicine

Treatments, Causes, Side Effects of Black and White Heads

The Mechanism behind Formation of Blackheads and Whiteheads

Our skin has pores which allow the flow of sebum (skin’s oil) to flow naturally to the surface of the skin to keep it smooth and hydrated. When the production of this natural oil is it normal level, it hydrates, protect and smoothen the skin. But when there is too much oil production due to hormonal imbalance, it can prove harmful for the skin.

In some people, the excessive oil gets stuck inside the skin’s pores and to make the matter worse, the dead skin on the surface of the skin cause additional blockage. From this stage onwards, the changes inside the skin can lead to the development of blackheads and whiteheads.

What are Blackheads?

Black heads are formed when the sebum, dirt and dead skin cells gets trapped in the open hair follicles and cause partial blockage in the sebaceous glands. The oil, debris and dead skin cells get stuck in the opening of the follicles. When this plugged oil moves towards the skin surface, it gets oxidized and turns black in colour. They usually appear on nose, chin or in the middle portion of forehead.

Symptoms of Blackheads

It is quite easy to locate blackheads which appear on your skin because they are usually dark in colour. Blackheads are slightly raised above the skin and do not cause any pain with yellowish or black colour.

What are Whiteheads?

The closed pustules which appear on the skin are called whiteheads. Whiteheads are formed when the oil, dead skin cells and bacteria gets trapped into the skin’s pores. Unlike the blackheads, the formation of whiteheads takes place under the closed surface of closed pores.

There is no definite age for the formation of whiteheads. However, they commonly accompany hormonal changes such as puberty, menopause, pregnancy and menstruation.

What are Comedones

The combined comedone is a combined term used for both white and blackheads. An open comedo is called blackhead while whiteheads are referred to as closed comedones.

Causes of Formation of Comedones

There are different causes of formation of comedones which include:

  • Puberty
  • Menopause
  • A small hair stuck in follicle
  • Smoking
  • Polycystic ovarian syndrome in women
  • Overuse of makeup, moisturizing creams or sunscreen

There are some other factors which may contribute towards increasing your possibilities of developing whiteheads and blackheads, which include;

  • Production of too much body oil
  • Acne bacteria buildup on the skin
  • Inflammation and irritation inside the hair follicles when dead skin cells do not remove regularly from skin.
  • The increase in skin’s oil production due to hormonal changes during the teenage, menstruation period, or due to taking birth control pills
  • Intake of certain medications and drugs, such as corticosteroids, lithium, or androgens

Black and White Head Treatment

The Commonly Affected Body Areas by Comedones

  • Face
  • Neck
  • Upper Chest
  • Shoulders
  • Back

Though there are many DIY or home remedies available for white and blackheads but despite their application the problem may aggravate. Here are some effective and long-term cosmetic treatments for white and blackheads which can help in alleviating the problem of white and blackheads as well as the symptoms of possible acne.

Over-the-Counter Treatments

You may find many different acne treatment creams and gels over the counters of grocery and drug stores. These medications are directly applied on the skin and works by killing bacteria on skin, removing excess oil and removing the dead skin cells. The active ingredients in these drugs are salicylic acid, benzoyl peroxide, and resorcinol.

Prescription Medications

If over-the-counter medication fails to give you results then you should better consult a doctor or dermatologist. A doctor will suggest you some stronger prescription drugs containing Vitamin A like tretinoin, tazarotene, and adapalene for blackhead and whitehead treatment. These drugs work by preventing the hair follicles from plugging and promoting fast skin cell turnover. These are usually directly applied on skin. Other types of medications containing benzoyl peroxide and antibiotics may also be prescribed by the doctor if you have developed acne cysts or pimples along with black and whiteheads.

CRES system offered at CosmeDocs

CosmeDocs has tailored a specialized skin care regime based on our special CRES system. CRES stands for Clearance, Revitalization, Exfoliation and Stimulation of skin. It used special ingredients which are proven to improve and enhance the skin.

Individualized skin care programs are tailored for the patients on the basis of CRES system which target individual concerns according to age and skin type

Diamond tip microdermabrasion is a non-surgical cosmetic treatment procedure which makes use of special diamond tipped headpiece having suction for blackhead treatment. It removes the uppermost dead skin layer and improves the texture of skin, its elasticity and stimulates collagen production. It can effectively treat different issues related to skin including acne scars, blackheads, whiteheads and large skin pores. It is often combined with skin peel and medical cosmeceutical drugs to get optimal outcomes.

Chemical skin peels remove the dirt and dead skin cells which clog the pores and lead to blackheads formation. During the skin peel treatment, a strong chemical skin peel solution is applied for few minutes on the skin and is rinsed off. With the passage of time, the peel starts its work by peeling off the upper layer of skin. This unveils a smoother, clearer and clean skin underneath. At CosmeDocs, we use special skin peel formulation which uses unique ingredient combinations to treat certain skin issues. We tailor an individualized peel treatment for each patient adjusting its depth and type according to the individual skin type and concerns. Skin peels helps in significant reduction of pores, white and blackhead treatment.

Dermaroller or Microneedling is a treatment procedure which involves the use of special dermal roller instrument having little fine needles which form tiny punctures in the upper or dermal skin layer. The process stimulates the production of new collagen and activate skin repair. The movement of dermaroller on the skin is followed by application of antioxidants, retinoids and cocktail of almost 7 potent peptides which penetrates more readily into the skin.The technique can be used for different skin types. It effectively treats acne, acne scars, rough and damaged skin, enlarged pores and some other skin conditions.

Possible Side Effects

All the above mentioned blackheads treatments are non-surgical cosmetic treatments with minimal side effects. The common side effects of the chemical skin peels, microdermabrasion and dermal roller are redness, itching, warm feeling or slight stinging on the skin but these are only temporary and generally vanish in few hours or may take few days.


The white and blackhead treatments have no downtime and the patients can instantly resume the normal routine activities after getting any of the treatment.


The cost of white and blackhead treatments vary with the type of treatment and the number of required sessions. Your doctor will better be able to tell you the cost of complete treatment procedure in initial consultation. For more information you can check our ‘Price’ tab or can directly contact us.

This depends largely on the severity of your condition and type of skin. Our expert doctors will first carefully examine your skin and will then formulate an individualized treatment plan to address your particular skin concerns.

There is little pain or discomfort associated with the treatments. There may be slight itching and stinging sensation but usually there is little or no pain.

You can try out few tips such as washing and cleansing your face regularly with gentle skin care products, using oil-free make-up and using exfoliating products that suits your skin type to remove dead skin cells.

It depends on the extent of severity of your issue as well as on your skin type. Our professional and experienced doctors will analyze your skin in initial consultation and will tell you about the number of sessions required to improve the condition.

Yes. If care is not taken at proper time and they are not removed, it can develop into pimples and eventually acne.


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