Almost everyone knows and fears them: Blackheads – the small black nodules on the skin. They are harmless, but can significantly disrupt the appearance. What causes them, when they become a problem and whether you should have blackheads removed, you can find out here.

  • Blackheads are skin blemishes that can be seen as small black nodules on the surface of the skin.

  • Blackheads are the result of clogged sebaceous glands, which can be the basis for inflammatory acne.

  • In case of severe manifestation, you should definitely not squeeze blackheads yourself, as the risk of inflammation is high.

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From Head of Cosmetics:

From Head of Cosmetics:

Medically reviewed by:

Medically reviewed by:

Blackheads: Simply explained!

Did you know: The medical term for blackheads is comedones. Sounds complicated, but it’s not. Because blackheads are impurities on the surface of the skin. They appear mainly on the nose, forehead and chin – together they form the so-called “T-zone”. The good thing is that comedomes are not part of inflammatory acne.

You can best recognize blackheads by the small black dots or easily noticeable bumps on the skin. That is why they are also called open blackheads or blackheads. These do not look nice at all, but are easy to get out of the skin surface.

In addition, there are also white blackheads. They differ from the black ones in that they tend to be white to gray in color (whiteheads). This comes from the sebaceous filaments filled with sebum, which perform an important function and are needed for a healthy skin appearance. They are located under the skin and are barely noticeable. That is why we call them closed blackheads. The bad thing, however, is that this form is the precursor to inflammatory acne.

When blackheads become a problem

Everyone has blackheads. If there are only a few, there is basically nothing wrong with that. Because to remove all of them is impossible. However, many sufferers are visually bothered by the black dots on their face, which they find unattractive. However, blackheads become problematic in the medical sense when they become inflamed. Because then they can develop into larger pimples. This also makes it easy for bacteria to penetrate the skin, causing worse infections. That is why it is recommended to have blackheads removed before it happens.

What are the first signs

The first sign of skin impurities is an oily complexion. You can tell because the skin is noticeably oily shiny. Although blackheads do not only occur in people with oily skin, they are the most commonly affected. Other signs of skin blemishes are other unwanted appearances like pimples. These also appear on the face when blackheads are already abundant.

What causes blackheads

At the beginning of all blackheads are skin impurities due to increased sebum production. This clogs the sebaceous gland and blackheads form. The risk of developing it is higher in oily skin, as this skin type is more prone to blemishes. In principle, however, no one is protected from the unwelcome black dots. They can occur in any other skin type and at any age. The causes for this are numerous and usually several factors play a role.

One of them are: Hormonal changes. In this case, the risk of developing blackheads is significantly higher than usual. Puberty or pregnancy are prime examples of this. But stress or heavy sweating also promote the development. With a healthy lifestyle you do good for yourself and your body. This is equally true for the skin.

Alcohol, caffeine and smoking promote skin blemishes. Just like lack of hygiene. Conversely, the use of certain cosmetics can also have an unfavorable effect. Oil-based products can promote the development of blackheads. Especially people who apply makeup every day clog their facial pores, creating a skin climate where blackheads have an easy time. Regular, thorough skin cleansing is then all the more important. And no, this doesn’t just mean washing your face with water every day.

When to treat blackheads

There are phases when the skin is more prone to impurities, blackheads and pimples. These are certainly also dependent on your personal lifestyle habits. But the good thing is that when they occur, they often disappear after a while. However, if this is not the case and you have blackheads over a long period of time, or if the blemishes cover a large area, there is a high risk that they will become inflamed or large pimples will develop. In this case, you should have blackheads removed. The same goes if you feel uncomfortable because of skin blemishes. Because you don’t have to: treating blackheads is relatively simple and effective – provided it’s done correctly and with the optimal tools. You can read more about this in the FAQ section here.

Any questions? Our FAQ section has the answers!

There are countless care products on the market, which certainly have their justification. However, if that doesn’t get you where you want to go, you’ll have to resort to more effective treatments. A properly performed HydraFacial is one of the most effective and gentle ways to eliminate blackheads. From Japan to Europe to America – you will find people everywhere who are convinced of this treatment. Because the visible success in the face proves the treatment right. Alternatively, you can also achieve a cleansing effect with fruit acid peelings, so that you can quickly get rid of your blackheads. And if you want to affect your pore size a bit, radiofrequency needling using Morpheus8 might be the way to go. We will be happy to advise you on site.

Blackheads form when pores are clogged with sebum, dead skin cells, dirt and bacteria. This is exactly what comes back out of them as a black plug or whitish secretion when they are removed or expressed.

Although it may seem tempting, the answer is no. At the very least, you should definitely not regularly take a hand yourself and remove the blackheads. This is because when blackheads are squeezed, the sebum can be pushed into the surrounding tissue. This can result in even larger collections of sebum (pimples) or, in the worst case, severe inflammation. If you want to remove blackheads on the nose or other places, you should use appropriate cosmetics or better get professional help. Because just as you should go for regular health checkups, your skin should be cleared of dead skin cells and blackheads every now and then. And you will notice how your skin can breathe again. A HydraFacial or peels are effective methods to get rid of these pests.

Blackheads are located on the face where on the one hand larger and on the other hand increased sebaceous glands are located. This is usually in places where the face is particularly exposed to weather conditions. Besides the chin and forehead, this is especially the nose. We refer to all three regions together as the T-Zone. This is the same reason why pigment spots appear most often on the forehead, nose and cheeks. These are the places you’ll get the most sun over the course of your life.

More questions? Simply make a personal consultation appointment online.


Last updated: 20.10.2023