Everything You Need to Know About Blackheads: Causes, Prevention, and Treatment

Blackheads are one of the most common skin concerns, particularly for those with oily or acne-prone skin. Whether you're a teenager going through hormonal changes or an adult struggling with persistent skin issues, blackheads can be frustrating. In this post, we’ll dive deep into what blackheads are, why they form, and how you can prevent and treat them.

What Are Blackheads?

Blackheads are small, dark spots that typically appear on the face, especially on the nose, forehead, and chin (often referred to as the T-zone). They are a type of acne that forms when hair follicles become clogged with excess oil, dead skin cells, and bacteria. Unlike whiteheads, which are closed pores, blackheads are open to the air. The dark color comes from the oxidation of melanin in the skin when exposed to oxygen.

What Causes Blackheads? Several factors contribute to the formation of blackheads: Excess Oil Production: When the sebaceous (oil) glands in your skin produce too much oil, it can mix with dead skin cells and clog pores, leading to blackheads. Hormonal Changes: During puberty, menstruation, pregnancy, or while taking certain medications, hormonal fluctuations can increase oil production, leading to clogged pores. Poor Skin Hygiene: Not cleansing your skin properly, leaving makeup on overnight, or touching your face with dirty hands can lead to clogged pores and blackheads. Comedogenic Products: Some skincare or makeup products contain ingredients that can clog pores, known as comedogenic ingredients, leading to blackhead formation. Diet and Lifestyle: Diets high in refined sugars and dairy, stress, or lack of sleep may also contribute to acne and blackheads.

If topical treatment alone does not improve acne, or if acne is severe or extensive, oral medications are the best option. If you've tried several topical medications without success, or if your condition is severe, oral acne medications are usually the next step in the treatment process. Treatment usually includes oral antibiotics and applying a prescription gel or topical cream to the skin. Depending on people with acne, treatment may include using prescription creams to prevent acne, taking antibiotics to kill bacteria that contribute to acne, or, if acne is severe, taking stronger medications such as like isotretinoin, or even minor surgery. Even if you have tried topical acne treatments such as creams or gels without any lasting results, laser therapy may be the right solution for you. While I would like you to try natural remedies first, if you are not seeing improvement and severe hormonal acne is making your quality of life worse, other treatments can make a real difference. While it may take a while, treating hormonal acne from the inside out until your hormones are in their natural, happy balance will allow your skin to truly heal. While my approach isn't an instant solution, and won't replace everyone's multi-drug regimen, hormonal acne can be very sensitive to a more holistic approach, which means less medication and more patches. While the studio treatments offered by Carolina Skin Care can be very effective in treating acne, patients should also commit to taking care of their skin at home. Multiple topical treatments, whether it's steroids for eczema or topical antibiotics for acne, topical treatments may help in the short term, but in the long run, it can damage the skin, making you more likely to take it in the future. In addition to other treatments, you can take the most obvious step to soothe stress-related acne: reduce stress. If the creams and antibiotics you have been prescribed are not working, or if you cannot tolerate the side effects that medications may cause, you may want to consider acne treatments, which can be provided at your doctor's office. Other treatments include birth control pills to control acne, hormonal drainage and extraction, and laser and phototherapy.