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What to know about comedonal acne



What to know about comedonal acne

What to know about comedonal acne

There are different types of acne. Comedonal acne is characterized by numerous small, flesh-colored papules that touch the skin.

Comedonal acne is different from inflammatory acne. Acne includes blackheads and whiteheads, not acne.

Although this form can develop in anyone, it most often occurs in young people. Papules called comedones usually appear on the forehead and chin and can prevent the skin from becoming soft and smooth.

In this article, we will tell you how to identify comedians. We also explore their types, causes and treatment options.


Comedonal acne causes many small bumps on the surface of the skin. These types of shocks include:

Whiteheads: Also known as closed comedones, these occur when the hair follicle is completely blocked.


Blackheads: Also known as open comedones, these form dark spots on the skin due to the accumulation of surface pigment in the pores. Some people take these points as rubbish.

Giant comedies: It’s kind of a cyst. A giant comedone is a large lesion with a scar-like opening.

Macrocomedones: These closed comedones are larger than 2-3 mm in diameter.

Microcomedones: These very small comedones are usually invisible.

Sunspots: These are often caused by sun damage and usually appear on the face of older people.


Comedonal acne is inflammatory. Lesions usually do not contain pus or acne-causing bacteria. They are usually not red or tender to the touch.

A person with comets can have several comets at the same time. Additionally, people with inflammatory acne may develop comedones in addition to large, painful red spots.

Comedonal acne also differs from other types in that the lesions are usually smaller. For example, nodular and nodular cystic forms of acne can cause large, painful, fluid-filled lesions.

According to an article published in the Journal of the European Academy of Dermatology and Venereology, doctors generally consider acne vulgaris to be a mild to moderate form of the condition.

Causes and risk factors

Comedones form when excess sebum and dead skin cells block the sebaceous glands. This causes the damaged pores to break open and cause breakouts.


Many factors contribute to the development of comedies. OK:

  • Skin irritation in contact with oils, paints and similar products
  • Overproduction of testosterone, which can increase oil production
  • Strong contact with the skin, such as squeezing, chemical or rough contact

Smokers are more likely to develop comedones. In some people, dietary factors such as excessive consumption of milk or sugar can cause this problem.


Treating blackheads involves changing your skin care habits, using medicated creams or gels, and sometimes changing your diet.

A skin care routine to reduce blackheads may include:

  • To avoid irritation, wash your face twice a day with mild soap and warm water.
  • Avoid using skin or hair care products, including cosmetics containing oil
  • Daily use of prescription or over-the-counter medications

A person may need to use the drug for at least 8 weeks to see if it works.

Various treatment creams and gels can help reduce excess fat and stimulate the regeneration of skin cells. Effective medications may include:

  • from adapalene
  • Azelaic acid
  • benzene peroxide
  • Glycolic acid
  • salicylic acid

If comedones do not respond to the above treatments after a few months, you may benefit from seeing a dermatologist who can prescribe topical medications called retinoids.

These drugs contribute to the regeneration of skin cells. However, they need a prescription because they are more sensitive to shedding. Examples of retinoids are tretinoin and isotretinoin.


Unlike acne, comedones usually do not respond to hormonal medications, such as antibiotics, isotretinoin, or birth control pills, which can control acne.

Acne rarely responds to topical treatments. In that case, your doctor may recommend an in-office treatment to treat blackheads and prevent them from coming back. This process includes:

  • skin peeling;
  • cryotherapy
  • electrosurgery

Natural treatment

There is evidence that natural remedies can help treat acne because they contain anti-inflammatory, antibacterial or antioxidant properties.

Common home remedies for acne include:

  • tea tree oil
  • cactus gel
  • Honey
  • garlic

However, consult your doctor or dermatologist before using any new product or skin care product. Always patch test a small piece of skin to ensure the product or treatment is not irritating.


It can prevent blackheads from coming back. For example, according to an article by American Family Physician, regular use of retinoids can prevent comedones from forming.

After evaluating the tolerability of various retinoids, the authors of this article concluded that human skin may be more reactive to adapalene gel sold as Differin.


Following a consistent skin care routine, including washing your face and using gentle, oil-free products, can also help prevent breakouts in the future.


Comedones may cause less irritation than other types of acne, but they can be painful.

Most doctors recommend medicated creams or gels and regular skin care to treat and prevent this type of acne.

If your acne is difficult to treat, especially if you have more and more pimples, see a dermatologist.

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