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What is Comedonal Acne?

Published in Dermatology 2 mins read

Comedonal acne is a type of acne characterized primarily by blackheads and whiteheads (comedones) rather than inflamed pimples.

Understanding Comedonal Acne

Comedonal acne is a non-inflammatory form of acne that occurs when hair follicles become clogged with dead skin cells and sebum (oil). The clogged pores manifest as:

  • Blackheads (Open Comedones): These occur when the pore is open to the air, and the sebum oxidizes, turning dark. The color is not dirt.
  • Whiteheads (Closed Comedones): These occur when the pore is closed, trapping the sebum and dead skin cells beneath the skin's surface.

Who Gets Comedonal Acne?

While anyone can develop comedonal acne, it's particularly common among young adolescents, likely due to hormonal changes that increase sebum production.

Location of Comedones

Comedones typically appear on the forehead and chin, but can also occur on the nose and other areas of the face. Their presence can make the skin appear uneven and rough.

Treatment Options

Comedonal acne is generally treatable with over-the-counter or prescription medications, including:

  • Topical retinoids: These help to unclog pores and prevent new comedones from forming.
  • Salicylic acid: This exfoliates the skin and helps to remove dead skin cells.
  • Benzoyl peroxide: While primarily used for inflammatory acne, it can also help with comedones by reducing bacteria and unclogging pores.
  • Professional extractions: A dermatologist or aesthetician can manually extract comedones.