Comedones are small lesions caused by clogged pores, more commonly known as blackheads and whiteheads among the public. They are frequently seen in areas dense with sebaceous glands, such as the face, back, and chest. They are among the most common early symptoms of acne and skin health issues.
Comedones form as a result of pores being clogged with dead skin cells and sebum (skin oil). When the pore is clogged, the exit of sebum to the skin surface is blocked, which can lead to bacterial accumulation. Comedones are divided into two types: open (blackheads) and closed (whiteheads):
The treatment of comedones varies depending on the skin type and the severity of the issue. Here are some management strategies:
Comedones are common, especially during adolescence and in oily skin types, but they can be managed with appropriate skin care and treatment methods. If you have comedones or acne issues, it is recommended to consult a specialist doctor (dermatologist) for an evaluation of your condition and an appropriate treatment plan.
Using skin care products suitable for your skin type can prevent the recurrence of comedones. Products containing salicylic acid or glycolic acid are very effective in both opening the blockages inside the pores
and gently exfoliating the skin surface. These products facilitate the removal of dead cells without drying the skin and reduce the formation of new comedones.
Comedones are more frequently seen in oily and combination skin types, but they can also occur in dry skin. When the skin is not sufficiently moisturized, it might produce more sebum to protect itself, increasing the risk of comedones. Therefore, not only oily skin but every skin type requires regular care and hydration.
The contents of the skin care products used can also impact comedone formation. Products containing intense oil-based components can clog pores.
To permanently get rid of comedones, it's necessary to adopt a long-term skin care routine, not just short-term solutions. This routine should include the following steps:
These steps help in both eliminating existing comedones and preventing the formation of new lesions. Regular dermatological check-ups, along with a personalized care plan tailored to the skin type and needs, are also recommended.
Closed comedones are formed when the pores are completely blocked and usually appear as slight bumps on the skin surface. Such lesions generally cannot be opened through external intervention. The most effective method in treatment is conducting regular skin care with exfoliants containing salicylic acid or glycolic acid. Topical products containing retinoids also accelerate skin cell renewal by opening the pores. For closed comedones that do not resolve despite treatment, dermatological support is recommended.
Caution should be exercised when cleaning closed comedones at home. The initial step involves softening the skin with warm steam to open the pores. Then, non-damaging, non-pointed comedone tools or sterile cotton swabs can be used. It is essential to use a pore-tightening toner and moisturizer post-cleaning. Wrong applications can lead to skin irritation and infection, so home interventions should be limited.
Yes, if comedones are not treated or cleaned appropriately, they can turn into inflamed acne due to bacterial proliferation. Closed comedones are more prone to accumulate inflammation under the skin. Therefore, comedones should be detected early and appropriate care should be applied to prevent acne formation.
Products containing mineral oil, lanolin, fragrance-free alcohol, or silicones can clog pores and lead to comedone formation. Also, makeup products with strong concealing properties can exacerbate this condition.