Black Dots on the Nose: Blackheads or Sebaceous Filaments?

Ever wondered about those stubborn black dots on your nose and tried picking at them without much luck? To effectively deal with them, start by figuring out whether they are blackheads or sebaceous filaments. Even though they may look similar, their causes and treatments are quite different.

Identifying Blackheads:

Blackheads, scientifically termed open comedones, are a prevalent form of acne. These tiny, dark spots emerge when hair follicles become clogged with a combination of excess oil (sebum), dead skin cells, and bacteria. The characteristic dark color is the result of oxidation when the pore is exposed to air.

Board-certified dermatologist Dr. Divya Shokeen recommends using salicylic acid products like the Salicylic Acid 2% Masque from The Ordinary. It is a clay and charcoal-infused formula designed to enhance skin tone and texture. Containing salicylic acid, a potent BHA targeting pore congestion, this masque cleanses deeply, eliminating dead skin cells and excess oil for a softer, smoother complexion.

Instead of using physical exfoliants and scrubs, she suggests using tretinoin, which is a form of retinol. It works by enhancing cell turnover, preventing the accumulation of dead skin cells within pores. This reduces the likelihood of clogged pores, blackheads, and acne.

It is important to note that tretinoin can initially cause skin irritation, redness, and peeling as the skin adjusts to the increased cell turnover. Therefore, it's advisable to start with a lower concentration and gradually increase as your skin builds tolerance.

Identifying Sebaceous Filaments:

Unlike blackheads, sebaceous filaments do not arise from pore blockage or inflammation. Instead, they take the form of delicate, hair-like structures within the pore. Board-certified dermatologist Dr. Shereene Idriss explains that the easiest way to differentiate sebaceous filaments from blackheads is that they are all equal in size across the nose.

She suggests the use of sulfur-based cleansers like the Kate Somerville EradiKate™ Daily Foaming Cleanser to eliminate these sebaceous filaments. With 3% sulfur and foam-activated technology, it gently exfoliates, unclogs pores, and prevents breakouts without over-drying or disrupting the skin's balance.

By understanding the differences between blackheads and sebaceous filaments, you can choose the right products for your specific needs. Try out these recommended products and start your journey to clearer, healthier skin today.