Blackheaded acne

Blackheaded acne – what do we know about it?

Blackheaded acne is considered to be a milder form of juvenile acne. This variety is characterized by the occurrence of lesions in the form of blackheads located most often on the middle part of the face and forehead, sometimes on the back and chest. They may take the form of closed or open blackheads with accompanying seborrhea in the form of black dots which appear when a large amount of bacteria, sebum and keratinized epidermis have accumulated in the sebaceous gland channel.


It is most common among young people, whose hormone economy is only just beginning to regulate, which is why it is called youthful. They may look unequal, as two types of blackheads are distinguished, open and closed. Open blackheads are in the form of black moustaches, which are formed when the mouths of the pores take on a dark colour coated with liquid keratin. Meanwhile, closed blackheads have a white colour and resemble subcutaneous papules. In contrast to open blackheads, inflammation may be more difficult to treat.

Acne is associated with excessive work of sebaceous glands, which produce an increased amount of sebum, which is why it usually affects people with oily skin. However, we assure you that blackheaded acne is not the most difficult to cure. The combination of treatment and appropriate care makes it possible for blackheads to disappear quite quickly without leaving scars.

Table of content

  1. Symptoms and causes of blackheaded acne
  2. Appropriate care for acneous skin
  3. Treatment
  4. Diet

Symptoms and causes of blackheaded acne

Blackheaded acne is associated with overproduction of sebum and hormonal changes. At the same time, it is worth mentioning that excessive keratinisation of the stratum corneum, which causes dead skin cells to block the sebaceous gland outlets also contributes to the development of acne disease. It happens that acne develops into purulent lesions which causes bacteria to multiply in the middle of the lesions, causing numerous lumps and cysts.

The appearance of blackheads is affected by:

  • Hormones – the growth of sebaceous glands is stimulated mainly by androgens, male hormone, testosterone, as well as ovarian and adrenal hormones. They directly lead to the production of more sebum. Increased sebaceous gland function can be observed during menopause and before menstruation.
  • Seborrhoea – too much sebum and peeling epithelial cells block the sebaceous outlet, which in turn has a direct impact on the formation of micro-dermal cells, which at first sight may be unnoticeable.
  • Bacteria – increased amount of sebum and clogging of the estuary contributes to the development of bacteria and fungi which causes blackheaded acne.

Symptoms and causes of blackheaded acne

What affects the condition of our skin:

  • inappropriate diet,
  • cigaretts and alcohol,
  • antiepileptic drugs, anti-tuberculosis drugs, antidepressants,
  • stress,
  • inappropriate skin care,
  • unsuitable cosmetics – so-called comedogenic cosmetics containing paraffin, lanolin, silicones, talc, artificial dyes and fragrances, or some vegetable oils, such as avocado or cotton oil.

Appropriate care for acneous skin

When encountering blackheaded acne, we must remember about proper care of our skin. It is extremely important, even elementary, to cleanse the skin of dead cells and sebum remains, which minimises the formation of blackheads. For cleansing the face skin, it is advisable to use gels and micellar fluids intended for acne-prone skin and having a bactericidal effect. Then it is helpful to apply an alcohol-free tonic with pore astringent properties and preventing excessive serum secretion, which leads to restoration of the skin’s proper pH. Next, let’s apply a moisturising, fat-free day cream to your face. Moreover, masks moisturising and oxygenating the skin are also helpful. The cosmetics for make-up and skin care which  do not clog pores, deserve a special mention.

Appropriate care for acneous skin

It is recommended to use an enzymatic peeling once a week, which has a mild effect not exacerbating inflammation. In addition, moisturising masks are designed to oxygenate the skin, improve its blood supply and at the same time and widden the occluded glandular estuaries, reducing changes.


If we are unable to get rid of unsightly-looking acne on our own, we should consult a dermatologist or endocrinologist who will take a sebum level test. Your dermatologist will be able to prescribe topical acting drugs that are available in easy-to-apply creams or gels. Acne products are mainly used at night due to the fact that they may be sensitive to light. Azelaic acid is also used in the treatment of acne blackheads. Vitamins also prove to be helpful and they range from B1, B2, PP and vitamin A to zinc. The dermatologist will indicate a solution in the form of products with anti-inflammatory and antibacterial effect, and at the same time the skin will not be exposed to excessive drying.


What is more, products containing benzoyl peroxide, azelaic acid and retinoids (adapalene, tretinoin, isotretinoin) are used to treat acne blackheads, which are characterized by softening and narrowing of the stratum corneum. In addition, they boast an anti-inflammatory and anti-seborrhoea effect. A specialist can also recommend a series of medical peelings, e.g. trichloroacetic, glycol or pyruvic, which in addition to reducing the number of blackheads also reduce the visibility of dilated pores or acne scars. Try also the acne tablets, which are available without a prescription.


In the case of acne diseases, a properly prepared diet is of great importance. It is advisable to consume products rich in vitamin A, PP, B1, B2, as well as zinc. Moreover, highly processed foods with a high glycemic index should be avoided.

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