Skin concerns such as deep blackheads, keratin plugs, and clogged pores are extremely common, yet many people are surprised by how dramatic these extractions can appear during professional treatment. The image above shows a close-up view of a dermatologist or skincare specialist removing compacted debris from enlarged pores using sterile tools. This process, while visually intense, provides valuable insight into how the skin forms blockages and how they can be safely treated.
This article explores what these blockages are, why they form, how professionals remove them, and the best ways to manage and prevent them.
What You’re Seeing: Deep Keratin Plugs and Clogged Pores
The structures visible in the image resemble deep keratin plugs—dense, darkened masses of oil, dead skin cells, and debris trapped inside enlarged pores or openings in the skin. They often appear as:
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Dark or brown plugs within round pores
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Thick, cork-like debris being extracted with tweezers
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Stretched pore walls, showing signs of longstanding congestion
Unlike regular surface blackheads, which sit near the top of pores, these deeper plugs can extend several millimeters inside the pore lining. When left untreated over time, they can harden and become more difficult to remove.
How Keratin Plugs and Deep Blackheads Form
Several biological and environmental factors contribute to the formation of such blockages:
1. Excess Keratin Production
Keratin is the protein that forms the outer layer of the skin. Sometimes the body produces too much keratin, causing it to accumulate within pores and hair follicles.
2. Increased Sebum (Oil) Production
When sebaceous glands produce excess oil, it mixes with keratin and forms dense plugs.
3. Poor Exfoliation
Dead skin that isn’t removed naturally builds up, trapping oils and debris.
4. Skin Structure and Genetics
Some individuals naturally have larger pores or thicker skin, which can make deep clogging more likely.
5. Pressure and Friction
Areas exposed to constant friction—feet, back, or sides of the nose—can develop thickened skin and deeper plugs.
Why Professional Extraction Is Necessary for Deep Clogs
Attempting to remove such blockages at home can lead to:
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Skin tearing
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Infection
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Scarring
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Further inflammation
Professionals use sterile tools such as:
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Comedone extractors
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Tweezers
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Scalpels (for minor exfoliation or opening)
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Magnifying lights or dermatoscopes
A trained specialist understands pore depth, skin structure, and safe pressure levels to ensure minimal trauma during extraction.
The Extraction Process: Step-by-Step
1. Cleansing the Area
The skin is cleaned with antiseptic solutions to prevent infection.
2. Softening the Plug
Warm compresses, steaming, or mild chemical exfoliants help loosen the keratin plug.
3. Manual Extraction
The professional uses angled tweezers or extractors to gently pull out the blockage. Deep plugs often emerge intact, as shown in the image.
4. Disinfecting the Pore
After extraction, soothing antiseptic products are applied to reduce inflammation.
5. Promoting Healing
Topical serums, hydrating gels, or calming masks may be used to reduce redness and support recovery.
Common Areas Where Deep Keratin Plugs Form
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Nose and sides of the nose
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Chin and jawline
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Back and shoulders
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Ear area
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Feet and hands (especially in thickened skin)
Some plugs may even resemble small seeds or capsules when removed.
Preventing Deep Clogs and Keratin Buildup
Consistent skincare helps prevent future blockages:
1. Regular Exfoliation
Use gentle chemical exfoliants such as:
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Salicylic acid (BHA) – breaks down oil inside pores
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Glycolic acid (AHA) – removes dead skin from the surface
2. Retinoids
These increase cell turnover and reduce keratin buildup.
3. Non-comedogenic Products
Use skincare and makeup that won’t block pores.
4. Professional Facials and Treatments
Regular deep-cleaning facials help prevent severe buildup.
5. Good Hygiene
Especially for areas with sweat, dirt, or friction.
When to Seek Medical Help
If you notice:
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Painful clogged pores
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Repeated re-blocking
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Signs of infection
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Rapidly growing bumps
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Dark plugs that don’t respond to skincare
A dermatologist may need to evaluate the area. Sometimes what appears to be a deep blackhead may actually be:
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Sebaceous filaments
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Dilated pores of Winer
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Epidermoid cysts
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Keratin granulomas
Proper diagnosis leads to more effective treatment.
Conclusion
The image highlights a fascinating and medically significant process: the professional removal of deep keratin plugs and clogged pores. These extractions are essential for maintaining skin health, preventing infections, and restoring smooth texture. While it may look dramatic, it is a routine and beneficial skincare procedure when performed by trained professionals.
By understanding why these blockages form and how to prevent them, you can maintain clearer, healthier skin and avoid the need for extensive future extractions.
