Skin concerns such as blackheads, clogged pores, and inflamed cysts are extremely common, especially in areas rich in sebaceous glands like the nose and surrounding facial regions. The image provided depicts a close-up view of a dermatological extraction procedure in progress, showcasing multiple enlarged comedones, inflamed bumps, and a large cystic lesion being treated by gloved hands. This type of skin presentation is not unusual for individuals who struggle with chronic acne, excessive oil production, or long-term buildup of debris within the pores.
This article provides a detailed exploration of what is shown in the image—commonly found skin lesions, what causes them, how they are treated, and the general process of professional extraction. It is meant for educational purposes and aims to help readers understand the nature of these skin conditions and the methods used to manage them.
1. Understanding the Skin Structure and Why the Nose Is Prone to Clogging
The nose and central face region belong to what is often called the “T-zone,” a part of the face with the highest concentration of oil glands. These sebaceous glands regularly produce sebum—a natural oil that protects and moisturizes the skin. However, when sebum mixes with dead skin cells, dirt, and environmental pollutants, pores can become blocked.
Over time, this blockage may lead to:
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Blackheads (open comedones)
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Whiteheads (closed comedones)
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Inflamed papules
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Pustules
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Cysts or nodules in severe cases
The image shows a combination of these lesions, including enlarged, darkened comedones and inflamed bumps.
2. What the Image Shows: A Cluster of Deep Blackheads and a Cystic Lesion
The photo reveals several notable skin features:
2.1 Prominent Circular Blackheads
A line of round, dark comedones can be seen clustered on the nose. These are open comedones, where the pore is clogged but remains open at the surface. The dark appearance results from sebum oxidation—not dirt.
2.2 Inflamed Nodule or Cyst
A swollen, pinkish area appears near the bottom of the cluster, resembling a cyst. These form when sebum and debris become trapped deep within the skin, causing inflammation and pressure buildup. The white center suggests the lesion may be preparing for extraction.
2.3 Whiteheads and Tiny Pustules
Around the cystic area, small white bumps can be observed. These indicate superficial clogging or minor localized infections.
2.4 Extraction Tools and Gloved Hands
A professional appears to be performing a dermatological extraction. This is typically done using:
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Sterile gloves
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Comedone extractor tools
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Lancets or needles (for cyst drainage in medical settings)
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Gentle pressure techniques
The presence of a gloved hand signifies a controlled and hygienic procedure, often performed by dermatologists or licensed skincare specialists.
3. Causes of Severe Clogging and Cyst Formation
3.1 Excess Sebum Production
Hormones, genetics, and skin type influence how much oil the skin produces. Oily skin is more prone to clogged pores.
3.2 Poor Exfoliation Habits
If dead skin cells accumulate faster than they shed, the pores can become blocked.
3.3 Environmental Factors
Dirt, sweat, and pollution contribute to congestion, especially on the nose.
3.4 Improper Skincare Products
Heavy, comedogenic products may worsen pore blockages.
3.5 Hormonal Changes
Teens and adults undergoing hormonal fluctuations experience increased breakouts and blackheads.
3.6 Bacterial Overgrowth
While blackheads are not caused by infection, trapped bacteria in deeper lesions may lead to cysts or pustules.
4. The Extraction Process: How Professionals Clear the Pores
Professional comedone extraction is a precise process to safely remove debris from the pores without causing damage or scarring.
4.1 Cleansing and Preparing the Skin
Before extraction, the skin is cleaned to remove surface oil and bacteria. Some specialists use steam or warm compresses to soften the pores.
4.2 Manual Pressure and Tools
A comedone extractor tool or gentle finger pressure (with gloves) is used to gradually coax the contents out of each pore.
4.3 Opening Deep Lesions
Cystic or closed comedones may require:
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A sterile lancet to create a tiny opening.
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A careful drainage technique for deeper buildups.
The image shows pressure being applied, likely to express material from both blackheads and cystic areas.
4.4 Aftercare
After extraction, soothing products may be applied:
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Antibacterial solution
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Anti-inflammatory gels
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Moisturizers suitable for acne-prone skin
5. Why Some Blackheads Become Extremely Large
Some pores may stretch over time due to:
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Chronic clogging
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Repeated inflammation
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Excessive sebum buildup
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Aging skin and loss of elasticity
These enlarged comedones can hold a surprising amount of oxidized sebum and keratin debris, which is why professional extraction is often needed.
6. Prevention and Long-Term Care
While extraction treats existing blockages, long-term improvements come from consistent skincare practices:
6.1 Regular Exfoliation
Chemical exfoliants—like salicylic acid or glycolic acid—help keep pores clear.
6.2 Non-Comedogenic Products
Using products designed not to clog pores can reduce future buildup.
6.3 Gentle Cleansing
A twice-daily cleansing routine keeps oil levels balanced.
6.4 Professional Treatments
Dermatologists may recommend procedures like:
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Chemical peels
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Microdermabrasion
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Deep pore cleansing facials
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Prescription topical medicine
6.5 Healthy Lifestyle Habits
Hydration, balanced diet, and stress management can all contribute to healthier skin.
7. Conclusion
The image provides a detailed look at a real extraction procedure involving deep blackheads, whiteheads, and a cystic lesion on the nose. This type of treatment is common among individuals experiencing severe pore congestion and acne-prone skin. Understanding what causes these conditions and how professionals manage them can help guide better skincare decisions.
Extraction, when performed correctly, can dramatically improve skin texture, reduce inflammation, and help restore the natural clarity of the pores. With proper aftercare and preventive habits, individuals can maintain smoother, healthier-looking skin over time.
