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Comedo extraction is a widely used method of treatment for acne vulgaris. [1] A dermatologist or cosmetologist may extract blackheads (open comedones) using gentle pressure around the pore opening, and whiteheads (closed comedones) by incision with a large needle or a blade.
[13] [14] Blackheads can be removed across an area with commercially available pore-cleansing strips (which can still damage the skin by leaving the pores wide open and ripping excess skin) or the more aggressive cyanoacrylate method used by dermatologists. [15] Squeezing blackheads and whiteheads can remove them, but can also damage the skin. [2]
Comedones (blackheads and whiteheads) must be present to diagnose acne. In their absence, an appearance similar to that of acne would suggest a different skin disorder. [29] Microcomedones (the precursor to blackheads and whiteheads) are not visible to the naked eye when inspecting the skin and require a microscope to be seen. [29]