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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.
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A comedo can be open (blackhead) or closed by skin (whitehead) and occur with or without acne. [3] The word comedo comes from Latin comedere 'to eat up' and was historically used to describe parasitic worms; in modern medical terminology, it is used to suggest the worm-like appearance of the expressed material.
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]