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Black dots on your nose are not always blackheads. They are often sebaceous filaments: normal structures that help bring sebum to the skin's surface. A blackhead, on the other hand, is a clogged pore. Recognizing the difference is important, because you do not need to remove sebaceous filaments, and squeezing them hard can irritate the skin.

What are those black dots on your nose?

There are many sebaceous glands on your nose. That is why you see small dots in the pores here more quickly. The color alone does not tell you what it is. Sebaceous filaments (also sebaceous filamentsare involved in the natural distribution of sebum. They may appear grayish, yellowish, or light brown and are often evenly distributed. [1]

A open blackhead, Blackhead, or whitehead, forms when sebum and dead skin cells clog a hair follicle. The opening remains open; the contents turn a dark color on the surface due to chemical changes, not because the pore is dirty. Blackheads belong to the non-inflammatory forms of acne. [2]

Sebaceous filaments versus blackheads: the differences

Identifying features of sebaceous filaments and open blackheads
FeatureSebum threadOpen blackhead
What is it?Normal sebum drainage in the poreClogging caused by sebum and skin cells
AppearanceOften small, flat, and fairly uniformMore often a distinct dark dot or clump
ColourGray, yellowish or light brownDark brown to black
Do you need to remove it?No, it is part of the skinCan be treated specifically for acne
After squeezingRefills with sebumBlockage may return

If you see many almost identical, flat dots on the nose, sebaceous filaments are a possibility. Larger, separate dark blockages are more consistent with blackheads. It is not always possible to distinguish with certainty based on a photo or self-test. [1]

Difference between blackheads and sebaceous filaments on the nose, with close-ups of clogged pores and natural sebaceous filaments.
Blackheads are clogged pores, while sebaceous filaments have a natural function of the skin.

What helps with blackheads and visible pores?

You can sometimes reduce the visibility of pores and blockages, but pores remain a normal part of the skin. The wisest approach starts with a mild, consistent routine:

  1. Clean without scrubbing. Use a gentle facial cleanser and lukewarm water. Strong degreasing products can make the skin feel tight.
  2. Care for with a suitable moisturizer. Even oilier skin may need moisturizing. If you have sensitive skin, preferably choose a simple, well-tolerated product.
  3. Consider salicylic acid for severe blockages. This BHA ingredient is used for blackheads and comedonal acne. Build up slowly and reduce use if your skin stings or flakes. [3]
  4. Protect from UV radiation during the day. Sun protection is part of a consistent skincare routine, especially when using exfoliating products.

Do you want to know which products fit into your routine? Then check out the range for coarse pores. For skin prone to clogged pores, is Medik8 Press & Clear a toner with salicylic acid The Medik8 Pore Cleanse Intense is a cleanser with exfoliating acids. You don't automatically need both: choose based on your skin type and don't combine multiple strong exfoliants right away.

What is better not to do?

Do not keep squeezing out sebaceous strands. They refill on their own, and you can cause irritation and damage with your nails. Frequent use of nose strips or harsh scrubs can also irritate the skin. [1] Do you have painful inflammation, stubborn acne, or scarring in addition to the spots? Then seek advice from a dermatologist or your GP. This requires a different approach than the care of normal sebaceous filaments.

Frequently Asked Questions

Are black dots on my nose always blackheads?

No. Often they are normal sebaceous filaments. They are usually small and flat, whereas an open blackhead contains an actual blockage.

Can you permanently remove sebaceous filaments?

No, and they don't have to be. They fulfill a function in the skin. You can sometimes make them less noticeable with mild, appropriate care.

Does salicylic acid help with blackheads?

For blackheads, salicylic acid can help reduce blockages. However, 'treating away' a normal sebum filament is not a sensible goal. Build up use gradually. In summary: Not every blackhead on your nose needs to be removed. First, check if it is a normal sebum strand or a clogged pore, and only then adjust your skincare accordingly.

Sources

  1. Cleveland Clinic (medically reviewed, 2023). Sebaceous Filaments: Difference From Blackheads & Treatment.
  2. DermNet (2017). Comedo: whiteheads and blackheads.
  3. American Academy of Dermatology. How to treat different types of acne.

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