Many of you are following “Pop’s” story. He is an elderly gentleman whose big blackheads I have been extracting, especially on his nose. Along the way, we have all fallen in love with him, and have learned that he is struggling both financially and emotionally, dealing with his wife’s recent death. Because of you wonderful […]

Here I explain the difference between blackheads and milia, which are both common benign growths that occur in all ages but are particularly prevalent in teenagers (those under 18 years old), as well as the elderly (6th and 7th decade). source

This sweet gentleman came in for his biannual skin exam, and as we were finishing, he mentioned that he had a white bump on his right cheek that his wife wondered if we could evaluate and possibly treat. How could I resist? Have a great weekend everyone! source

Simple blackheads extractions on the face. I often use a little numbing (lidocaine plus bicarbonate and epinephrine) to anesthetize the area a little before extractions because this is much more comfortable for the patient. Also many of you notice that as I numb the skin, I shake my left hand, and this is on purpose. […]

This is a cyst excision on the upper back, on a cyst that has been previously inflamed and had a small scar visible on an edge of the initial bump. This patient is darker complected, which is by the macerated keratin within the sac of this cyst is dark grey in color. The contents of […]

Two simple blackheads, extracted on one of my lovely patients. source

For medical education- NSFE. Here is a recap, one month later, of my patient who had big blackheads on the back. The blackheads had been there for quite some time, so you can see they cause pretty enlarged, dissented pores which will shrink slightly, but probably not completely. “Mother” which was the unending blackhead/cyst still […]

For medical education- NSFE. She came in yesterday for a skin exam and mentioned she hated these bumps she felt on her face so I offered to remove them for free if she wouldn’t mind if I videotaped it for you all. She obliged and was so happy to get rid of them. She can’t […]

For medical education- NSFE. She is so sweet to let us film the removal of her pilar cysts. She has a few of them, and this one is the biggest. They are benign, but they are bumpy and can be embarrassing. They are fun to remove because they are a challenge to pop out whole […]

For medical education- NSFE. Milia are superficial small cysts just below the skin surface. They are common and benign, but cannot be extracted by just squeezing like many blackheads/comedones can. A nick has to be made in the skin in order to squeeze them out with a comedone extractor. This can hurt, but this woman […]