This lovely woman was the last patient of the day for me. She had three bumps on her face that she wanted removed if possible. Although, she didn’t know about my youtube channel or instagram, she is a “popaholic”, meaning, she loves to pop her own blackheads and whiteheads. Well, she couldn’t remove these areas, […]

For medical education- NSFE. Now that I have extracted more blackheads and whiteheads in the last few months than I have in my entire career as a dermatologist (!), I have noticed a pattern. Women tend to present more with whiteheads, aka as closed comedones, rather than blackheads. Maybe this is because we, as women, […]

Initially, I thought these bumps lateral to this patient’s left eye were solar comedones due to their location and his history of chronic sun exposure. However, the bumps extracted were pearly, slightly firm tiny cysts, so I believe they were milia. Milia are very superficial cysts which commonly occur on the face, in particular around […]

For medical education- NSFE. I love this couple! They are so sweet and cute together! Notice how his solar comedones are much worse on the left side of his face— this is because he gets more sun exposure on the left side, as many of us do in the US and other countries where the […]

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 woman came with her daughter for cosmetic treatments, but I noticed some small blackheads on the left side of her lip. When I pointed them out to her she stretched the skin of her left lip to show me she had some pretty big milia on the left side of her lip that she […]

Do you know the difference between a blackhead and a milia? Blackheads and whiteheads are also known as open and closed comedones. They are dilated pores that are plugged with keratin. Whiteheads are closed, meaning there is skin covering the comedone. Blackheads are open, exposed to air. Air oxidizes the keratin, causing it to turn […]

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For medical education- NSFE. These are comedones and milia. Both are benign growths that occur on the face. In older individuals, comedones (blackheads and whiteheads) are caused by years of sun exposure. All the above growths can be expressed with a comedone extractor. The gentleman, whose small comedones I extract on the neck has deep […]

Milia are formed when keratin (a substance produced by the skin) becomes entrapped beneath the outer layer of the skin, forming a tiny cyst. Its pearly appearance is unmistakable, which distinguishes them from simple whiteheads or closed comedones. Primary or secondary milia in an adult may disappear on their own, but if not, your electrologist […]