For medical education- NSFE. She had treatment with silicone (not FDA approved in US) in another country and developed these hard granulomas. Treatment is excision. 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 patient’s wife saw me today, for her general body skin exam. As they were leaving, she showed me a couple spots he had, and I couldn’t help but notice the large solar comedones that he had around his eyes. He let me remove them, and his wife was happy that I did! Solar comedones […]

Solar comedones are open and closed comedones, aka blackhead and whiteheads, but these are not seen in teenagers, as a part of acne that is most common in this age group. Solar comedones are blackheads and whiteheads that occur later in life (usually seen in people in their 50s and higher), due to chronic cumulative […]

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. This patient was 6 weeks status post Mohs surgery for skin cancer on right neck. I removed two spitting sutures and couldn’t resist popping some blackheads too. source

For medical education- NSFE. Had to just squeeze this cyst out because it was so superficial, but it’s important to remove the entire sac so that it won’t grow back. source

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 […]

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

For medical education- NSFE. Here are some clips of procedures we have done on one another at work. And I’m proof that doctors make the worst patients. I’m a baby! Follow our Instagram @DrPimplePopper to see us popping stuff 24/7! Enjoy! source