What is the most effective way to remove closed comedones (closed acne) on the face?

Sep 03, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Generally speaking, there is no single "most effective method" for removing closed comedones on the face. Closed comedones are a type of acne caused by clogged hair follicles and excessive sebum production. They can be categorized into microcomedones, whiteheads, and blackheads. Treatments such as chemical peels (using alpha-hydroxy acids), manual extraction, microneedling, photorejuvenation, and fractional laser therapy can help improve the condition.

Generally speaking, there is no single "most effective method" for removing closed comedones on the face. Closed comedones are a type of acne caused by clogged hair follicles and excessive sebum production. They can be categorized into microcomedones, whiteheads, and blackheads. Improvement can be achieved through treatments such as chemical peels (using alpha hydroxy acids), needle extraction, microneedling, photorejuvenation (intense pulsed light), and fractional laser therapy.

Types of Closed Comedones:

Type

Microcomedone

Whitehead

Blackhead

Symptom Illustration

Cause Analysis

Excessive keratinization within the pore leads to blockage of the pilosebaceous duct.

Develops from microcomedones; visible small bumps with no visible follicular opening.

Evolves from whiteheads; appears as distinct black dots that may release a white, paste-like plug when squeezed.

Solutions

1. Chemical peel with fruit acids
2. Needle extraction

1. Apply sunscreen regularly
2. Regular exfoliation and deep cleansing

1. Localized cleaning
2. Use topical medications such as adapalene gel or tretinoin cream as directed by a physician

Analysis of Treatments for Removing Closed Comedones:

Treatment Name

Chemical Peel (AHA)

Needle Extraction

Microneedling

Photorejuvenation (IPL)

Fractional Laser

Illustrative Image

Description

Promotes shedding of dead skin cells and clears pores

Uses sterile comedone extractors to remove contents of comedones, accelerating resolution

Creates microscopic channels in the skin to enhance absorption of medication and promote skin repair

Improves abnormal follicular function and promotes expulsion of comedones

Thermal effect suppresses overactive sebaceous glands

Advantages

1. Enhances skin metabolism
2. Improves skin texture

1. Direct and effective
2. Prevents progression

1. Comprehensive improvement
2. Safe and efficient

1. Improves skin quality
2. Non-invasive

1. Fast and safe
2. High precision

Duration of Effect

3–6 months

1–3 months

1–2 years

1–2 years

2–3 years

Potential Risks

1. Skin redness
2. Skin flaking

1. Risk of infection
2. Skin damage

1. Skin redness and swelling
2. Bleeding or infection

1. Redness and swelling
2. Discomfort or pain

1. Itching
2. Skin burns

Reference Price

3,000–5,000 RMB per session

300–1,000 RMB per session

1,000–4,000 RMB per session

3,000–5,000 RMB per session

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