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Blackheads on the Nose? Here’s What They Really Are | Derm Explains

43.3K views· 1,770 likes· 16:12· Feb 12, 2026

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PanOxyl 2% BHA Exfoliating Toner https://amzlink.to/az0OOE7MUxLjd Differin Gel https://amzlink.to/az0m6reZetHgZ Hi guys, Dr. Dray here, board-certified dermatologist. Today we are talking about blackheads on the nose, one of the most common and misunderstood skincare concerns. Many people think they have blackheads, but what they are actually seeing may be sebaceous filaments or trichostasis spinulosa. Treating the wrong condition can lead to irritation, scarring, and frustration. In this video, I explain the differences between: • True blackheads, also known as open comedones • Sebaceous filaments • Trichostasis spinulosa We also cover why pores look larger on the nose, what actually improves their appearance, and which common blackhead treatments are myths. Key topics discussed: What causes true blackheads Why blackheads cannot be washed away or dissolved How sebaceous filaments differ from acne What trichostasis spinulosa looks like Why pore strips are only temporary How UV damage affects pore appearance Why you cannot permanently shrink pores Evidence-based treatments discussed: Salicylic acid, also known as BHA, which is oil-soluble and helps loosen compacted keratin inside the pore Adapalene, a topical retinoid that helps normalize skin cell turnover and prevent new comedones from forming Supporting skincare essentials: Moisturizers help maintain proper epidermal hydration, which supports normal skin cell maturation and shedding inside the pore Daily sunscreen use helps prevent collagen breakdown from UV exposure, which contributes to enlarged-looking pores We also address common skincare myths, including: Oil cleansing does not dissolve blackheads Blackhead plugs do not melt At-home extractions can cause scarring and hyperpigmentation Comedogenic ratings are outdated and not reliable predictors of how products behave on human skin Most importantly, pores are normal and essential for healthy skin function. The goal is not to eliminate pores, but to support healthy pore biology with gentle, consistent, evidence-based skincare. If you found this helpful, let me know in the comments what questions you have about blackheads, sebaceous filaments, or pore size. Thanks so much for watching, and I will see you in the next video. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. 💜Shop my Amazon store https://o.bttn.io/0BwiPWFIZLG 💜Follow me on liketoknowit https://www.liketoknow.it/drdrayzday 💜Social media Instagram @drdrayzday Pinterest https://www.pinterest.com/drdrayzday/ Facebook @DrDrayzDay Twitter: @drdrayzday Tiktok: @drdrayzday Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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