Why Do I Keep Getting Blackheads on My Face and Nose?
Blackheads and clogged pores can persist for years—even with a consistent over-the-counter skincare routine. A 40-year-old woman recently visited Village Dermatology for moderate acne affecting her face and nose. Her main concern was persistent blackheads and whiteheads that had not adequately improved with OTC products.
Treating Persistent Comedonal Acne
Her examination showed comedonal acne, characterized primarily by clogged pores, blackheads, and whiteheads. A personalized skincare regimen was recommended to gradually clear the pores and improve skin texture.
Her treatment plan included:
Morning: Gentle cleanser followed by a non-comedogenic moisturizer with broad-spectrum SPF 30+.
Evening: Gentle cleanser followed by a pea-sized amount of tretinoin 0.025% cream over the entire face and then moisturizer.
Gentle skincare brands such as CeraVe, Cetaphil, Vanicream, and La Roche-Posay were discussed.
Microneedling with VAMP was also recommended as an additional treatment option.
Patients starting tretinoin should know that improvement takes time. Significant acne improvement may take approximately 2–3 months, and gradual introduction can help minimize dryness and irritation.
When Should You See a Dermatologist?
If blackheads, whiteheads, or other acne continue despite months of over-the-counter products, a dermatologist can create a treatment plan tailored to your skin.
At Village Dermatology, patients in Houston and Katy, Texas can receive personalized evaluation and treatment for adult acne, clogged pores, and persistent blackheads.
