A comedo is a mass of hardened sebum (oil) and skin cells that accumulate within a hair follicle, leading to the formation of a small bump on the skin. Comedones can be either open (blackheads) or closed (whiteheads). Understanding the differences between open and closed comedones and how to properly treat and prevent them can help beauty professionals and estheticians provide effective care for their clients.

Open comedones (blackheads)

Open comedones, also known as blackheads, occur when the follicular opening is exposed to air. The accumulated sebum and skin cells within the hair follicle react with oxygen, causing the mass to darken in color. Blackheads are not a result of dirt or poor hygiene but rather a natural process of sebum production and skin cell turnover.

Closed comedones (whiteheads)

Closed comedones, or whiteheads, form when the follicular opening is blocked, preventing the sebum and skin cell mass from being exposed to oxygen. As a result, the mass remains white or flesh-colored. Closed comedones are typically small and can be found just beneath the skin’s surface.

Comedones can form anywhere on the body, but they are most common on the face, especially the T-zone (forehead, nose, and chin). They can also form on the chest, back, and shoulders.

There are a number of factors that can contribute to the formation of comedones, including:

  • Genetics: Some people are more prone to comedones than others due to their genetics.
  • Hormones: Hormones, such as testosterone, can increase sebum production, which can lead to the formation of comedones.
  • Diet: Eating a diet that is high in unhealthy fats and sugar can increase the risk of developing comedones.
  • Stress: Stress can trigger the release of hormones that can increase sebum production.
  • Poor hygiene: Not washing your face regularly can lead to the buildup of dirt, oil, and dead skin cells, which can clog pores and lead to the formation of comedones.

There are a number of things that you can do to help prevent the formation of comedones, including:

  • Wash your face twice a day with a gentle cleanser.
  • Use an oil-free moisturizer.
  • Avoid touching your face throughout the day.
  • Exfoliate your skin regularly.
  • Use a sunscreen with an SPF of 30 or higher.
  • See a dermatologist if you have severe acne.

There are a number of treatments that can be used to treat comedones, including:

  • Over-the-counter (OTC) medications, such as benzoyl peroxide and salicylic acid.
  • Prescription medications, such as retinoids and antibiotics.
  • Dermabrasion.
  • Chemical peels.
  • Laser treatments.

The best treatment for comedones will vary depending on the severity of the condition.