Blackheads and Whiteheads

Blackheads or Whiteheads are blockages of oil glands. The blackheads are more superficial than the whiteheads. Their black color is not dirt, but the oil and skin debris that accumulates in the opening of the oil gland and is visible on the surface.  see pictures

Acne Surgery
Acne surgery by a dermatologist involves gently draining the material producing, or resulting from the blockage. This treatment usually produces rapid and immediate improvement. However, it is time consuming and frequently is not performed because of time constraints on the physician. In my experience, acne surgery performed on ALL forms of acne is a very effective method of producing a speedy and frequently dramatic improvement in patientsí acne. When patients are skeptical, a trial of acne surgery on one half of their acne almost always produces a request for acne surgery on the untreated side.

Treatment of Blackheads and Whiteheads
Treatment of Blackheads and Whiteheads includes the following topical medications: (individually or in combination as recommended by the dermatologist)
  • Retinoids such as Adapalene (Differin), or Retinoic Acid (e.g. Retin A)
  • Azelaic Acid (Azelex)
  • Alpha Hydroxy Acids - such as Glycolic acid
  • Salicylic acid - (Beta Hydroxy Acid)
  • Benzoyl Peroxide
  • Acne surgery by a well-trained expert.



I hope that this site has been helpful.

For specific medical information or individual treatment recommendations you need to be seen by a dermatologist in person. If you would like to be seen as a patient by Dr. Jay, please phone 212-755-2237 for an appointment.

Please be advised that I cannot respond to medical questions via email. All medical questions require that you be seen in person by a board-certified dermatologist. Please phone 212-755-2237 to see Dr. Jay personally, or see your local dermatologist. Thank you.

For information about the treatments I provide or to see before and after photos of patients, please visit my site: