General Health

5 Basic Types of Comedones by Real Health Vision

Types of Comedones 2

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What is a comedone? It’s a small white- or black-colored spot that appears on the face or neck, chest or back. Such spots are parts of acne outbreaks that usually occur due to hormonal changes and the over-production of oil within one’s skin. Different types of comedones are blockages in skin pores that swell and form small bumps. Treating them is always not easy, yet there are many over-the-counter and prescription medications as well as home remedies that can be effective in prevention.

Types of Comedones

The following types of comedones are the most widely-spread ones that appear both in teenagers and adults. They are pretty different, yet lead to similar skin problems. Treatment options may be versatile as well: natural ones are slow-acting, while professional approaches bring better results within weeks or even days.

Open Comedones

Open comedones are frequently referred as blackheads, which develop when pores are filled with dead skin cells and oil. They are open on the top and such exposure leads to the debris to oxidize.

When you look into a clogged pore, you will see that it is rather dark, even black. Why does this happen? The thing is that the skin has hair follicles – small shafts through which the hair grows – that get clogged right near the top of the skin. When the air comes in contact with the entire plug, it makes it become black.

People often confuse the notions of acne and blackheads. Acne is accompanied both by blackheads and whiteheads. With time it gets inflamed and leads to serious skin problems.

Closed Comedones

Closed comedones or whiteheads appear as small bumps that cover one’s skin. Unlike usual pimples, these ones aren’t inflamed and they never hurt. Being one of the most widely-spread types of comedones, whiteheads start developing when plugs of oil and skin cells are trapped within a follicle. The plug creates a bump that is visible and can occur anywhere. The usual areas are ones back and chest, neck and face.

In case of closed comedones, the opening of a pore is obstructed, so the oil isn’t exposed to air and can’t get its black color. When comedones are very obvious they are called milia. And when any type of bacteria invades and there are cases of follicle wall ruptures, whiteheads develop into pimples that are inflamed.


The majority of acne sufferers have the so-called microcomedones. As the name suggests, they are small and are hardly seen. Such comedones are referred as the very beginning of acne lesions. They develop when the pore opening and sebaceous duct are blocked by dead cells and sebum.

Even the most severe blemishes and acne conditions start with microcomedones that are hard to detect, if you aren’t a professional.

The treatment course should be conducted under supervision of a professional. It includes the reduction of excess oil on one’s skin. Regular exfoliation procedures are viewed as very helpful in avoiding the dangerous build-ups and complications.

Why is it so important to treat microcomedones? – It allows preventing the occurrence of larger acne breakouts.


What are macrocomedones? These are the comedones that are greater than 1 mm. In most cases they appear on the neck and face. Macrocomedones are closed bumps that are regarded as a type of acne, when found in isolation, OR as classical acne vulgaris, when found with any other acne types.

Macrocomedones can be treated by gentle cautery. Such treatment is successful only when it’s given by a person, who’s familiar with the technique. When a patient suffers from moderate-severe acne that can be treated with isotretinoin and has macrocomedones, he should have his macrocomedones treated before isotretinoin. If this recommendation is neglected, there always develops a rather severe inflammatory response.

Solar Comedones

At times they are referred as senile comedones that appear in those men, who have been exposed to ultraviolet radiation in excessive amounts. Such exposure leads to the damage of the collagen tissue. Solar comedones normally arise in elderly and middle-aged. The first signs are present on cheeks that become leathery and yellow.

The treatment process includes the use of a comedo expressor that removes comedones. Retinoic acid may be used topically. If comedones are large, it is suggested to cauterize the residual cavity to prevent their reappearance.

Whatever types of comedones you are suffering from, the condition shouldn’t be left neglected. Otherwise it will become a real issue that ruins your skin, appearance and life.

Research by Real Health Vision –