General Health

Closed Comedones: Causes and Treatment

Closed Comedones: Causes of and Treatment

Products for Closed Comedones Treatment









Acne, spots, pimples – there are many skin-related problems. And though they used to be common for teens, today (due to foods, health, air and lifestyle) they occur in adults as well. The more one knows about them, the higher his chances for a permanent cure are. Do you really believe that your chances are high?

The word comedo comes from Latin and suggests the worm-like look of a secreted blackhead. Today there are two frequent comedone types that dermatologists know of: open and closed. The first ones are called the blackheads, whereas the latter ones are referred as the whiteheads. Closed comedones are obstructed openings to the skin. They may rapture and trigger a low-grade inflammation. The whiteheads are deeper and usually less obvious than any other kind. The only case they become really visible is when they are accompanied by blackheads in the same patient.

Are Acne and Comedones the Same?

It depends. Let’s start with the way acne appears. It’s a well-known fact that the human body produces sebum within the skin to lubricate the skin and the hair follicles. During the puberty period the hormone levels get higher stimulating sebaceous glands and leading to sebum excess production. It starts building up underneath the skin attracting bacteria. The latter ones adore the oily environment and trigger a localized inflammation that soon results in cysts, nodules, pustules and comedones, of course.

The white spots have a tendency to appear during acne, and this is why they are called comedonal acne. However, they can be triggered by many other reasons. It is possible for one person to develop white pimples and have no other acne features.

What Causes Closed Comedones?

What Causes Closed Comedones

There is no simple answer to this question. Why? There is more than just one factor or cause that may lead to facial problems. Some physicians state that hormones are the main triggers, while others support the idea of a genetic predisposition, wrong medication, low-quality cosmetics, environmental pollution, stress and diet. The only way to get rid of the result is to find one core reason.

Problem Formation

The formation of comedones on face is a result of skin cells’ abnormal differentiation and proliferation. It means that there is an overproduction as well as conversion of skin cells to the dead cells inside. Even now, being provided with a great number of tools for tests and trials, doctors still know a little about the process of the skin cells abnormal regulation. Most of them assume that the problem is caused by:

  • reduced linoleate in sebum that leads to reduced barrier function (linoleate is the salt of linoleic acid and essential fatty acid);
  • dietary factors, especially high glycaemic-index foods like fats or sugars and milk products;
  • free fatty acids that are made by acne bacteria from sebum;
  • DHT (male sex hormone 5-testosterone) excessive activity within skin cells;
  • contact with isopropyl myristate, oily pomades, propylene glycol, dyes in cosmetics and other chemicals;
  • smoking: the problems are more common for smokers than non-smokers;
  • over-hydrated skin in humid condition, from moisturizers or pre-menstrually;
  • raptures caused by abrasive washing, squeezing pimples, laser treatments and chemicals peels;
  • cell signaling proteins (IL-8 or IL-1) are produced by the cell lining in response to the activation of the innate immune system.
  • What Are the Initial Symptoms?

The first and foremost symptoms of closed comedones are:

  • whiteheads on shoulders and face (they rarely appear on buttocks, arms, legs or the trunk). The age doesn’t really matter, though the cases are more common in teenagers than adults or infants;
  • the follicle is filled with bacteria or sebum oil;
  • in some cases there is a single spot or a group of them in one area.

Closed Comedones Treatment


Never squeeze the whiteheads out of the skin with fingers that haven’t undergone sterile conditions. The injured area has high chances to be infected and result in skin scarring. The whiteheads must be removed only under a medical supervision. A physician will use sterile equipment to leave no sign and scar.

Here are three treatment options to go. You can use any of them or combine several for a faster and better result. However, there’s one thing any patient should remember while choosing the treatment route: drinking at least 8 glasses of water daily is a must! Water is the best remedy for flushing out all the toxins from the body and well as keeping the skin healthy. Water can be drunk with honey every morning before meals.

Option #1: Homemade Remedies

They say that homemade solutions are the safest and the most effective. You can check both qualities. Make a hot compress, if you need to learn how to get rid of closed comedones once and for all. What do you need for a treatment course? It’s enough to get a hot compress, yogurt, acne lotion, a sterile needle and oatmeal. Wash your hands to avoid infection and apply the compress on the whitehead. This will help to open the pore. Use a sterile needle to pop the spot with. Apply a paste made of yoghurt and oatmeal and leave it for some time. Rinse it off. Repeat the procedure for two or three weeks to succeed.

Another popular way is making special syrup. Its ingredients are water, lemon juice and sugar. Mix all products to create thick syrup and place as a regular face mask. Wait till the mask dries well. If everything is done correctly, the mask will dry out as if it’s made of wax and will pull out all clogged pores.

Option #2: Drugstore Medications

Over-the-counter acne medication is very effective in fighting closed comedones.  Benzoyl Peroxide as well as Salicylic Acid is very useful for such cases.

Benzoyl Peroxide is known for its antibacterial effect and the ability to penetrate deep into pores and kill bacteria. When acne is really deep, there can’t be a better remedy.

Salicylic Acid loosens skin cells and prevents the buildup of spots. It works constricting pore diameter and makes future oil buildups impossible. There are many acne products with these two ingredients in them. However, people with sensitive skin cannot use these medications every day, if they don’t want to deal with skin irritation.

Acnezine is mostly chosen by teenagers and adults for mild and/or moderate comedones. In many cases this acne type causes many problems as controlling it is next to impossible. The remedy possesses special antioxidants that fight the impurities and prevent formation of new blemishes. Acnezine shouldn’t be treated as just another topical solution! Unlike other meds, it deals with old, new and potential dangers. In case you need a complete comedone management system, Acnezine is for you!

Derminax differs from other treatment options as it allows getting rid from closed comedones from the inside. It is referred as an effective blend of many natural ingredients that are combined not just to fight the symptoms, but to affect the trigger. Derminax eliminates bacteria, toxins and dead skin cells. It helps regulate hormonal levels and deals with blemishes, breakouts and even scars that occur due to comedones. First results are expected within 2-4 weeks. And what is more important – they are permanent!

H-acne formula is the option known not only for being effective, yet also for ensuring safety while treating acne as well as blemishes on back, neck and face. It’s an all-natural product: a blend of established homeopathic ingredients as well as essential oils. This mix soothes the skin, yet, unlike other solutions, never leads to burning, itching and scarring. All you need is just to apply it directly on the affected skin area. Kids, teens and adults are allowed to use it to ensure excellent results.

Another popular variant is Retin-A – a prescription product that is effective for people with both types of comedones or acne. Retin-A increases cell turnover and keeps the follicles from getting clogged with sebum. The medication is prescribed by a dermatologist, but it can lead to skin irritation. Besides, expecting fast results is not the case with Retin-A.

Option #3: Cosmetics

Not all types of modern cosmetics are acne and spot triggers. If you want to avoid possible problems and complications, we suggest turning to oil-free cosmetics. Give way to a facial scrub that matches your skin type. If you don’t trust brand options, create your own oatmeal scrub. Mix oatmeal with milk for dry skin or with yogurt for an oily type.

What about chemical peel? Many patients believe that something scary is about to happen, if they choose chemical peel. However, it is regarded as the safest procedure for treating deep and infected comedones. The peel is applied topically and burns skin’s upper layers eliminating all the whiteheads and allowing enjoying glowing and smooth skin. Your face may look red for a day or two, but if all directions are followed, there won’t be any concerns or issues.

How to Prevent Whiteheads on Face?

How to Prevent Whiteheads on Face

Prevention is always the best cure. So the case with whiteheads is not an exception. A consistent skincare routine will help in regulating oil production and control the amount of acne or pimples growing. Wash your face only twice a day. Frequent washing will cause skin irritation and will surely trigger multiple breakouts. Use only lukewarm water and rinse skin with a special cleanser after removing sweat and bacteria.

Any pressure on your skin from a tight collar, telephone, backpack or helmet is additional stress on skin, so it should be avoided as well.

It’s obvious that most people have difficulty with the treatment options mentioned above. If you are one of them, treat your closed comedones with the professional help. A professional dermatologist and beauty expert will help avoid mistakes and chose the best treatment your skin needs. There are individual skin care programs that include fewer risks and more benefits.