What is a Blackhead?A blackhead is a yellowish or blackish plug of material accumulated in the duct of a sebaceous gland. The material consists of keratin (horny cells of the epidermis) and modified sebum (oily secretions of the sebaceous gland). Treatment is the same as for acne, with frequent cleansing of the skin followed by the application of astringent solutions or acne medicines. "Popping" should be extracted only by a physician, since damage to the surrounding skin occasioned by squeezing often leads to scarring. Acne occurs when sebaceous glands of the skin begin to secrete oil during puberty. These glands are stimulated by male hormones that are produced in the adrenal glands of both boys and girls. The oil lubricates and protects the skin. Under certain circumstances, cells that are close to the openings of the sebaceous glands block the openings. This causes a buildup of oil underneath the skin. Bacteria, which live in everyone's skin but generally mind their own business, feast on this oil, multiply, and cause the surrounding tissues to become inflamed. If the inflammation is right near the surface, a pustule is formed; if it is deeper, a papule (pimple); deeper still and it becomes a cyst. If the oil breaks though to the surface, the result is a whitehead. If the oil becomes oxidized (that is, acted on by oxygen in the air), the oil changes from white to black, and the result is a blackhead. This is how the two types of comedones develop.
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