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Getting acne....Q&A............(part 3 of 5)

I’ve started getting acne spots. How long do they last? This depends on what type of spots they are and, even then, it can be very difficult to predict what will happen. Some spots will appear and then disappear during the course of a day but others will evolve more gradually through the various stages. Comedones can be very persistent if they don’t get inflamed. Mildly inflamed spots will last 5–10 days before settling down, but can leave a flat red mark (macule) for several weeks. Nodules and cysts may last for weeks or months unless you get some treatment. What is the difference between a whitehead and a yellow- head spot? These two common terms describe quite different types of spot. A whitehead is a closed comedone where the pore is blocked and not open to the air. There is no inflammation (redness). A yellow- head suggests a spot with pus in it. The medical term is a ‘pustule’. Whiteheads may become yellowheads if the blocked pore becomes infected. My daughter is only 9 but she seems
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Enhancing retinoid treatment for acne


Removal of comedones can also help to treat your acne and speed up improvement. Your dermatologist may perform acne surgery with a comedo extractor, a small instrument that mechanically removes comedones. Comedo removal can be a useful adjunct to topical therapy when your blackheads and whiteheads are somewhat resistant to topical retinoids.

Acne surgery is a noninvasive surgery, meaning that the blackheads and whiteheads are simply popped or squeezed out with the extracor. The extractoris a special instrument that minimizes skin injury.A round loop extractor is used to apply uniform smooth pressure to dislodge the material. Lesions that offer resistance are loosened by nserting a pointed instrument to carefully expose the contents.

Pretreatment with a topical retinoid for four to six weeks often facilitates the procedure because it helps open up your pores.Comedo extraction is performed less commonly nowadays since
the arrival of topical retinoids.

Comedo extraction is often performed successfully by aestheticians as part of a facial. An experienced technician may remove your blackheads and whiteheads with tissue paper or with another instrument.

WARNING
An improperly trained technician may also try to squeeze out your red papules which can result in persistent redness and even scarring.
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