Doctor, no matter how much I cleanse or scrub, my nose still feels bumpy. Why aren’t these blackheads going away? If this is your question, then you are not alone. At Evenly Clinic, this is one of the most common concerns we hear from patients— teenagers, adults,  and all individuals. No matter how meticulous your skincare routine might be, those stubborn little bumps continue to pop up on the nose and cheeks. Blackheads and whiteheads are common skin issues, yet they are often misdiagnosed, mistreated, or underestimated; they demand extra surface-level care. Perhaps you have used hundreds of products promising “instant blackhead removal” or “whitehead-free skin,” only to end up with temporary fixes that do not last. The truth is, blackheads and whiteheads on face or nose need a dermatology-based approach that addresses not just the surface but also the root causes lying deep within the pores. This blog explores the medical science of these pore-clogging culprits and the causes that bring them, as well as dermatologist-approved treatments that work, not just for now, but for good. Whether you are dealing with blackheads or whiteheads on your nose or across your face, this complete guide will keep you up-to-date with the information on how to remove blackheads and whiteheads permanently, the professional solutions you have been searching for.

What are blackheads and whiteheads on face?

Blackheads (Open Comedones)

Blackheads are tiny black spots that form from the blocking of the pores by a glue-like substance created through a mixture of oil (sebum), dead skin cells, and impurities. Unlike other clogged pores, these blackheads remain open at the skin surface. This allows the oxidation to occur. This oxidation gives the blackheads their distinct black or brown color. Blackheads are considered a form of non-inflammatory acne and are commonly seen on the nose, forehead, and chin, where there is a heavy oil secretion.

Blackheads Causes

Blackheads form due to a combination of internal and external factors

• Excess Sebum Production
• Hormonal Fluctuations
• Poor Skincare Habits
• Heavy or Comedogenic Makeup
• Dirt and Pollution

What are Whiteheads (Closed Comedones)

Whiteheads are tiny bumps colored flesh or white that form when a pore becomes clogged with oil, dead skin cells, and bacteria, though unlike blackheads, the pore remains closed. As the debris is beneath the surface of the skin and doesn’t come into contact with air, no oxidation occurs, so the bump turns white or skin-toned. The whiteheads are a form of mild acne and often pop up on the cheeks, forehead, around the nose, and chin.

Whiteheads Causes

These are mostly the same factors as blackheads, but more closely associated with pore closure and buildup under the surface

• Clogged Sebaceous Glands
• Hormonal Changes
• Lack of Exfoliation
• Heavy Skincare or Hair Products
• Stress & Bad Diet

Aspect	Blackheads	Whiteheads
Medical Term	Open comedones	Closed comedones
Appearance	Small, dark or black spots on the skin	Small, white or skin-colored bumps
Pore Opening	Open to the air – oxidation causes the black color	Closed surface – no oxidation, so it remains white or skin-toned
Common Areas	Nose, chin, forehead (T-zone)	Cheeks, chin, forehead, around nose and lips
Texture	Slightly raised, often gritty texture	Smooth, slightly raised
Caused By	Excess oil + dead skin cells + oxidation	Blocked pores are sealed with oil and skin cells
Triggers	– Oily skin

Whiteheads & Blackheads on Nose: Why is This Area So Susceptible?

More than other regions on your face, your nose has more oil (sebaceous) glands. These glands secrete oil to maintain skin health. However, when they overproduce or when sweat, makeup, or dirt mixes with oil, the small pores on the nose get clogged easily.

In addition, the nose is one area of the face that is often unconsciously touched. Contact with hands leads to the transfer of germs, which worsens the condition.

The Skincare Mistakes Making Things Worse 

Let’s take a step back for a second. Are you making your blackheads and whiteheads worse unintentionally? Let’s find out.

• Over-cleansing: Going too far and using harsher cleansers makes the skin ‘strip’, leading to overproduction of oil. 
• Using pore strips weekly: This does not clean the pores but, rather, it only removes some of the superficial plugs. 
• Skipping sunscreen: Damage from the sun thickens the skin, which, in turn, leads to more comedones forming. 
• Sleeping with makeup on: Considered one of the main comedone triggers.
• Using unnatural oils: Certain oils are not safe at all; some clog the pores more rapidly than the thickest foundation.

Tip from the Dermatologist at Evenly:

“Both blackheads and whiteheads on the face may look minor, but ignoring them can lead to persistent acne. Professional evaluation ensures effective, customized treatment that targets the root cause permanently.”

Common Misconceptions About Blackhead and Whitehead Removal

Before exploring the treatment solutions, let us debunk some of the myths. 

Scrubbing harder will allow for faster removal of the particles. 

Over-exfoliation can damage the skin’s protective barrier.      

Pore strips permanently remove blackheads. 

These strips only remove superficial dirt and do not capture the root obstruction. 

All oils are comedogenic. 

Certain oils, such as jojoba, are non-comedogenic and help in regulating oil levels.

How to Remove Blackheads and Whiteheads Permanently?

Now that you understand what comedones are and what causes them, let’s look at how to remove blackheads and whiteheads permanently:

At Evenly Skin and Hair Clinic, our expert dermatologists offer advanced blackhead and whitehead removal treatments that not only cleanse the skin’s surface but also prevent future formation. Here are some of the treatments they recommend:

Topical medications

Our dermatologists recommend certain topical medications that help to get rid of blackheads and whiteheads on the face or nose effectively. These medications contain active ingredients like salicylic acid, retinoids (vitamin A derivatives), niacinamide, benzoyl peroxide, alpha hydroxy acids, azelaic acid, and many others.

Ingredient	What It Does
Salicylic Acid	Deep pore exfoliant; dissolves oil and dead skin
Retinoids	Unclogs pores, increases cell turnover
Niacinamide	Regulates sebum, reduces pore appearance
Benzoyl Peroxide	Kills acne-causing bacteria
Clay (Kaolin)	Absorbs excess oil and tightens pores
Alpha Hydroxy Acids (AHAs)	Gently resurfaces the skin’s top layer

Professional Comedone Extraction

If your blackheads and whiteheads persist even after using topical creams, our dermatologists may recommend comedone extraction treatment.

We do not recommend manual extraction be done at home. It is very effective and safe when performed by an experienced dermatologist. At Evenly Clinic, comedone extraction is performed in a sterilized environment following all the protocols.

What makes it effective:

• It removes stubborn blackheads and whiteheads
• It stops potential scarring and inflammation
• It provides immediate visual results

Must Read: What Are Comedones And How To Get Rid of Them? – Comedone Extraction

Chemical Peels

Salicylic acid peels & glycolic acid peels are two popular treatments that are recommended for blackhead & whitehead removal. These high-potency peels exfoliate deeply and thoroughly, even dissolving oil plugs without extractions and degreasing pores with continued use.

Best for: Oily skin with persistent acne or comedones

Must Read: Top 6 chemical peel benefits for radiant & smooth skin

Medical Grade Facials

At Evenly, our dermatologists also prescribe medical facials that not only hydrate the skin but also create a clean canvas by deeply exfoliating the comedones. Treatments such as HydraFacial, BrightON Medifacial, and Oxy-Hydra treatments create deep extraction through state-of-the-art suction, exfoliation, and infusion technology.

Benefits:

• Removes blackheads and whiteheads on the nose that are hard to get out
• Hydrates and fortifies skin with potent antioxidants.
• Non-comedogenic and safe for sensitive, acne-prone skin

Best Blackhead and Whitehead Treatment: What Works Long-Term?

Let’s break down which works effectively:

Treatment Name	Use Case	Results Timeline
HydraFacial / BrightON Facial	Mild to moderate clogged pores	1–2 sessions/month
Chemical Peels (Salicylic)	Comedonal acne, oily skin	3–6 sessions
Retinoids and Other Topical Medications	Preventive + maintenance	4–12 weeks
Comedone Extraction	Visible Blackhead and whiteheads Removal	Immediate

Can we prevent whiteheads and blackheads formation?

Preventing whiteheads or blackheads, especially when these hormonal changes happen, like during puberty, menstrual cycles, or stress, is not possible. Your skin is dynamic, and sebum production changes from day to day.

Just because they have the advantage doesn’t mean they are defenseless. If you make just a few basic preventive measures part of your daily routine, you can significantly cut down on the frequency and severity of them.

Lifestyle and Skincare Tips to Prevent Recurrence

Removing the blackheads and whiteheads is not just opting for the treatments; it starts with a skincare routine that prevents their formation:

• Cleanse twice a day—gently, not aggressively: Wash your face with a gentle, non-irritating, non-comedogenic cleanser morning and night. Some ingredients to seek out are salicylic acid, niacinamide, and tea tree oil. This helps remove excess oil without stripping the skin’s natural oils.
• Hydrate your skin, even if it’s oily: Skipping moisturizer is a mistake. Opt for gel-based, oil-free, and non-comedogenic moisturizers.
• Use Clay Masks Once a Week: Clay masks draw impurities out from deep within the pores.
• Don’t Ever Skip Sunscreen: Damage from the sun thickens the outer layer of the skin, which increases the chance that these will clog. Daily use of SPF 30+, oil-free sunscreen.
• Keep Hair Care and Skincare Separate: Hair serums, sprays, and gels are often loaded with oils that can transfer onto your skin, especially around the forehead and temples. Tie your hair back when sleeping or applying facial products.
• Diet & Hydration: Further, minimize dairy, plus add in the sugar factor. Keep yourself well-hydrated and eat a diet rich in zinc, which is contained in seeds and leafy greens.
• Exfoliate, but wisely: Use gentle exfoliants once or twice a week. Avoid harsh scrubs that can create microtears and worsen inflammation. Consider salicylic acid-based exfoliants for deeper pore cleansing.

What If You’ve Tried Everything and It’s Still Not Working?

If you have tried everything and nothing is working. Maybe what you’re dealing with is not comedones—blackheads or whiteheads. You could be dealing with seborrheic melanosis that appears as blackheads. At Evenly Skin & Hair Clinic, we thoroughly analyze and assess the exact cause and offer customized solutions.

Blackheads and whiteheads serve as more than a cosmetic annoyance. They’re an indicator of the inflammatory processes going on underneath your skin. By knowing what causes whiteheads and blackheads, improving your skincare routine, and getting professional blackhead & whitehead removal, you will soon experience clear, radiant, healthy skin without blemishes.

Keep in mind—permanent results take time and consistency. With some consistency, care, and guidance from an experienced dermatologist, that clear-skin glow is within your reach.

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Frequently Asked Questions

We hope this information is helpful. If you have any skin and hair-related questions or would like to discuss personalized solutions, please reach out to us at 7337899030. Our team of experts is dedicated to providing personalized care that meets your unique needs. Take the first step towards a healthier, more confident you by scheduling a consultation with us today. Your journey to vibrant skin and stronger hair begins here.