Written by: Ayesha Khan, MBBS
In a Nutshell
What are Whiteheads?
When a skin pore is clogged up with dead cells, bacteria, debris, and oil secretions and becomes closed it is referred to as a whitehead. Visually whiteheads resemble tiny, fresh-colored bumps.
Whiteheads are a type of acne lesion that mostly occur on the face, neck, chin, back, shoulders, chest, or other parts of the body. Whiteheads or acne are extremely common, and it is estimated that 80% population between 12 to 30 years of age report some form of whiteheads or acne related lesions.
The exact cause of acne is not known, it is believed that acne is a result of several factors, such as:
- Hormonal changes
- Pattern of perspiration
- History of allergy to certain foods, fabrics, or skin care products
Most cases of whiteheads respond very well to periodic face washing with a mild soap/ facewash and basic skin care regimen.
Simple Treatment Regimen
Treatment regimen revolves around the age of person and severity of condition.
Self-Help Tips to Manage Whiteheads
Following self-help tips can improve the cosmetic appearance of your skin and reduce the severity of whiteheads:
- Avoid touching your face unnecessarily
- Wash your face at least twice with a gentle soap and water
- Do not pick on your acne, whiteheads, or blackheads as it may cause infection/ inflammation of pores resulting in scarring and worsening of acne
- Avoid unnecessary cosmetics on your face. Cleanse/ wash your face thoroughly to remove all the traces of cosmetics
- If you have sensitive skin, use only water-based, non-comedogenic cosmetics and skin care products
- Limit your exposure to sun
Nuances/ Safety
Dermatologists can perform whitehead extraction by specialized equipment. If you are concerned about your whiteheads or other cosmetic issues of skin, speak to a dermatologist for proper remedy.
If you are pregnant or are looking to get pregnant, Accutane may not be a great choice due to its adverse effects and potential complications (such as congenital anomalies in the newborn).
Strength of Evidence: B
The recommendations made in this article are based on best practices as suggested by the National Health Services and American Dermatology Association.
Our Ruling:
Whiteheads are very common and may lead to acne, scarring and other cosmetic issues in poorly managed cases. For mild cases, self-care alone is sufficient but if you are experiencing whiteheads with acne and scarring, speak to a dermatologist to explore pharmacological / cosmetic options.
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