Overview
A blackhead is a plug of oil (sebum) in your skin that’s exposed to the air. The oxygen in the air oxidizes the oil’s surface, causing it to turn black. A blackhead can rupture into an open sore on your skin that may not heal properly. This can lead to scarring, which may require a dermatologist to treat. Common medical treatments for blackhead scars include chemical peels, dermabrasion, laser resurfacing and dermal fillers.
Step 1
Undergo a chemical peel to treat blackhead scars. Your dermatologist applies a solution of glycolic acid to your face and removes it after a specific period of time, usually about 15 minutes. A chemical peel that can remove scars should have a concentration of at least 20 percent. Chemical peels are best suited for removing light scarring and typically require minimal aftercare. More than one treatment is usually needed to achieve the desired effect.
Step 2
Talk to your dermatologist about dermabrasion to remove blackhead scars. Your dermatologist typically administers a local anesthetic to the treatment area and may also administer a sedative. Your dermatologist uses a rotary tool to mechanically remove the upper layers of your skin. The dermabrasion tool requires a high degree of skill on the part of the operator. A recovery period of up to five days is the normal downtime following this procedure.
Step 3
Make an appointment for laser resurfacing to treat blackhead scars. A technician enters parameters into the laser’s computer based on your specific case. The dermatologist administers an anesthetic as needed and may also require you to wear goggles to protect your eyes from the laser. The laser emits a series of pulses over the treatment area, which vaporizes the upper layers of skin. Laser resurfacing may require a recovery period of up to 10 days.
Step 4
Request a dermal filler. Your dermatologist injects a material such as collagen, which can fill the space left by a deep-pitted blackhead scar. A dermal filler requires very little recovery, but its effects are only temporary. Collagen injections typically last no longer than six months.
