Cystic acne and blackhead extractions should generally be done with caution to avoid further irritation, scarring, or infection. It’s important to understand the difference between cystic acne and blackheads to choose the right approach for treatment.
Cystic acne consists of large, painful, deep bumps under the skin, often filled with pus and inflammation. These should be treated by a dermatologist, as trying to pop or extract them at home can lead to serious scarring or infection. In contrast, blackheads are clogged pores that have opened to the surface, where the trapped oil and dead skin cells oxidize and turn black. These can be more safely extracted at home, but only with proper hygiene and technique.
Steps for Extraction (If Safe to Do): Begin by cleansing your skin with a gentle cleanser to remove dirt and excess oil—avoid harsh scrubbing, as it can irritate the skin. Then, steam your face to open up the pores, which makes extraction easier and less painful. You can use a facial steamer or place your face over a bowl of hot water, covering your head with a towel to trap the steam. Be sure to wash your hands thoroughly and sanitize any tools, like comedone extractors, that you plan to use.
When extracting, apply gentle pressure around the clogged pore using clean fingers or a sanitized tool—never use excessive force. It’s important to note that cystic acne should generally not be extracted at home due to the high risk of scarring or infection. After the extraction, apply an antiseptic to the treated area to minimize the risk of infection. Finish with a soothing moisturizer or acne treatment products such as salicylic acid or benzoyl peroxide to calm the skin and prevent future breakouts.
If cystic acne is persistent, large, or painful, it’s best to seek professional help from a dermatologist for proper treatment or extraction. If you’re unsure about performing extractions yourself, a dermatologist or licensed esthetician can safely handle the procedure and may also offer additional treatments, such as cortisone injections, which can quickly reduce inflammation associated with cystic acne.
