Blackheads under the eyes: what to know

A true blackhead is an open pore containing oil and dead skin cells. Its dark surface comes from exposure to air, not trapped dirt. The thin eyelid area is easily irritated, so squeezing or applying strong acne products close to the eye can cause more trouble than the spot itself.

Open comedones may occur where there are visible pores, often alongside oily skin or other comedonal acne. Small firm white bumps can instead be milia, while evenly spaced grey dots may simply be visible follicles. A clinician can distinguish these by examining their surface, firmness, location, and surrounding skin.

Wash gently with a mild cleanser and avoid pore strips, needles, scraping tools, and fingernail extraction. Choose non-comedogenic moisturiser and eye makeup, and remove makeup without rubbing. Do not place salicylic acid, benzoyl peroxide, or a retinoid on the eyelids or lash line. A dermatologist can advise whether a carefully positioned topical retinoid or professional extraction suits confirmed blackheads.

Arrange an assessment if the dots persist, multiply, repeatedly inflame, or remain uncertain after gentle care. Seek prompt help for marked eyelid swelling, spreading redness, severe pain, discharge, eye irritation, or any change in vision. Stop a product and rinse the area if it enters the eye or causes burning.

Ask whether the spots are open comedones, milia, or another feature; which ingredients are safe at their exact distance from the eye; and whether extraction could damage or discolour the skin. Mention all eye creams, cosmetics, acne treatments, and any previous irritation.