Pimples and blackheads: how they differ

A blackhead is a pore filled with oil and shed skin cells. Its dark surface comes from contact with air, not dirt. A pimple forms when a blocked follicle becomes inflamed, producing a red bump, white-tipped spot or tender lesion. When blackheads are the main feature, clinicians may describe the pattern as comedonal acne. The two can appear in the same area, especially on the nose, forehead, cheeks, chest or back.

Cleanse gently and avoid rough scrubs, pore strips and squeezing. Choose products labelled non-comedogenic, remove makeup before bed, and give a routine time to work rather than changing several products at once. A dermatologist may recommend a topical retinoid to help prevent new blockages; these medicines require careful use and pregnancy advice. Professional extraction can remove selected blackheads without the pressure of home picking. Learn more about [Comedonal Acne](/conditions/comedonal-acne/), [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) and [Acne Extraction Facial](/treatments/aesthetic-procedures/acne-extraction-facial/).

See a dermatologist if spots are deep or painful, leave dark marks or scars, or keep returning despite a simple routine. Prompt assessment is sensible when the skin becomes hot, increasingly swollen, rapidly red, or associated with feeling unwell. Do not start prescription acne medicine, including isotretinoin, without medical supervision.

Are these blackheads, acne, or another type of follicle problem? Which active ingredient suits my skin? Would professional extraction or prescription treatment be safer for these lesions?