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Skin & Hair Concerns
Question #18183
117 days ago
220

black pimples - #18183

Amara

I am seriously freaking out about these black pimples popping up all over my face. It's like last week, I woke up and noticed a few on my forehead, then by the end of the week, they had multiplied, and now there’s like ten of these black pimples! They’re not just the regular kind, they kinda look like dark spots and I'm not sure if they’re even pimples or something worse. I thought it was just regular acne at first, but these feel different, almost like a weird texture. I've tried some over-the-counter treatments but nothing seems to be working. I don’t have acne history, so it's super frustrating! My friends say it could be hormonal, but how can black pimples be caused by hormones, like, that doesn't even make sense to me? I also read something online about them being a sign of clogged pores or maybe even an allergic reaction, but I’ve changed nothing in my routine lately. Anyway, should I see a dermatologist or just keep trying to treat these black pimples myself?? The thought of them being permanent is honestly making me kinda anxious, and I can't afford to mess this up more than I already have. Do black pimples just go away on their own, or is there something specific I gotta worry about? Thanks for any help or advice!

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Doctors' responses

First off, the term “black pimples” can be a bit misleading, as it might describe different things. It’s possible that what you’re seeing are blackheads, which are a type of comedone, often caused by clogged pores due to excess oil and dead skin cells. The black tip is a result of oxidation, not dirt. Another possibility might be that these are a form of post-inflammatory hyperpigmentation, which appears after acne has healed. Hormones can actually play a big role in skin changes, even in your adult life, by stimulating oil glands, so it’s not entirely off the mark. And yes, clogged pores can definitely be a factor. It’s also important to rule out any kind of irritation or allergic reaction, although you’ve said you haven’t changed products, sometimes even environmental factors—like pollution or increased humidity—can affect your skin.

It’d be wise to see a dermatologist to get a precise diagnosis, especially since you’ve noticed these changes pretty suddenly and don’t have a history of acne. Dermatologists can perform an examination, possibly even suggesting treatments like topical retinoids or chemical peels. However, until you can see a professional, try to stick to a gentle skincare routine. Use a mild cleanser, avoid scrubbing, and be cautious with over-the-counter products that could be too harsh. Salicylic acid might help with unclogging pores, but it should be used in moderation. Also, avoid picking at them as it can worsen or lead to scarring. If you notice any other symptoms, like swelling or pain, seek medical attention sooner as these could be signs of an infection or other skin condition. In regards to them going away on their own, it really depends on the underlying cause, which is yet to be identified, so a professional assessment would provide clarity.

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