Why Your Blackhead Pops Up in the Same Spot

No matter how many times you wash, scrub, or begrudgingly pop (eek!) that blackhead, which has so sweetly claimed real estate across your nose, it’ll resurface weeks (maybe even days) later, as it if were an extra in The Walking Dead. What gives?

Turns out, that zombie blemish isn’t as uncommon as you’d think. “It is an interesting and common occurrence to have a pimple or blackhead pop up in the same spot,” says Ava Shamban, a Los Angeles-based dermatologist.

As for the cause of said alive-again blemish, well, experts aren’t really sure — but they have some ideas. “One possible explanation is that there are a cluster of oil glands, or even a cluster of bacteria, that live in that location, which constantly cause inflammation,” says Shamban.

And for those blackheads that keep re-appearing on the nose? Shari Marchbein, a dermatologist and clinical assistant professor of dermatology at New York University School of Medicine, says they may not actually be blackheads at all.

“On the nose, blackheads are often mistaken for simply enlarged pores — which are genetically predetermined and for which little can be done to truly change this — or a condition called, trichostasis spinulosa,” she says.

Generally speaking, trichostasis is often under-recognized (and under-diagnosed) but is characterized as “black dots on the nose, which are actually a combination of very small hairs, bacteria, and oil production from the sebaceous gland,” says Marchbein. That combo of gunk is probably what you see ooze out pores during a popping sesh.

The easiest way to eradicate that “blackhead” debris without squeezing, squishing, or popping? Following a consistent daily regimen — whether you see spots or not. “We know that acne-prone skin is constantly forming new pimples — even if you do not see the red bump or the blackhead,” says Shamban.

Because of that, she recommends using acne treatments spiked with bacteria-busting ingredients to stop reoccurring blemishes in their tracks.

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