What will help get rid of the blackheads on my nose? (photos)

Question

I suffer from acne and also have blackheads on my nose. I have been using tretinoin for years. I use it every night and apply it all over my face. I also use clindamycin gel cream for my face in the morning--but I stopped using it on my nose. I started using Paula's Choice 2% BHA on my nose in the mornings. But I still don't see much of a difference on my nose. What should I do?

Raffy Karamanoukian, MD, FACS · Answer

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photograph. In my experience, topical retinoids are effective in treating comedonal acne (blackheads and whiteheads). I highly recommend you consult with a board certified dermatologist to have your skin evaluated and to discuss appropriate treatment options. Take care and good luck.

What will help get rid of the blackheads on my nose? (photos)

Answers (2)