Comedone extraction The removal of open or closed comedones by applying light pressure over individual lesions with a comedo extractor may be a useful adjunct to more conventional acne therapy. In theory, the removal of closed comedones may prevent the eventual formation of inflammatory lesions.

 

  Skill and patience is required  to  produce positive results. Patients should be properly motivated because of the moderate discomfort and the temporary detraction to their appearance. The eccentrically placed punctum of a whitehead can be seen under a good light and the  orifice  enlarged,  gently  nicking  the  overlying epidermis with a small blade or needle. Pressure is then exerted over the lesion using various shapes of comedo extractor.

 

  Removal  of  blackheads  needs   no  explanation. However, overzealous attempts at comedo removal may result in iatrogenic papules.