How do clogged pores form under scar tissue. What challenges do they present for skincare routines. How can these deep blocked pores be effectively treated without picking. What role does salicylic acid play in managing these skin issues.

The Phenomenon of Clogged Pores Under Scar Tissue

Clogged pores under scar tissue present a unique and challenging skincare issue. This condition often occurs in individuals who have a history of chronic skin picking or severe acne. The formation of these deep, blocked pores beneath scar tissue can be particularly frustrating, as they are difficult to treat using conventional methods.

These clogged pores, also known as comedones, can feel hard under the skin and may resemble a typical blocked pore on the surface. However, the presence of scar tissue above them creates an additional barrier, making it challenging for the body to naturally expel the buildup.

Characteristics of Clogged Pores Under Scars

• Hard, dense consistency
• Located beneath scar tissue
• Difficult to extract using standard methods
• May be calcified or hardened
• Can persist for long periods if left untreated

The Role of Salicylic Acid in Managing Skin Issues

Salicylic acid is a common ingredient in many acne treatments and can play a significant role in managing various skin issues, including clogged pores. However, its effects on pores under scar tissue may be complex.

When applied to the skin, salicylic acid can help to exfoliate and unclog pores. In some cases, it may harden forming pimples under the skin, potentially creating large blackheads or comedones. This hardening effect could make it more challenging for the body to naturally purge these blockages, especially when they are located beneath scar tissue.

Effects of Salicylic Acid on Skin

1. Exfoliates dead skin cells
2. Unclogs pores
3. May harden some forming pimples
4. Can create larger blackheads in some instances
5. Potentially slows natural purging process for deep blockages

Challenges in Treating Deep Blocked Pores

Treating deep blocked pores, especially those under scar tissue, presents several challenges. These issues can be particularly frustrating for individuals trying to abstain from skin picking behaviors.

Can deep blocked pores resolve on their own? In many cases, the body’s natural processes may eventually clear these blockages. However, the presence of scar tissue can significantly slow this process, potentially leading to persistent bumps on the skin for extended periods.

The dilemma lies in balancing the desire for clear skin with the need to avoid damaging picking behaviors. While it’s generally advisable to refrain from picking at small surface pimples and whiteheads, the temptation to address deeper cysts related to scarring can be much stronger.

Key Challenges in Managing Deep Blocked Pores

• Slow natural resolution due to scar tissue barrier
• Increased temptation for harmful picking behaviors
• Limited effectiveness of topical treatments
• Potential for further scarring if improperly treated
• Psychological distress from persistent skin issues

Non-Invasive Treatment Options for Clogged Pores Under Scars

While treating clogged pores under scar tissue can be challenging, several non-invasive options may help manage this condition without resorting to picking or extraction.

Are there effective ways to treat deep blocked pores without picking? Yes, several methods can help address this issue:

1. Chemical exfoliants: Regular use of products containing salicylic acid or glycolic acid can help gradually unclog pores and promote cell turnover.
2. Retinoids: Topical retinoids can help regulate skin cell turnover and may assist in preventing and treating clogged pores.
3. Hydrocolloid patches: These can be applied over problematic areas to help draw out impurities and protect the skin from picking.
4. Professional treatments: Chemical peels or microdermabrasion performed by a dermatologist can help address deeper skin issues.
5. Proper hydration: Keeping the skin well-moisturized can help maintain its barrier function and promote healing.

The Impact of Chronic Picking on Skin Health

Chronic skin picking, also known as dermatillomania or excoriation disorder, can have significant impacts on skin health and the development of unique skin issues.

How does chronic picking affect the skin’s healing process? Repeated picking can lead to a cycle of damage and repair that alters the skin’s structure over time. This can result in the formation of scar tissue, which may trap sebum and dead skin cells, leading to the development of deep, stubborn comedones.

The relationship between chronic picking and acne is complex. While picking is often an attempt to remove existing acne, it can actually exacerbate the condition by introducing bacteria, causing inflammation, and disrupting the skin’s natural healing processes.

Consequences of Chronic Skin Picking

• Formation of scar tissue
• Increased risk of infection
• Development of deep, trapped comedones
• Hyperpigmentation
• Prolonged healing times for skin lesions
• Potential worsening of existing acne

The Role of Professional Dermatological Treatments

When dealing with persistent clogged pores under scar tissue, professional dermatological treatments can offer effective solutions that go beyond at-home care.

What professional treatments are available for managing deep blocked pores under scars? Several options exist:

1. Laser therapy: Various laser treatments can help break down scar tissue and promote collagen production, potentially improving the appearance of scars and addressing deep pore blockages.
2. Chemical peels: Professional-strength chemical peels can provide deeper exfoliation than at-home products, helping to clear stubborn blockages.
3. Microneedling: This treatment can help stimulate collagen production and may improve the appearance of scars while potentially addressing deep pore issues.
4. Corticosteroid injections: For raised scars that may be contributing to pore blockages, corticosteroid injections can help flatten the scar tissue.
5. Extraction: In some cases, a dermatologist may perform a professional extraction of deep comedones, using sterile techniques to minimize the risk of further scarring or infection.

These treatments should always be performed by a qualified dermatologist or skincare professional to ensure safety and efficacy.

Developing a Comprehensive Skincare Routine

Managing clogged pores under scar tissue requires a comprehensive skincare routine that addresses both prevention and treatment of these issues.

What elements should be included in a skincare routine for managing deep blocked pores and scars? A well-rounded approach might include:

• Gentle cleansing: Use a non-irritating cleanser to remove excess oil and debris without stripping the skin.
• Exfoliation: Incorporate chemical exfoliants like salicylic acid or glycolic acid to help unclog pores and promote cell turnover.
• Hydration: Use a non-comedogenic moisturizer to keep the skin hydrated and support its barrier function.
• Sun protection: Apply a broad-spectrum sunscreen daily to protect the skin and prevent further damage to scar tissue.
• Spot treatments: Use targeted treatments containing ingredients like benzoyl peroxide or tea tree oil for active breakouts.
• Retinoids: Consider incorporating a retinoid product to help regulate skin cell turnover and prevent pore blockages.
• Scar management: Use products specifically designed to improve the appearance of scars, such as silicone-based gels or sheets.

Consistency is key when following a skincare routine. It may take several weeks or months to see significant improvements, so patience and persistence are essential.

The Psychological Impact of Skin Issues and the Importance of Self-Care

Dealing with persistent skin issues like clogged pores under scar tissue can have significant psychological impacts. It’s important to address both the physical and emotional aspects of skin health.

How can individuals cope with the emotional challenges of dealing with skin issues? Several strategies can be helpful:

1. Practice self-compassion: Recognize that skin issues are common and don’t define your worth.
2. Seek support: Connect with others who understand your experiences, either through support groups or online communities.
3. Focus on overall health: Engage in activities that promote general well-being, such as exercise, healthy eating, and stress reduction techniques.
4. Consider therapy: Cognitive-behavioral therapy or habit reversal training can be beneficial for those struggling with skin picking behaviors.
5. Educate yourself: Learn about your skin condition and treatment options to feel more in control of your skincare journey.

Remember that seeking professional help, both for skincare and mental health, is a sign of strength and self-care. Dermatologists and mental health professionals can work together to provide comprehensive support for individuals dealing with challenging skin conditions.

By addressing both the physical and emotional aspects of skin health, individuals can develop a more positive relationship with their skin and overall well-being. This holistic approach can lead to improved outcomes in managing clogged pores under scar tissue and related skin issues.

Clogged pores under scar tissue

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serene
, 22 Aug 2017

I think that with chronic picking we develop a certain type of acne which is unique to our condition. I have found myself recently having a breakout which felt hard under the skin yet on the surface resembled a clogged pore. When I tried to extract it with a blackhead extractor, nothing would come out yet I noticed some scar tissue (which appears whiter than surrounding skin and has a harder consistency). I tweezed the scar tissue open and was able to extract a dense comedone. I dont understand how my body would have naturally expelled this particular clogged pore since it was underneath a scar and was calcified into a hard substance. I’ve been using salicylic acid diligently over the past week in order to curb acne, and what I noticed is that the salicylic acid tends to harden some of the forming pimples under the skin, creating a large blackhead or comedone. Therefore, it probably would have taken a long time to be reabsorbed or purged by the body. I am not sure if it would be able to be purged since it was blocked off by scar tissue. So right now I am a bit confused as to how I am to take care of my skin when choosing to fully abstain from skin picking. What exactly do I do if I get these deep blocked pores on the skin and pores which are blocked off by scars? Has anyone been battling with this? I dont want to be walking around for months with dense bumps on my skin. I understand not picking small surface pimples and whiteheads which can eventually pop on their own, but its maddening to have to abstain from picking these deeper cysts related to scarring. Wondering if there is anyone who can relate and understand what I am referring to.

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Keloid and Hypertrophic Scars – acne support

What are keloid and hypertrophic scars?

Keloid and hypertrophic scars are common types of scarring that can occur as a result of the acne healing process. They appear as raised lesions of scar tissue on the skin and are a result of the overgrowth of fibrous tissue in the region where the acne lesion had developed.

They are more common on the chest, back and shoulders, where the skin is thicker, although they can occur around the jaw line. They are also more common in people with darker skin types.

What is the difference between keloid and hypertrophic scars?

The difference between keloid and hypertrophic scars is their size in relation to the acne lesions that caused them. A keloid scar is larger than the acne lesion that caused it. A hypertrophic scar is the same size as the acne lesion that caused it.

What factors make it more likely that keloid and hypertrophic scars will form?

Like all acne scars, the formation of keloid and hypertrophic scars is largely dependent on how your skin heals. If you tend to scar easily then you are more likely to develop acne scars.

Inflammation also plays a key role in development of acne scars. The deeper that inflammation from an acne lesion reaches into the skin the more likely it is to scar upon healing. This is one of the reasons that it is important to treat acne as soon as possible, to lower the risk of deep inflammation.

Picking or squeezing acne lesions can damage the skin and lead to an increased chance of scarring. It is not advised that you pick at or squeeze your acne. However, in reality many people do this in an attempt to remove pus. If you are insistent on picking at or squeezing your acne to remove pus then please see our guide on how to lower your chances of damaging your skin here.

You are also more likely to develop acne scars if you smoke, as smoking leads to an increased risk of scarring in general.

People with darker skin types are also at a higher risk of developing thicker keloid and hypertrophic scars as they have a variety of genetic factors that increase the likelihood of thickened scars occurring.

Keloid and Hypertrophic Scar Treatments

Treatment for keloid and hypertrophic scarring comes in two stages, as it does for other acne scarring. First stage treatments for keloid and hypertrophic scarring are designed to reduce the height of the scar so that the skin’s surface returns to being flat. Second stage treatments for keloid and hypertrophic scarring are aimed at reducing skin discolouration in the newly flat scar.

It is important to remember that scar reduction treatments are not readily available on the NHS. If you are thinking about paying for a scar reduction treatment privately then be sure to research your practitioner and make certain that they are qualified to conduct the procedure, such as a Consultant Dermatologist or Plastic Surgeon. It is often advisable to use a practitioner who can carry out all of the various forms of scar reduction treatments that are discussed above, as they will be able to advise you on the best option for your skin colour and nature of scarring.

Please note that all of the treatments below have potential side effects, such as burns, skin peeling, irritation, skin bleaching and changes to skin texture. Darker skin types are at higher risk of suffering the side effects of scar removal. Please talk to your healthcare provider to find out more about the risks involved for any treatment that you may be considering.

Stage One Treatments

Steroid Injections

This is where steroids are injected directly into the scar to soften and thin the fibrous tissue, lowering the scar’s height. It often takes several steroid injections spaced 4 to 6 weeks apart to achieve the best results.

Dermabrasion

This is where a special tool is used to remove the top layers of skin through friction, not unlike a sanding machine. As the layers of skin are removed the keloid or hypertrophic scar becomes flatter.

Chemical Peels

This treatment works by removing the outer layers of skin using high concentrations of glycolic or salicylic acid.

Laser Therapy

Laser therapies work in two ways. Ablative laser therapy uses high energy light to remove the outer layers of skin whilst encouraging new collagen production in the lower layers of skin. Non-ablative laser therapy uses heat to encourage new collagen production in the skin without damaging the outer layer. The removal of the outer layers and/or the production of new collagen results in a reduction in scar height. There are multiple laser therapies that are available for the treatment of acne scarring. A consultant dermatologist will be able to determine which treatment is right for you based on your skin colour and the nature of your scarring.

Stage Two Treatments

Dermabrasion

This is where a special tool is used to remove the top layers of skin through friction, not unlike a sanding machine. As the layers of skin are removed the discolouration caused by scarring can become reduced.

Microneedling

This treatment is sometimes known as collagen induction therapy. It works by using a special tool to create several, tiny injuries within a scar. These injuries usually heal within two days and new collagen is formed inside of the scar. Collagen is a protein that help gives our skin strength and elasticity. Through this process microneedling can reduce the discolouration associated with scarring by encouraging old skin cells to shed, including skin cells that have been discoloured by excess pigment. Multiple treatments tend to be required every four-six weeks to gain maximum benefits. It is important to note that reducing skin discolouration is not microneedling’s main purpose and targeted treatments designed for treating skin discolouration may work better.

Chemical Peels

This treatment works by removing the outer layers of skin using high concentrations of glycolic or salicylic acid. In doing so, it can reduce the discolouring that is associated with scarring. This treatment should only be carried out by a qualified practitioner (visit www.jccp.org.uk).

Laser Therapy

Ablative laser therapy uses high energy light to remove the outer layers of skin, which can reduce the discolouration that is associated with scarring. There are multiple laser therapies that are available for the treatment of acne scarring. A consultant dermatologist will be able to determine which treatment is right for you based on your skin colour and the nature of your scarring.

We do not recommend that you pop your acne lesions (spots). Instead, you should use a safe, targeted acne treatment. To find out more about the treatments that are available, and how you can cover your acne lesions, visit the Treatments and Covering Acne sections of this website.

Picking or squeezing acne lesions can damage the skin and lead to an increased chance of scarring. It is not advised that you pick or squeeze your acne. However, in reality many people do this in an attempt to remove pus, blackheads or whiteheads. If you are insistent on picking at or squeezing your acne to remove pus, blackheads or whiteheads then you should follow our guide below to lower your chances of damaging your skin and scars forming.

It is important to note that this technique does not remove the risk of permanent scarring.

Warnings

• We do not recommend that you pop or squeeze your acne lesions. Instead, you should use a safe, targeted acne treatment. To find out more about the treatments that available, and how you can cover your acne, visit the Treatments and Cover-Up sections of this website.
• This guide is designed to help lower the risk of permanent injury to the skin for people who are insistent upon squeezing their acne spots. However, scarring and skin damage are still risk factors even when following this guide.
• Do not apply anything more than gentle pressure in an attempt to drain more pus. You will be at risk of squeezing only inflamed skin, which cannot drain, and force the acne-causing blockage deeper into the follicle.
• If you squeeze out blood then you should stop. Squeezing out blood is not the only time when you should stop. Never apply anything more than gentle pressure and stop if the pus, blackhead or whitehead does not easily release.

Guide

Step one: Gently cleanse and sterilise the acne lesion, surrounding skin and your hands using an anti-bacterial skin wash.

Step two: Place the tips of your index fingers either side of the acne lesion.

Step three: Applying gentle pressure, press your fingers downwards and towards each other. Don’t use your nails as you may break the skin, risking infection. If pus or the blockage is not released then DO NOT apply more pressure and leave the acne lesion alone.

Step four: Gently re-cleanse the area of skin and your hands.

Step five: Apply an acne treatment to the acne lesion/area.

If pus or a blockage does not release after following this guide then do not apply further pressure. You will be at further risk of causing permanent damage to the skin, forcing the blockages deeper into the skin, and breaking the follicle wall, which can result in inflamed acne and acne cysts forming.

How to get rid of a pimple scar

March 04, 2009, 02:11

# 5

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31 March 2009 08:46

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Jul 23, 2009 09:46 PM

#11

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#12

December 19, 2009 , 21:40

#13

in the center where I had this procedure, Eliza, it was called CO2 laser, I had scars on my cheeks, now there is no trace

December 20, 2009, 02:33

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February 23, 2010, 03:12

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Ayurvedic cream “Klirvin” helped me, though for 2 months I was smeared instead of creams at night and during the day and as a base for foundation. it really helps

Ayurveda thing!!!

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  Huge subcutaneous pimple on forehead.

  Huge subcutaneous …

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  April 20, 2014, 10:10

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  Guest

  You go to a beautician, you pay a penny. I think no more than 100 r and they will burn it with a current. It will decrease in size, all that remains is to cover up an even spot

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  Author, if this problem occurs to you regularly and frequency, I would have acquired bangs if I were you.

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  Guest

  Do nothing now. When the pimple is blown away, you just need to squeeze it out and burn it with something. That’s why he periodically becomes inflamed, because there is a rod, he needs a way out.

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  share my bitter experience of subcutaneous acne on my forehead.

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