A blackhead is what is known as an ‘open comedone’. In other words, it's a sort of open spot. This completely benign lesion takes the form of a tiny spot of around 1 millimetre. It releases an oily substance when squeezed. Blackheads on the face or body can be identified by their characteristic greyish or blackish tinge. This is the result of an oxidisation of the impurities that caused the comedone.
Blackheads on the cheeks, nose or chin should not be confused with sebaceous filaments. The latter are very common on skin prone to heavy sebum secretion. How can you tell the difference? They are smaller, lighter and more numerous than blackheads. Although sometimes considered unsightly, they are a completely normal phenomenon.
The appearance of blackheads is directly linked to the sebaceous impregnation of the upper layers of the epidermis. This means that open blackheads thrive where sebaceous glands are numerous and active. The entire T-zone of the face is therefore affected.
Mechanism behind blackhead formation
Blackheads form when dead skin cells accumulate at the entrance of the sebaceous glands, the ‘pilosebaceous orifices’ or ‘follicular ostia’. These pores are used to excrete sebum, an oily substance produced to moisturise and protect the skin. When there is an excess of dead cells and sebum, a plug forms, obstructing the pore.
Rather than remaining under the skin, the blackhead therefore ends up on the surface due to the pressure of the sebum that continues to flow. Once it comes into contact with the air, the lipids in the plug oxidise, causing the exposed area to darken. This results in a blackhead that is visible on the surface.



































