What are Blackheads and Milia?

Blackheads are open comedones, which are small black bumps on the skin. They’re called blackheads because the surface looks dark or black. Milia are whiteheads that are closed comedones and are small white bumps on the face. They are both mild types of acne that usually form on the face but can also appear on the body. Blackheads on the nose are more common, whereas Milia on the eyelids or around the eyes are common, especially during puberty.

The concern with blackheads is that, if left untreated, they can stretch the pores and enlarge them. Open pores on the face become more noticeable with age as we lose collagen and elastin. Open pores or large pores can make the skin texture look uneven and rough.

What causes blackheads and whiteheads

Blackheads and Milia are formed when the hair follicle becomes clogged with dead skin and oil. Whiteheads remain white because the skin is not broken, so the dead skin cells and oil are not exposed to air. The pore turns black because exposure to air oxidises the clogged pore, forming a blackhead. Although blackhead removal and Milia removal are very tempting, we strongly advise against all blackhead extractions yourself. This is because pimple popping and extractions damage the skin and can cause long-term acne scars. Read here for more

How to treat blackheads and whiteheads?

The best way to treat blackheads and whiteheads is with natural acids to help break down and dissolve the excess oil and dead skin cells that are clogging the pores. The best blackhead removers use natural acids and chemical peels. We love salicylic acid and often prescribe prescription-strength salicylic acid for home use to tackle the most congested skin. A form of Vitamin A, such as Retinol or prescription-strength Tretinoin, is also recommended to deeply exfoliate and peel the skin, if required, to improve large pores. Naturally, these should all be combined with an SPF to protect the skin.

Ready to Take Back Control of Your Skin?

At Fiji Skin Clinic, we specialise in helping clients undo the visible effects of past sun damage, acne scars, and collagen loss. From laser rejuvenation to targeted pigmentation treatments, we offer expert-led solutions for real skin concerns.

Whether you’re starting fresh or continuing your journey, we’re here to help.

Book a Consultation