The best way to remove blackheads and whiteheads is a topical retinoid like adapalene, which unclogs pores over six to eight weeks.
Dealing with blackheads and whiteheads feels like playing whack-a-mole — clear one, and two more appear. The reason is that these bumps form below the skin’s surface, so scrubbing or squeezing from above only makes things worse. The reliable route to removing them works slowly from within: a consistent topical routine that dissolves the buildup inside the pore. Here’s what dermatologists actually recommend, along with what to skip.
Why You Shouldn’t Pick or Squeeze Them
Picking a whitehead or squeezing a blackhead is the fastest way to turn a minor bump into a bigger problem. The American Academy of Dermatology (AAD) cautions that picking whiteheads can lead to more whiteheads and permanent acne scars, while squeezing blackheads risks infection and scarring. That dark dot on a blackhead isn’t dirt — it’s oil and dead skin that oxidized when exposed to air. Aggressive scrubbing won’t remove it either, and the AAD notes that scrubbing only worsens acne.
When a bump is ready to clear, a proper skincare routine will ease it out on its own schedule. The payoff for patience is skin that looks better rather than a red, irritated spot that takes weeks to heal.
The Topical Routine That Works
The most effective over-the-counter approach targets the pore from the inside. A topical retinoid like adapalene helps normalize how skin cells shed, preventing them from clumping together and clogging the opening. A pea-sized amount spread over the entire face is the standard starting dose, often applied every other night at first, then nightly if your skin tolerates it.
Retinoids can irritate skin and increase sun sensitivity, so use them at night and follow with a moisturizer. In the mornings, sunscreen is a wise addition while your skin adjusts.
Pair the retinoid with these supporting players:
- Benzoyl peroxide: A wash or leave-on product that cuts acne-causing bacteria. It’s gentle enough that the NHS says pharmacists can advise OTC gels or creams with this ingredient for a few blackheads, whiteheads, and spots.
- Salicylic acid: A 2% product helps break down the oily plug inside the pore. A common starting rhythm is two to three times per week.
- Gentle cleansing: Wash with a mild cleanser and lukewarm water. Skip rough scrubs and exfoliating brushes, which aggravate the skin.
Consistency matters more than intensity. The AAD says to allow six to eight weeks before deciding whether the routine is working. If you don’t see progress in that window, a dermatologist can step in with stronger options.
What to Expect From Extractions and Next Steps
For blackheads and whiteheads that resist home care, dermatologists can perform an acne extraction — a procedure where a trained professional uses sterile tools to gently remove the plug. This is worth repeating: the professional part is the point. A dermatologist knows which bumps can be safely removed and how to avoid scarring.
If acne is scarring, has not improved after the six-to-eight-week trial, or is affecting your confidence, booking a dermatology appointment is the right move. Prescription treatments like stronger retinoids, azelaic acid, or antibiotics are common next steps, and they often clear what OTC products cannot.
One more thing to skip: pimple patches. They’re designed for inflamed pimples, not the open plugs of blackheads or the closed caps of whiteheads, so they won’t do much here. If you want to accelerate your routine, a cleanser formulated for this exact issue can help — our rundown of the best cleanser for blackheads and whiteheads covers what to look for.
References & Sources
- American Academy of Dermatology. “Acne: Signs and Symptoms” Guidance on why picking and squeezing worsen acne and how long treatment takes.
- Mayo Clinic. “Acne – Symptoms and causes” Overview of acne types and standard treatment approaches.
- NHS. “Acne – Treatment” Pharmacist-led OTC guidance, including benzoyl peroxide for mild breakouts.
