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Nose Acne: A Top Dermatologist Answers Your Questions


Also, look for cleansers which are non-foaming, as foaming cleansers can strip the skin of its essential oil, causing skin to overcompensate and produce more oil. Always ensure that your makeup is non-comedogenic as this will allow your skin to breathe and will help prevent pores from becoming blocked.

Why am I suddenly breaking out on my nose?

Oil production is the key to most breakouts and the levels of sebum are often closely related to your hormones. Puberty, menstruation, pregnancy and menopause can all trigger an increase in sebum production. 

However, don’t be fooled into thinking sebum over-production can only affect women and teenagers; testosterone belongs to a class of male sex hormones called androgens, which triggers acne by over-stimulating oil glands. Androgens also change the skin cells that line hair follicles making them stick and more likely to clog pores.

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Are there any products or skincare ingredients that can specifically tackle blackheads and whiteheads on the nose?

Night-time retinoids are fantastic as they speed up the cell turnover of the skin, helping to restore a healthy skin cycle and reduce the amount of dead skin on the surface, in turn reducing the chance of blocked pores. When combined with an oral treatment, this will give fantastic results. These can include tetracycline which is used for it’s anti-inflammatory properties, spironolactone which is great for cyclical acne and is an anti-androgen. Another option is Roaccutane, which offers long term benefits but requires careful monitoring. 

Alpha Hydroxy Acids (AHAs) such as glycolic acid are also useful for clearing up nose acne, acting as an exfoliant to weaken and dissolve the bonds that hold dead skin cells together and speed up cell turnover by acting on the epidermal and dermal layers.

When trying to treat acne, it is also important to consider treatments which compliment your skincare and oral treatment. This can include deep-cleaning facials such as the HydraFacial which includes extraction to give temporary relief from blackheads. Chemical Peels are another fantastic treatment to help rejuvenate the skin and give a brighter complexion.

Can pore strips help or do they do more damage than good?

Pore strips are unfortunately part of the over-the-counter culture of selling a simple solution to acne and blackheads. However, these will only remove the tops of blackheads and likely remove some of your healthy skin cells. As these skin cells are removed, you leave your skin red, flaky and inflamed and can even cause spider veins and broken capillaries. If you use them over already inflamed areas with broken skin or a damaged pore, you can tear the skin and cause scarring. It really is best to stay away from these quick-fix solutions as they won’t create long-term benefits.

Anything else readers should know about spots on the nose?

Spots on the nose are remarkably common and the vast majority of the population in the UK suffer from an excess of sebum production, so you don’t need to feel alone. Treatment is available and a long-term beautiful complexion is not impossible, just find yourself a reputable dermatologist who can work through your skin issues with you to give you the skin and confidence you deserve.



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