Board-certified dermatologist markKAHF mark (Korea Accreditation Program for Hospitals Serving Foreign Patients)Led by a board-certified dermatologist
Personal diagnosis · Accountable care
Ministry of Health and Welfare
KAHF-accredited hospital

DM DERMATOLOGY

DM Acne & Pores

ACNE PORE CARE

Before redness sets in,
we look at clogged pores first

DM Acne & Pores is DM Dermatology's aesthetic care for clogged pores and sebum in acne-prone skin that has not yet turned red or formed pus.

A woman checking clogged pores and blackheads on and beside her nose in a magnifying mirror

Acne usually starts when pores become clogged. A plug of dead skin cells and sebum at the pore opening is called a comedone. When thin skin covers the plug, it becomes a small, rough bump (whitehead); when the plug is exposed, it becomes a dark dot (blackhead). Comedones are a stage before inflammation, but they can also be the starting point of red acne.

Not every tiny dot on the nose and forehead is a blackhead. Many are sebaceous filaments: thin threads of sebum that fill the channel sebum flows out through. Oily skin turns shiny easily, and pore openings can look larger as sebum pushes them open. So the first step in care is to tell which kind of dot it is.

At DM Dermatology in Apgujeong, we check your skin first. Rather than squeezing at home with fingers or tools, we plan care that gently clears clogged pores. If you have red, swollen, painful acne or deep lumps, we recommend medical treatment first. We explain the steps and methods after an examination.

  • Blackheads
  • Tiny bumps (whiteheads)
  • Sebaceous filaments
  • Oily shine

IN NUMBERS

Comedones and sebum in numbers

  • Gland density

    400+glands

    Sebaceous glands in 1 cm² of
    forehead or scalp skin (400–900)

  • Closed comedones

    37%

    Share of acne lesions that are
    closed comedones (whiteheads)

  • From comedones

    54%

    Share of inflamed acne lesions that
    formed where a comedone had been

  • Refill

    30days

    Time for a sebum thread to refill
    a squeezed-out pore

The 37% and 54% figures come from a US study that followed the faces of 25 people who were not using acne medication, with photos, for 12 weeks. This means comedones left alone can lead to red acne.

Side profile of a female model with clear skin, a bob haircut, and a light blue T-shirt against a pale sky-blue background

CHECK

If tiny dots on your nose
and forehead bother you

  • The dark dots on my nose won't go away
    My nose looks clean only on the day I peel off a pore strip. In three or four days, it looks dark again.

  • My forehead and chin feel rough with tiny bumps
    They aren't red, but I can feel small grains under my fingertips, and they stand out more under makeup.

  • I can't tell if it's blackheads or sebum
    The sides of my nose are packed with whitish dots, and I don't know if I should squeeze them.

  • My face gets shiny by early afternoon
    I use several blotting papers a day, and the pores on my inner cheeks look large.

  • I worry my tiny bumps will turn into pus-filled acne
    Again and again, a few small bumps turn red and swollen before I know it.

  • I squeezed them myself and left marks
    Nail marks and brown spots remain, so I'm looking for a way that is less harmful to my skin.

If you have many red, swollen, painful pimples, it is better to get medical treatment first.

HOW IT STARTS

Clogged pores are
where acne starts

Beneath each pore is a hair follicle that grows hair, with a sebaceous gland attached beside it. Sebum made by the sebaceous gland passes through the pore to the skin's surface. When dead skin cells on the pore wall do not shed in time, they clump with sebum into a small plug. At first it is too small to see with the naked eye, so it is called a microcomedone.

When a microcomedone grows large enough to see, it becomes a comedone. When acne bacteria multiply in the sebum trapped inside and inflammation sets in, it turns into red acne. Comedones are an early stage of acne, so they are worth caring for before redness appears.

Pore size is affected by the amount of sebum, age, sex, inherited traits, and skin elasticity. Care cannot fill in or remove pores. When there are fewer plugs blocking the openings and less trapped sebum, pores may look less noticeable.

3D illustration of a skin cross-section. The left pore is blocked by a plug with a dark tip; the middle pore has a wide, funnel-like opening with a thin sebum thread and vellus hair; the right pore is filled with a white plug under a small dome. A yellow sebaceous gland is attached beside each pore
  1. 1

    Blackheads Open pores filled with a plug of dead skin cells and sebum. The tip of the plug touches the air and looks dark.

  2. 2

    Widened openings Pore openings pushed open by plugs and sebum. Once the blockage comes out, they may look less open.

  3. 3

    Sebaceous filaments Thin, pale threads of sebum standing inside open pores. They are not plugs but a normal structure that sebum flows out through.

  4. 4

    Whiteheads Pores with trapped sebum whose openings are covered by thin skin. They rise above the skin like small domes and feel like tiny bumps.

  5. 5

    Sebaceous glands Glands attached beside the hair follicle like bunches of grapes that make sebum. Large, active glands release a lot of sebum.

A simplified illustration of three types of pores, for explanation only.

THREE DOTS

How to tell apart the
three kinds of dots in pores

They may look alike, but each is handled differently. We start by identifying which kind of dot it is.

  • 3D pore cross-section: a white plug fills a pore whose opening is covered by thin skin, raising a small dome on the surface

    WHITEHEAD

    Whiteheads (closed comedones)

    Comedones with trapped sebum whose openings are covered by dead skin cells. They look like small skin-colored or white bumps and are often called tiny-bump acne. They tend to cluster on the forehead, chin, and cheeks.

    Because the opening is closed, they don't come out easily when pressed. Squeezing them by force can push the contents deeper into the skin and turn them into red acne. If they last a long time, it is better to get an examination.

  • 3D pore cross-section: a plug fills an open pore, and only the top of the plug is dark

    BLACKHEAD

    Blackheads (open comedones)

    Comedones in open pores filled with a plug of dead skin cells and sebum. The tip of the plug meets the air and looks gray, brown, or black. They are common on the nose, the sides of the nose, and the chin.

    The dark color is not dirt. Scrubbing hard only adds irritation. Products with salicylic acid or retinoids, which loosen dead skin cells at the pore opening, are used, and we choose the right product with you during your examination.

  • 3D pore cross-section: a thin, pale sebum thread and vellus hair stand inside an open pore

    SEBACEOUS FILAMENT

    Sebaceous filaments

    A normal structure in which sebum fills the pore like a thin thread. They show easily on the nose, forehead, and chin as flat gray or light yellow dots spread evenly. Unlike blackheads, they have no plug blocking the pore.

    Even when squeezed out, they refill in about 30 days. Pulling them out often with pore strips or fingers dries and irritates the skin. They are not something to remove, but something to make less visible.

COMPARE

Which one is your
concern closer to?

Red, inflamed acneDM Inflamed Acne
Comedone · sebum concernsDM Acne & Pores
Raised red pimples, pimples with pus in the center, deep lumpsAppearanceSmall grain-like bumps, dark dots, faint dots set in every pore
Red. When pus forms, the center is white or yellow.ColorSkin-colored, white, gray, black
Painful when pressed, and may feel hot.To the touchRough, but usually not painful.
Higher with deeper inflammation, and with more squeezing or picking.Scar riskRelatively low, but not zero. Squeezing or picking raises it.
How deep the inflammation is, whether there are nodules or cysts, whether medical treatment is needed firstWhat to check firstWhether they are blackheads or sebaceous filaments, whether you use pore-clogging cosmetics

Both concerns often appear on the same face. An examination decides which care is right for you.

PROCESS

DM Acne & Pores
care process

Below is the general flow. We explain the actual plan after an examination.

  1. A woman touching the enlarged pores on her cheek beside her nose with a fingertip

    step 01

    Consultation · Skin check

    We look closely at where your comedones are, how many there are, and whether they are mixed with sebaceous filaments. We also ask about the cosmetics and medications you use and any recent laser treatments or peels. If you have many red, painful pimples, we may recommend medical treatment first.

  2. A care setup on a white tray: cotton pads, cotton swabs, a glass bowl of clear water, a light blue towel, and gloves, neatly arranged

    step 02

    Cleansing · Oil removal

    We wash off makeup and sebum with a gentle cleanser. Removing the shiny oil lets the pore openings show clearly.

  3. A gloved clinician gently wiping beside the nose of a patient lying down with a damp cotton pad

    step 03

    Clearing pore openings

    In this step, we clear clogged pore openings and built-up dead skin cells. We choose the method and intensity based on your skin, and explain them in detail after an examination.

  4. A clinician gently spreading a care product over a lying patient's face with both hands

    step 04

    Soothing · Moisturizing

    We calm redness and tightness in the cleared areas, then finish by replenishing moisture.

  5. A woman wearing a headband, eyes closed, washing her face with white foam at a bright bathroom sink

    step 05

    Home-care guidance

    We go over how often to cleanse, how to choose products that don't clog pores, and the habit of not touching your face. We also discuss when your next visit should be.

INFORMATION

Numbers to know
before your care

  • Session time40–60 min
    From cleansing to the final moisturizer
  • NumbingNo numbing
    You may feel pressure or a slight sting while pore openings are cleared
  • RecoveryRedness usually lasts up to 1 day
    Small red spots or scabs may remain on cleared areas for a few days
  • Daily lifeGentle cleansing the same evening
    Makeup from the next day. Skip saunas, hot rooms, and intense exercise for 1–2 days
  • IntervalEvery 2–4 weeks
    Extended to every 4–6 weeks once your skin settles
  • Sessions4–6 sessions
    Checking for changes usually takes 6–8 weeks

These are general guidelines and vary from person to person. DM Dermatology sets your care schedule after an examination.

Caution

Pore habits and
precautions after care

Comedones come back. Even after care, the habits you keep at home matter.

  1. 01
    Cleanse gently, morning and evening

    Wash in the morning and evening with a gentle foaming cleanser, and once more if you sweat from exercise. Hot water and scrubs irritate the skin around pores and can make them stand out more.

  2. 02
    Products that don't clog pores

    Choose cosmetics and sunscreens labeled “non-comedogenic” or “oil-free”. Remove all makeup before going to bed.

  3. 03
    Blot shine, don't rub

    If your face gets oily during the day, press a blotting paper lightly on it for a few seconds, then lift it off. Rubbing spreads the oil to other areas.

  4. 04
    Moisturize, even if oily

    Oily skin also needs a light moisturizer after cleansing. If skin gets too dry, it may produce more sebum.

  5. 05
    Don't squeeze; use pore strips only now and then

    Do not squeeze pores with your nails or extraction tools. Pore strips can also pull out sebaceous filaments and dry the skin, so do not use them often.

  6. 06
    Avoid irritation for a few days after care

    Pause scrubs, exfoliants, and retinol products for a few days. Do not decide on your own whether to pause prescribed medications; ask our medical staff. When you go out, be sure to apply sunscreen (SPF 30 or higher).

Side effects to know
  • Right after care, your face may turn red or feel hot and stinging. This usually settles within the day; in sensitive skin, it may last a day or two longer.
  • For a few days, your skin may feel tight and dry, or flake lightly. Reapply moisturizer often.
  • Small breakouts may briefly appear within 1–2 weeks after care. If they become red and pus-filled or last a long time, please let our clinic know.
  • Brown marks (post-inflammatory hyperpigmentation) may remain where the skin was irritated. They form more easily if your natural skin tone is darker or you were recently sunburned, so protect your skin carefully from UV light.
  • If an ingredient in a care product does not suit you, contact dermatitis can rarely occur. The skin may itch, turn red and bumpy, or swell. If you are allergic to any cosmetics or medications, please tell us in advance.
  • If extraction is part of the care, the extracted spots may stay red or form small scabs for a few days, and rarely bruise. Some contents may not come out completely, or the pores may refill over time.
  • Be sure to tell us if you are taking the acne medication isotretinoin or stopped it only recently. This medication makes skin thinner and drier, so the same care can cause more irritation.
  • Please tell us in advance if you are pregnant or breastfeeding. Some methods, such as salicylic acid peels, are not recommended during pregnancy. Please also tell us if you have a cold sore (herpes simplex) now, recently had a laser treatment or peel, or are using a retinoid (retinol, tretinoin, adapalene). In these cases, we move the care date back or adjust the method.

Even with the same care, how much difference shows depends on how much sebum you produce, the number and type of comedones, and your daily habits, so results vary from person to person.

Dr. Shin Young-ik, Medical Director, board-certified dermatologist

DM DOCTOR

A board-certified dermatologist as medical director
Personal diagnosis · Accountable care

Thorough care from a board-certified dermatologist with over 20 years of treating skin

At DM Dermatology, our medical director, a board-certified dermatologist, examines your skin in person and plans treatment around your concerns and daily life.

Dr. Shin Young-ik Medical Director · Board-Certified Dermatologist

  • M.S., Hanyang University College of Medicine
  • Adjunct Professor, Hanyang University
  • Full Member, Korean Dermatological Association
  • Clinical Fellowship in Dermatology, Jefferson Medical College (Thomas Jefferson University), USA

Care by a board-certified dermatologistPatients here are seen by a dermatologist certified by the Ministry of Health and Welfare

Meet our doctor

FAQ

01How can I tell blackheads from sebaceous filaments?

A blackhead is a plug blocking the pore opening, so its tip is dark and may look slightly raised. A sebaceous filament is a normal structure that sebum flows through, so it shows as gray or light yellow dots spread evenly over the nose and forehead. When pressed, a blackhead releases a dark plug, and a sebaceous filament releases a thin, thread-like bit of oil. Do not squeeze them to check for yourself; have them checked during an examination.

02Can I have nose blackheads extracted at a dermatology clinic?

The American Academy of Dermatology describes extraction by a dermatologist with sterile instruments when blackheads and whiteheads do not clear well with other care. Squeezing at home with your nails or tools can cause bacterial infection, inflammation, and scars. Extracted pores can also refill over time, so home care continues alongside. We will tell you after seeing your skin whether this care includes extracting comedones directly.

03Why do pores get larger?

When a lot of sebum comes out, it pushes pore openings apart so they look wider. Pores clogged with dead skin cells and sebum also stretch at the opening and stand out. When elasticity decreases with age or sun damage, pores can look saggy, and sex and inherited traits also play a part. A study of Korean adults also found larger or more numerous pores with more sebum and in men.

04Will pore care make my pores smaller?

Pores are the channels sebum leaves the skin through, and they do not disappear with care. When the plugs at the openings come out and less sebum is trapped, the same pores may look less noticeable. For pores that sag from lost elasticity, or for depressed areas such as scars, we also discuss other methods. How much difference shows varies from person to person.

05How do you care for tiny whitehead bumps?

Tiny bumps are closed comedones (whiteheads). Because the opening is covered, they don't come out easily when pressed, and squeezing them by force easily causes inflammation. First, switch to products that don't clog pores. Whether to use a topical medication that loosens dead skin cells at the opening is decided together during the examination. Topical medications usually take more than 1–2 months before changes show.

06How often should I get acne and pore care?

Usually, you first have 4–6 sessions, one every 2–4 weeks. After that, once your skin settles, you continue every 4–6 weeks. Making the interval too short can tire the skin and make it sensitive. Because comedones come back, care continues together with home care, and the number of sessions and the interval are decided together during the examination.

07Can I use nose strips or pore packs?

Nose strips use adhesive to pull out what is inside pores, so the skin looks clean for a short time. But the cause of clogged pores stays the same, so the effect does not last. They can also pull out sebaceous filaments, which can dry or irritate the skin. If you use them, use them only now and then, and avoid areas with wounds or red pimples.

08How many times a day should I wash oily skin?

The American Academy of Dermatology recommends washing no more than twice a day, morning and evening, and once more after sweating. Washing too often or using a harsh cleanser can irritate the skin and make shine worse. Use a gentle foaming cleanser, and apply an oil-free moisturizer after washing.

09How is pore care at a dermatology clinic different from care at a skin spa?

DM Dermatology is a medical institution. A doctor examines your comedones and acne and can decide whether medical treatment, such as prescription medication, is also needed. If tiny bumps have lasted for months or are mixed with red pimples, get an examination first.

10How can I get acne and pore care near Apgujeong or Sinsa?

DM Dermatology is on the 4th floor of the building at 158 Apgujeong-ro (Sinsa-dong). It is a 2-minute walk from Apgujeong Station (Line 3) Exit 5. When you book, we first check your comedones and sebum and the cosmetics and medications you use. Based on that, we tell you whether to start with this care or with medical treatment first.

CONSULTATION

Consultation comes first

Before any treatment is chosen, a board-certified dermatologist checks your skin in person.

DM Dermatology, 4F, 579-1 Sinsa-dong, Gangnam-gu, Seoul

From Apgujeong Station (Line 3) Exit 5, walk straight for 50 m. 4th floor of the A Twosome Place building

Weekdays
am 10:00 - pm 07:00
Saturday
am 10:00 - pm 04:30
Lunch break
pm 01:00 - pm 02:00
Sun & holidays
By appointment only
  • Subway

    3Apgujeong StationExit 5

    Walk straight for 50 m · 2 min on foot · 4th floor of the A Twosome Place building

  • Bus

    Apgujeong Station Exit 4 · Exit 32310523429

    Blue bus147 · 148 · 240 · 463 · 343Green bus4211

    Kwanglim Church · Hyundai High School2310323104

    Blue bus143 · 240 · 345 · 472Green bus3011 · 4312 · 4318

  • By car

    Search in your navigation app158 Apgujeong-ro, Gangnam-gu디엠피부과의원

    Use the building’s underground parking · Parking available in the building

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