Appearance of Acne

Open Comedones

Related terms · Blackheads · Black comedones

Open comedones are acne where the follicle opening is open and sebum and dead skin cells accumulate, making the surface appear black. This black color is different from accumulated dirt.

Reviewed by Korean Medicine Doctor Choi Yeon-seung · Last updated 2026-08-25

Overview

Open comedones: please check these three things first

  • Opencomedonescomedones are a type of acne where the follicle opening remains open, and sebum and dead skin cells accumulate, making the surface appear black. This black color is different from accumulated dirt.
  • closed-opening Closed comedonescomedones, and sebaceous filaments on the nose may appear more evenly distributed.
  • Do not extract them daily; please let us know if they turn into inflammation and the exfoliation ingredients you are currently using.

Meaning and Distinction

What are open comedones?

The contents appear dark as they come into contact with air, and they are common on the nose, forehead, and chin. Open comedones occur when the follicle opening remains open and Sebumsebum and dead skin cells accumulate, making the surface appear black. This black color is different from accumulated dirt.

Easily confused terms
They are different from closed comedones (where the opening is closed), and sebaceous filaments on the nose may appear more evenly distributed.
Why this is checked during medical evaluation
This is checked when determining the balance between comedone treatment and irritation management, rather than relying on harsh cleansing.
Information to prepare for your visit
Do not extract them daily; please let us know if they turn into inflammation and the exfoliating ingredients you are currently using.

More details

Connecting open comedones to my symptoms

The black color is not dirt, but sebum and dead skin cells that have changed due to contact with air

Because the follicle opening is open in open comedones, the contents appear black. This is not dirt that can be removed by scrubbing hard; severe irritation may only increase redness.

If they recur even after extraction, we examine the process of how the blockage occurs

Even if the current blackheads are cleared, they can fill up again if sebum production and follicular keratinization continue. We record the rate of new formation and the response to topical treatments rather than just the frequency of extraction.

Frequently Asked Questions

Common questions when looking into open comedones

Is a diagnosis determined by the term 'open comedones' alone?

They are different from closed comedones (where the opening is closed), and sebaceous filaments on the nose may appear more evenly distributed.

What should I note down before my appointment regarding open comedones?

This is checked when determining the balance between comedone treatment and irritation management, rather than relying on harsh cleansing. Do not extract them daily; please let us know if they turn into inflammation and the exfoliating ingredients you are currently using.

Acne Glossary

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Evidence and Update Information

The following materials were referenced to verify the basis and scope of the definitions and treatment descriptions.

  1. AAD: Acne overview
Summary and review information for this page

Reviewing Medical Staff

Choi Yeon-seung, Doctor of Korean MedicineChief Director · Editor of Korean Medicine Atlas · BRC Researcher

Page Summary

Open comedones are acne where the follicle opening is open and sebum and dead skin cells accumulate, making the surface appear black. This black color is different from accumulated dirt.

What this page covers

What is explained
What should be checked first regarding the definition of open comedones?
What situations are covered
The contents are exposed to air and appear dark; they are common on the nose, forehead, and chin.
What distinctions are made
Difference from similar terms: They differ from closed comedones, where the opening is closed, and sebaceous filaments on the nose may appear more uniform.
How should this be understood
The black color is different from accumulated dirt.

Key Points

  • Definition of open comedones: The contents are exposed to air and appear dark; they are common on the nose, forehead, and chin.
  • Difference from similar terms: They differ from closed comedones, where the opening is closed, and sebaceous filaments on the nose may appear more uniform.
  • Reason for checking during medical evaluation: This is checked to determine the balance between comedone treatment and irritation management, rather than relying on aggressive cleansing.

References cited on this page

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