Q: I have little bumps that all dermatologists I’ve seen have called moderate acne. If I use an extractor on some of them, something similar to a blackhead plug will come out. (Gross, I know.) Two aestheticians who have seen my skin have claimed this is not acne but “irritation”. How can it be irritation if I’m getting oil plugs out of some of these bumps?
A: It is hard for me to give a proper skin analysis without actually seeing the clients skin myself.
This condition you are experiencing does not sound like milia if you are able to successfully extract it. Milia is a very common skin condition I see often in clients of all ages where small, white cyst form usually around the eyes & cheeks of hardened sebum (oil) that gets trapped under the skin usually due to lack of exfoliation dry skin.
You did not specify where you are experiencing this on your skin. Is it all over your face or just in certain zones? Are you using proper skin care products for your skin care concerns and conditions from a skin care professional? It could very well be moderate acne or possibly cosmetic-related acne but I would need a more thorough consultation to provide proper relief. I do agree however that “irritation” would be a very vague analysis of your condition and if you do not suffer from allergies that should not be the problem. You are most likely experiencing congestion or clogging of the skin and need to get on the proper home care and professional treatments to clear and treat your skin.