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Acne is a part of most people's lives, and it can lead to whiteheads, blackheads, and pimples. Blackheads occur when the follicles in your skin, or pores, become clogged with debris and built-up sebum, an oil produced naturally by your body. They're called "blackheads" because they are open comedones, meaning the debris and oil clogging your pore is open to the air. This turns black when it oxidizes (is exposed to oxygen), but it isn't dirt.<ref>http://www.healthline.com/symptom/blackhead</ref> Even if you have sensitive skin, you can still work to treat your blackheads. You can also prevent them in the future by following certain strategies.
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Acne is a part of most people's lives, and it can lead to whiteheads, blackheads, and pimples. Blackheads occur when the follicles in your skin, or pores, become clogged with debris and built-up sebum, an oil produced naturally by your body. They're called "blackheads" because they are open comedones, meaning the debris and oil clogging your pore is open to the air. This turns black when it oxidizes (is exposed to oxygen), but it isn't dirt.<ref name="rf1">http://www.healthline.com/symptom/blackhead</ref> Even if you have sensitive skin, you can still work to treat your blackheads. You can also prevent them in the future by following certain strategies.
 
[[Category:Acne]]
 
[[Category:Acne]]
 
== Steps ==
 
== Steps ==
 
=== Clearing Up Breakouts ===
 
=== Clearing Up Breakouts ===
#Try salicylic acid. Though this type of acid may cause you to have a reaction if your skin is sensitive, it's the best over-the-counter cleaner for whiteheads and blackheads. It treats blackheads by reducing swelling and unclogging blocked pores.<ref>http://www.nlm.nih.gov/medlineplus/druginfo/meds/a607072.html</ref> Try looking for a foaming cleanser with this product in it.<ref>http://www.teenvogue.com/story/salicylic-acid-versus-benzoyl-peroxide</ref> You can also apply it as a cream, gel, or ointment.<ref>http://www.nlm.nih.gov/medlineplus/druginfo/meds/a607072.html</ref>
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#Try salicylic acid. Though this type of acid may cause you to have a reaction if your skin is sensitive, it's the best over-the-counter cleaner for whiteheads and blackheads. It treats blackheads by reducing swelling and unclogging blocked pores.<ref name="rf2">http://www.nlm.nih.gov/medlineplus/druginfo/meds/a607072.html</ref> Try looking for a foaming cleanser with this product in it.<ref name="rf3">http://www.teenvogue.com/story/salicylic-acid-versus-benzoyl-peroxide</ref> You can also apply it as a cream, gel, or ointment.<ref name="rf2" />
 
#* Because your skin is sensitive, test it on a small area of your face first. If you break out or itch, move on to another product.  
 
#* Because your skin is sensitive, test it on a small area of your face first. If you break out or itch, move on to another product.  
#*Salicylic acid may make your skin more dry or irritated, especially when you first start using it. Try using it only in small amounts, and increase the amount you use as your skin adjusts.<ref>http://www.nlm.nih.gov/medlineplus/druginfo/meds/a607072.html</ref>
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#*Salicylic acid may make your skin more dry or irritated, especially when you first start using it. Try using it only in small amounts, and increase the amount you use as your skin adjusts.<ref name="rf2" />
#* Use the cleanser once or twice a day. Use your cleanser with salicylic acid to cleanse your face while you're having a break out.<ref>http://www.totalbeauty.com/content/gallery/blackhead-guide/p71322/page3</ref> Splash water on your face first, then rub the cleanser in. You can use a washcloth if you do it gently but don't scrub too hard. Wash the soap off, and dry your face off.  
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#* Use the cleanser once or twice a day. Use your cleanser with salicylic acid to cleanse your face while you're having a break out.<ref name="rf4">http://www.totalbeauty.com/content/gallery/blackhead-guide/p71322/page3</ref> Splash water on your face first, then rub the cleanser in. You can use a washcloth if you do it gently but don't scrub too hard. Wash the soap off, and dry your face off.  
#Try baking soda. If you reacted to salicylic acid, try baking soda instead. The main reason baking soda works is because it acts as an exfoliant, cleaning away dried, dead skin that clogs your pores. However, this treatment can dry out your skin if you use it too much, so don't use it every day.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#Try baking soda. If you reacted to salicylic acid, try baking soda instead. The main reason baking soda works is because it acts as an exfoliant, cleaning away dried, dead skin that clogs your pores. However, this treatment can dry out your skin if you use it too much, so don't use it every day.<ref name="rf5">http://everydayroots.com/blackhead-remedies</ref>
#* Mix a little with water until you have a paste. Rub it into your skin.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#* Mix a little with water until you have a paste. Rub it into your skin.<ref name="rf5" />
#* Wash off the mixture once you've thoroughly rubbed it in.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#* Wash off the mixture once you've thoroughly rubbed it in.<ref name="rf5" />
#Use a honey-cinnamon cleanser. Another natural cure some people have had luck with is a raw honey-cinnamon mixture. Honey and cinnamon both have natural antibacterial properties, so they may help kill off skin bacteria responsible for breakouts.<ref>http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609166/</ref><ref>http://www.ncbi.nlm.nih.gov/pubmed/17567030</ref> Simply combine equal parts of raw honey and cinnamon powder or a few drops of cinnamon oil. Gently rub it onto your face. Once you've thoroughly rubbed it in, cover it with a light cotton strip or a thick paper towel. Leave it for about 5 minutes before pulling the strip off and rinsing.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#Use a honey-cinnamon cleanser. Another natural cure some people have had luck with is a raw honey-cinnamon mixture. Honey and cinnamon both have natural antibacterial properties, so they may help kill off skin bacteria responsible for breakouts.<ref name="rf6">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609166/</ref><ref name="rf7">http://www.ncbi.nlm.nih.gov/pubmed/17567030</ref> Simply combine equal parts of raw honey and cinnamon powder or a few drops of cinnamon oil. Gently rub it onto your face. Once you've thoroughly rubbed it in, cover it with a light cotton strip or a thick paper towel. Leave it for about 5 minutes before pulling the strip off and rinsing.<ref name="rf5" />
#* The honey will help clear bacteria, as well as act as light glue that pulls up blackheads.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#* The honey will help clear bacteria, as well as act as light glue that pulls up blackheads.<ref name="rf5" />
#* Cinnamon encourages a healthy glow, as it increases blood flow to your face.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#* Cinnamon encourages a healthy glow, as it increases blood flow to your face.<ref name="rf5" />
#Try steam. This method is a common one to help reduce the appearance of blackheads. Simply pour boiling water into a bowl. Lay a towel over your head and the bowl, so the steam is concentrated on your face for about 10 minutes. The steam will soften up the dirt in the blackheads, so gently wash your face with warm water after you steam it.<ref>http://everydayroots.com/blackhead-remedies</ref>
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#Try steam. This method is a common one to help reduce the appearance of blackheads. Simply pour boiling water into a bowl. Lay a towel over your head and the bowl, so the steam is concentrated on your face for about 10 minutes. The steam will soften up the dirt in the blackheads, so gently wash your face with warm water after you steam it.<ref name="rf5" />
#*You can add an antibacterial essential oil to help add punch to the steam cleanser. Lavender, thyme, peppermint, and calendula have antiseptic properties.<ref>Kamatou GP, Vermaak I, Viljoen AM, Lawrence BM., Menthol: a simple monoterpene with remarkable biological properties.Phytochemistry. 2013 Dec;96:15-25</ref><ref>Efstratiou E, Hussain AI, Nigam PS, Moore JE, Ayub MA, Rao JR.Antimicrobial activity of Calendula officinalis petal extracts against fungi, as well as Gram-negative and Gram-positive clinical pathogens.Complement Ther Clin Pract. 2012 Aug;18(3):173-6.</ref><ref>Sienkiewicz M, Głowacka A, Kowalczyk E, Wiktorowska-Owczarek A, Jóźwiak-Bębenista M, Łysakowska M.The biological activities of cinnamon, geranium and lavender essential oils. Molecules. 2014 Dec 12;19(12):20929-40.</ref>
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#*You can add an antibacterial essential oil to help add punch to the steam cleanser. Lavender, thyme, peppermint, and calendula have antiseptic properties.<ref name="rf8">Kamatou GP, Vermaak I, Viljoen AM, Lawrence BM., Menthol: a simple monoterpene with remarkable biological properties.Phytochemistry. 2013 Dec;96:15-25</ref><ref name="rf9">Efstratiou E, Hussain AI, Nigam PS, Moore JE, Ayub MA, Rao JR.Antimicrobial activity of Calendula officinalis petal extracts against fungi, as well as Gram-negative and Gram-positive clinical pathogens.Complement Ther Clin Pract. 2012 Aug;18(3):173-6.</ref><ref name="rf10">Sienkiewicz M, Głowacka A, Kowalczyk E, Wiktorowska-Owczarek A, Jóźwiak-Bębenista M, Łysakowska M.The biological activities of cinnamon, geranium and lavender essential oils. Molecules. 2014 Dec 12;19(12):20929-40.</ref>
#Use a moisturizer. Though it may seem counter-intuitive since you're trying to avoid clogged pores, moisturizers keep your skin hydrated. The key is to skip ones with oil in them, as that can clog your pores.<ref>http://www.totalbeauty.com/content/gallery/blackhead-guide/p71402/page6</ref>
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#Use a moisturizer. Though it may seem counter-intuitive since you're trying to avoid clogged pores, moisturizers keep your skin hydrated. The key is to skip ones with oil in them, as that can clog your pores.<ref name="rf11">http://www.totalbeauty.com/content/gallery/blackhead-guide/p71402/page6</ref>
 
#*Look for labels that say "non-comedogenic," "oil-free," or "non-acnegenic."  
 
#*Look for labels that say "non-comedogenic," "oil-free," or "non-acnegenic."  
  
 
=== Using Everyday Steps to Combat Blackheads ===
 
=== Using Everyday Steps to Combat Blackheads ===
#Pick a gentle cleanser to use between breakouts. When your face isn't broken out, cut back on the acne cleanser. For your daily face wash, you can use a gentle soap that moisturizes. Some examples of this type of soap include Dove, Basics, and Neutrogena.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref>
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#Pick a gentle cleanser to use between breakouts. When your face isn't broken out, cut back on the acne cleanser. For your daily face wash, you can use a gentle soap that moisturizes. Some examples of this type of soap include Dove, Basics, and Neutrogena.<ref name="rf12">http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref>
#*Avoid any product that contain alcohol, especially if you're using salicylic acid. This will dry out your skin and could cause redness and inflammation.<ref>http://www.nlm.nih.gov/medlineplus/druginfo/meds/a607072.html</ref>
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#*Avoid any product that contain alcohol, especially if you're using salicylic acid. This will dry out your skin and could cause redness and inflammation.<ref name="rf2" />
 
#*If you tend to get frequent breakouts and your skin doesn't appear to react negatively to the acne cleanser, continue to use it daily to help prevent further breakouts.
 
#*If you tend to get frequent breakouts and your skin doesn't appear to react negatively to the acne cleanser, continue to use it daily to help prevent further breakouts.
#Wash your face every day. Wash your face once in the morning and once at night using a gentle cleanser. However, don't wash your face more than twice a day, as that can make your acne worse.<ref>http://www.girlshealth.gov/body/grooming/acne.html</ref>
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#Wash your face every day. Wash your face once in the morning and once at night using a gentle cleanser. However, don't wash your face more than twice a day, as that can make your acne worse.<ref name="rf13">http://www.girlshealth.gov/body/grooming/acne.html</ref>
#*If you sweat heavily or exercise, wash your face after you're finished. Using antibacterial washes is unnecessary and does not appear to have any benefit.<ref>http://www.merckmanuals.com/professional/dermatologic-disorders/acne-and-related-disorders/acne-vulgaris</ref>
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#*If you sweat heavily or exercise, wash your face after you're finished. Using antibacterial washes is unnecessary and does not appear to have any benefit.<ref name="rf14">http://www.merckmanuals.com/professional/dermatologic-disorders/acne-and-related-disorders/acne-vulgaris</ref>
#*Avoid the temptation to exfoliate or use cleansers with "scrubbing beads" etc. These may actually irritate your skin further, and could leave it discolored or scarred.<ref>https://www.aad.org/dermatology-a-to-z/for-kids/about-skin/acne-pimples-and-zits/different-kinds-of-pimples</ref>
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#*Avoid the temptation to exfoliate or use cleansers with "scrubbing beads" etc. These may actually irritate your skin further, and could leave it discolored or scarred.<ref name="rf15">https://www.aad.org/dermatology-a-to-z/for-kids/about-skin/acne-pimples-and-zits/different-kinds-of-pimples</ref>
#Take your makeup off. It may be tempting to leave your makeup on at the end of the day, but be sure you take all of your makeup off before going to bed. Makeup can lead to clogged pores, which leads to blackheads.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref>
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#Take your makeup off. It may be tempting to leave your makeup on at the end of the day, but be sure you take all of your makeup off before going to bed. Makeup can lead to clogged pores, which leads to blackheads.<ref name="rf12" />
#Check for the word "noncomedogenic." You'll find this word on certain skincare and makeup products. Basically, all it means is it has been proven to not clog pores. That in turn means that you won't get as many blackheads, at least ones caused by your skincare routines.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref> For instance, the Simple brand makes noncomedogenic products,<ref>http://www.simpleskincare.com/about-us</ref> as does Cetaphil, such as their moisturizing lotion.<ref>http://www.cetaphil.com/moisturizing-lotion</ref>
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#Check for the word "noncomedogenic." You'll find this word on certain skincare and makeup products. Basically, all it means is it has been proven to not clog pores. That in turn means that you won't get as many blackheads, at least ones caused by your skincare routines.<ref name="rf12" /> For instance, the Simple brand makes noncomedogenic products,<ref name="rf16">http://www.simpleskincare.com/about-us</ref> as does Cetaphil, such as their moisturizing lotion.<ref name="rf17">http://www.cetaphil.com/moisturizing-lotion</ref>
#Keep hair oil away from your face. If you have especially oily hair, tie your hair back. The oils from your hair can can get on your face, just like oil from your hands or fingers.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref>
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#Keep hair oil away from your face. If you have especially oily hair, tie your hair back. The oils from your hair can can get on your face, just like oil from your hands or fingers.<ref name="rf12" />
#* In addition, wash your hair regularly, especially if your hair tends to have extra oils.<ref>http://www.girlshealth.gov/body/grooming/acne.html</ref>
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#* In addition, wash your hair regularly, especially if your hair tends to have extra oils.<ref name="rf13" />
#* The oil in you hair can get on your face, leading to more blackheads.<ref>http://www.girlshealth.gov/body/grooming/acne.html</ref>
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#* The oil in you hair can get on your face, leading to more blackheads.<ref name="rf13" />
#Lower your stress level.<ref>http://www.mayoclinic.org/diseases-conditions/acne/basics/causes/con-20020580</ref> Stress can contribute to acne because it temporarily increases the production of testosterone. In turn, testosterone can trigger acne.<ref>http://www.totalbeauty.com/content/gallery/blackhead-guide</ref>
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#Lower your stress level.<ref name="rf18">http://www.mayoclinic.org/diseases-conditions/acne/basics/causes/con-20020580</ref> Stress can contribute to acne because it temporarily increases the production of testosterone. In turn, testosterone can trigger acne.<ref name="rf19">http://www.totalbeauty.com/content/gallery/blackhead-guide</ref>
#* For instance, you can try relaxing each group of muscles in turn. Close your eyes. Moving around your body, consciously tighten and relax each group of muscles one by one. This technique will help you feel more relaxed overall.<ref>http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368?pg=2</ref>
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#* For instance, you can try relaxing each group of muscles in turn. Close your eyes. Moving around your body, consciously tighten and relax each group of muscles one by one. This technique will help you feel more relaxed overall.<ref name="rf20">http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368?pg=2</ref>
#* You can also try focusing on breathing.<ref>http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368?pg=2</ref> Take a moment to close your eyes. Breathe in deeply through your nose, counting to 4. Breathe out through your mouth until you reach 4 again. Keep focusing on your breaths until you feel yourself calm down.<ref>http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368?pg=2</ref>
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#* You can also try focusing on breathing.<ref name="rf20" /> Take a moment to close your eyes. Breathe in deeply through your nose, counting to 4. Breathe out through your mouth until you reach 4 again. Keep focusing on your breaths until you feel yourself calm down.<ref name="rf20" />
  
 
=== Knowing What to Avoid ===
 
=== Knowing What to Avoid ===
#Do not scrub or exfoliate your face. Although products may claim to "remove dead skin" or provide other benefits, scrubbing or exfoliating your face can actually make blackheads worse by irritating and inflaming your skin. Don't use abrasive scrubbers or cloths, don't scrub your face harshly, and don't use exfoliating cleansers.<ref>https://www.aad.org/dermatology-a-to-z/for-kids/about-skin/acne-pimples-and-zits/different-kinds-of-pimples</ref>
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#Do not scrub or exfoliate your face. Although products may claim to "remove dead skin" or provide other benefits, scrubbing or exfoliating your face can actually make blackheads worse by irritating and inflaming your skin. Don't use abrasive scrubbers or cloths, don't scrub your face harshly, and don't use exfoliating cleansers.<ref name="rf15" />
#Do not squeeze the blackheads. You may be tempted to squeeze your blackheads to make them go away. Don't do it. Popping, picking, or squeezing blackheads, with your fingers or with an at-home tool, can drive debris further into your skin. It can also spread infection around and even cause scarring.<ref>http://www.mayoclinic.org/diseases-conditions/acne/basics/lifestyle-home-remedies/con-20020580</ref>
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#Do not squeeze the blackheads. You may be tempted to squeeze your blackheads to make them go away. Don't do it. Popping, picking, or squeezing blackheads, with your fingers or with an at-home tool, can drive debris further into your skin. It can also spread infection around and even cause scarring.<ref name="rf21">http://www.mayoclinic.org/diseases-conditions/acne/basics/lifestyle-home-remedies/con-20020580</ref>
#*If your blackheads really bother you, consider seeing a dermatologist. A dermatologist can safely extract your blackheads using a professional tool.<ref>https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/a---d/acne/diagnosis-treatment</ref>
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#*If your blackheads really bother you, consider seeing a dermatologist. A dermatologist can safely extract your blackheads using a professional tool.<ref name="rf22">https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/a---d/acne/diagnosis-treatment</ref>
#Reconsider pore strips. Though they may seem to help, they may actually make things worse if you have sensitive skin. The adhesion may irritate your skin. Furthermore, the strip may only get at the surface layer of the blackhead, and not remove the full clog underneath. It's fine to use them occasionally, but if you notice that they irritate your skin, it won't hurt to stop using them.<ref>http://www.practicalskintuition.com/just-the-faqs-do-pore-strips-work/</ref>
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#Reconsider pore strips. Though they may seem to help, they may actually make things worse if you have sensitive skin. The adhesion may irritate your skin. Furthermore, the strip may only get at the surface layer of the blackhead, and not remove the full clog underneath. It's fine to use them occasionally, but if you notice that they irritate your skin, it won't hurt to stop using them.<ref name="rf23">http://www.practicalskintuition.com/just-the-faqs-do-pore-strips-work/</ref>
#Ensure your pillow isn't oily. You can get a build up of oil on your pillows. In turn, those oils can get on your face and clog your pores. Try to wash your pillowcases at least once a week.<ref>http://www.annmariegianni.com/how-to-get-rid-of-blackheads/</ref>
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#Ensure your pillow isn't oily. You can get a build up of oil on your pillows. In turn, those oils can get on your face and clog your pores. Try to wash your pillowcases at least once a week.<ref name="rf24">http://www.annmariegianni.com/how-to-get-rid-of-blackheads/</ref>
#Skip tight hats. Tight hats can hold oils on to skin. Your pores become clogged due to oils and dead skin, so if your hats are too tight, they can lead to blackheads.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref>
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#Skip tight hats. Tight hats can hold oils on to skin. Your pores become clogged due to oils and dead skin, so if your hats are too tight, they can lead to blackheads.<ref name="rf12" />
#Avoid sugar-rich foods. Though experts don't agree 100 percent on what foods trigger acne, most agree that foods that are high in sugar and carbohydrates contribute to the problem, as well as dairy products. That includes foods such as white bread and potato chips. Try to lower your intake of these foods to reduce your acne problem.<ref>http://www.mayoclinic.org/diseases-conditions/acne/basics/causes/con-20020580</ref>
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#Avoid sugar-rich foods. Though experts don't agree 100 percent on what foods trigger acne, most agree that foods that are high in sugar and carbohydrates contribute to the problem, as well as dairy products. That includes foods such as white bread and potato chips. Try to lower your intake of these foods to reduce your acne problem.<ref name="rf18" />
#*Although you should still make sure you get plenty of calcium, if you have a persistent problem with acne, moderating your milk consumption may help reduce your issues.<ref>http://www.merckmanuals.com/professional/dermatologic-disorders/acne-and-related-disorders/acne-vulgaris</ref>
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#*Although you should still make sure you get plenty of calcium, if you have a persistent problem with acne, moderating your milk consumption may help reduce your issues.<ref name="rf14" />
#Try not to touch your face. Touching your face introduces oils and bacteria to your face.<ref>http://www.nlm.nih.gov/medlineplus/ency/article/000873.htm</ref> You can also leave dirt on your face. All of these can lead to more acne and blackheads.
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#Try not to touch your face. Touching your face introduces oils and bacteria to your face.<ref name="rf12" /> You can also leave dirt on your face. All of these can lead to more acne and blackheads.
 
#*Clean your cell phone frequently. The screen holds on to oils and dirt from your face, which can get transferred back into your pores and become blackheads.
 
#*Clean your cell phone frequently. The screen holds on to oils and dirt from your face, which can get transferred back into your pores and become blackheads.
 
#See your doctor if treatments don't work or your acne is moderate or severe. You don't have to just hope that treatments work on your blackheads. If you've been treating your blackheads for two weeks and haven't seen any improvement, see your doctor or ask about seeing a dermatologist.
 
#See your doctor if treatments don't work or your acne is moderate or severe. You don't have to just hope that treatments work on your blackheads. If you've been treating your blackheads for two weeks and haven't seen any improvement, see your doctor or ask about seeing a dermatologist.
#*You should also see a dermatologist if you have moderate or severe acne. Moderate acne is between 20-100 comedones (whiteheads or blackheads), or 15-50 pimples. Severe acne is more than 5 cysts (an inflamed, swollen type of acne), more than 100 comedones, or more than 50 pimples.<ref>http://www.merckmanuals.com/professional/dermatologic-disorders/acne-and-related-disorders/acne-vulgaris</ref>
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#*You should also see a dermatologist if you have moderate or severe acne. Moderate acne is between 20-100 comedones (whiteheads or blackheads), or 15-50 pimples. Severe acne is more than 5 cysts (an inflamed, swollen type of acne), more than 100 comedones, or more than 50 pimples.<ref name="rf14" />
 
== Tips ==
 
== Tips ==
* Though it was long thought that greasy foods contributed to acne, many experts today agree that these foods do not contribute to the problem.<ref>http://www.mayoclinic.org/diseases-conditions/acne/basics/causes/con-20020580</ref>
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* Though it was long thought that greasy foods contributed to acne, many experts today agree that these foods do not contribute to the problem.<ref name="rf18" />
  
 
== Video ==
 
== Video ==