What Causes Blackheads? How Pores Become Congested

Thea Christie

Written By

Thea Christie, December 23, 2025

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Blackheads

Blackheads show up uninvited on nearly everyone's face at some point, stubbornly refusing to budge no matter how much you wash. 

Here's the thing: Scrubbing harder won't help. Those dark spots aren't dirt, and they're not a sign you need to cleanse more often. What you're seeing is actually a chemical reaction happening right on your skin's surface. 

Key Takeaways

  • Oxidation, Not Dirt: Blackheads are open comedones that turn dark due to oxidation. When trapped sebum (oil) and dead skin cells are exposed to oxygen at the skin's surface, a chemical reaction occurs that darkens the material; the color is not a result of poor hygiene or dirt.
  • Biological Triple Threat: Formation is driven by three converging internal processes: increased sebum production (excess oil), disrupted skin cell shedding (dead cells sticking together) and follicular hyperkeratinization (an overproduction of keratin that creates a dense plug within the pore).
  • Pore Architecture & Location: Blackheads primarily occur in areas with a high concentration of sebaceous glands, such as the nose. They remain "open" at the surface, allowing oxygen to reach the plug, unlike whiteheads (closed comedones) which are sealed under a layer of skin.

What Are Blackheads? 

Blackheads form when oil and dead skin cells accumulate within open pores. The characteristic dark appearance results from oxidation. When this mixture is exposed to air, it darkens.  

Each pore connects to a hair follicle containing a sebaceous gland that produces sebum, the skin's natural oil that maintains hydration and barrier function. During the skin's normal renewal cycle, dead cells are shed and travel through pores along with sebum. Sometimes this combination becomes trapped and visible at the pore opening. 

blackheads

What Causes Blackheads? 

Blackheads are a type of open comedone, a term used in dermatology to describe pores that are filled with sebum and dead skin cells and remain open at the surface of the skin. When this material is exposed to air at the skin’s surface, it undergoes oxidation, which darkens the pore and creates the appearance known as a blackhead. 

Each pore is an opening to a hair follicle that contains a sebaceous gland. These glands produce sebum, an oil that supports the skin barrier and helps maintain flexibility. As the skin naturally renews, dead skin cells shed and move through the pore along with sebum. When this mixture accumulates and remains at the surface of an open pore, it becomes visible. 

Several factors influence blackhead formation, including sebum production levels, the rate of skin cell turnover and individual pore architecture. To understand why some pores become clogged while others stay clear, we need to look at what's happening beneath the surface. 

What Causes Blackheads at a Biological Level 

Blackheads form when several biological processes converge inside the hair follicle. These processes determine how oil is produced, how skin cells shed and how material behaves at the pore opening. 

Increased Sebum Production 

Sebaceous glands produce sebum to support the skin barrier. When sebum production increases, more oil accumulates within the follicle and moves toward the skin's surface. This excess oil combines with shed skin cells and becomes trapped at the pore opening. Elevated sebum availability is one of the primary biological drivers of blackhead formation. 

Disrupted Skin Cell Shedding 

Skin cells lining the follicle normally shed and move upward during renewal. When this process slows or becomes irregular, cells accumulate inside the pore instead of being cleared away. These retained cells are rich in keratin. They mix with sebum to form a dense plug that sits near the pore surface and creates visible congestion. 

Follicular Hyperkeratinization 

Follicular hyperkeratinization describes an overproduction of keratinized cells inside the follicle. Dermatology research identifies this as a central mechanism in comedone formation. As these cells build up, they thicken the material inside the pore. In blackheads, this plug remains exposed at the surface rather than being sealed beneath the skin. 

Open Pore Structure 

Blackheads develop in pores that remain open at the surface, which makes the follicle contents visible. This open structure also allows oxygen to interact with the material inside. 

Oxidation of Pore Contents 

When oxygen reaches the plug, it triggers oxidation of lipids and melanin within the trapped material. This chemical reaction darkens the surface and creates the signature black appearance. The color comes from oxidation, not dirt. 

Follicular Microenvironment 

The hair follicle contains a natural microbial ecosystem that interacts with sebum and dead cells. Shifts in this environment influence how material accumulates and persists within the pore. Though blackheads are noninflammatory, microbial activity still shapes the conditions that allow congestion to develop. 

Most Commonly Asked Questions About Blackheads 

What causes blackheads? 

Blackheads are caused by a buildup of oil and dead skin cells inside open pores. When this material reaches the surface of the skin, exposure to air leads to oxidation, which darkens the pore contents and makes them visible. 

Are blackheads caused by dirt or poor skin care? 

Blackheads are not caused by dirt. They form due to internal skin processes such as oil production and skin cell turnover. Surface cleanliness does not prevent the biological buildup that leads to blackheads. 

Why do blackheads appear mostly on the nose? 

The nose contains a high concentration of sebaceous glands. Increased oil flow in this area raises the likelihood that pores will collect oil and shed skin cells, leading to visible blackheads. 

Are blackheads a type of acne? 

Blackheads are classified as noninflammatory acne lesions known as open comedones. They do not involve redness or swelling and develop differently from inflamed acne lesions. 

Can hormones cause blackheads? 

Hormonal changes can influence sebum production. When oil output increases, pores are more likely to retain buildup that contributes to blackhead formation. 

Why do blackheads keep coming back? 

Blackheads often reappear in the same areas because pore structure, oil production and skin cell behavior tend to remain consistent over time. These factors make certain zones more prone to repeated congestion. 

Are blackheads the same as sebaceous filaments? 

Sebaceous filaments are a normal feature of pores that help move oil to the surface. Blackheads form when oil and skin cells accumulate and oxidize at the pore opening, creating visible congestion. 

Can blackheads appear on parts of the body other than the face? 

Blackheads can appear anywhere sebaceous glands are present, including the chest, back and shoulders, though they are most common on the face. 

Do blackheads go away on their own? 

Some blackheads may become less visible as skin naturally sheds and oil flow changes. Persistent blackheads often reflect ongoing biological patterns within the pore. 

Can skin care ingredients help reduce blackheads? 

Ingredients that support skin cell turnover and oil balance are commonly used to improve the appearance of blackheads when incorporated into a consistent routine. 

Want personalized advice for managing blackheads? Visit your nearest Eminence Organic Spa Partner for a professional skin consultation and treatment recommendations tailored to your skin. 

 

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