How to get rid of blackheads on your nose
The nose is the most common place for blackheads. How to clear them with adapalene and gentle care, what to skip, and how to tell them from sebaceous filaments.

By Nick, Founder of Skinli. Not a doctor. General education only.
Part of the Blackheads and whiteheads, which puts every step in order.
The nose collects more blackheads than any other part of the face. A 2025 study in the Journal of Cosmetic Dermatology put it plainly: "The nose is the most common and prominent site for blackhead formation." The same study says some people try to remove them at home by squeezing the nose or using peel-off masks, which can make things worse. This guide explains why they form on the nose, how to tell them from the normal oil plugs that look alike, and a plan that clears them without damaging the skin. For blackheads anywhere on the body, see the hub guide, how to get rid of blackheads.
Why the nose gets so many blackheads
A blackhead is a pore filled with oil and dead skin cells that stays open at the top. The American Academy of Dermatology (AAD) says that as this buildup grows, "it widens the opening of the pore and you see a blackhead." The top turns dark when it reacts with oxygen in the air. The guide what causes blackheads explains the process in full.
The 2025 study treated 42 adults who had nose blackheads. Its authors list three main reasons blackheads form on the nose: "excessive sebum production, reduced skin elasticity around the pores, and increased hair follicle volume." Sebum is the skin's natural oil. Skin elasticity is how firm and springy the skin is.
The same study sorted nose blackheads into four types:
| Type | What the study describes |
|---|---|
| Lipid filament type | Oil and dead cells that block the pore and darken in air. Squeezed out, it looks yellowish-white and soft. |
| Keratin plug type | A denser, harder plug that forms when oil and cells stay in the pore a long time. Often comes with a larger pore. |
| Pore enlargement type | Pores that have widened over time from too much oil or harsh removal methods. |
| Vellus hair type | Oil and cells that gather around the fine hairs in the pore, making the hairs easier to see. |
In that study, which tested a light treatment given by doctors, the keratin plug type improved the most and the fine hair type improved the least. Some dark dots are firm plugs that can be loosened. Others are widened pores that show even when empty.
Blackheads or sebaceous filaments?
Some dots on the nose are sebaceous filaments. In 1976, researchers writing in Archives of Dermatological Research described these as "cylindrical tubes of whitish-yellowish color" that are "most commonly found in the centrofacial areas and the alae nasae," which are the sides of the nose, in people past puberty with large pores and oily skin. They called them "a common morphological variant of sebaceous follicles," meaning a normal form that oily pores can take.
Telling the two apart by eye can be hard. The same study says filaments "should be differentiated from a microcomedo," a clog too small to see, so doctors treat them as separate things. It also found that after a filament is squeezed out, "the follicle refills within 30 days." The guide sebaceous filaments covers them in full.
A plan that clears nose blackheads
The AAD's page on acne types gives the treatment for blackheads: "To unclog pores, dermatologists recommend using a retinoid. You can buy one retinoid, adapalene, without a prescription. You'll also want to use a benzoyl peroxide wash."
- Wash gently, twice a day. The AAD's face washing page says to use lukewarm water and your fingertips. "Using a washcloth, mesh sponge, or anything other than your fingertips can irritate your skin."
- Apply adapalene 0.1 percent once a day. The label says to "cover the entire affected area with a thin layer." On the nose, that means the tip, both sides and the skin where the nose meets the cheeks. Keep it away from the eyes, lips and mouth.
- Start slowly. Skinli's photo plan starts adapalene every other night for two weeks. The label warns that acne "may appear to worsen before it improves" in the early weeks, and that redness, dryness and burning are more likely at first.
- Add a benzoyl peroxide wash if you also get pimples. The AAD's adult acne page suggests starting at 2.5 percent.
- Moisturize and use sunscreen. Choose products labeled non-comedogenic, which means they will not clog pores. The adapalene label says to use sunscreen outdoors.
- Give it time. The AAD says to give treatment six to eight weeks. The adapalene label says results may take up to 3 months of daily use.
Salicylic acid is the other option sold without a prescription. The AAD says it "works best on whiteheads and blackheads" because it unclogs pores and exfoliates the skin. The AAD's page on pores says "Some cleansers containing salicylic acid are gentle enough to use every day." Use one pore-clearing product at a time, because the adapalene label says irritation is more likely when you use more than one acne medicine on the skin. The guides salicylic acid for blackheads and adapalene for blackheads and whiteheads compare the two.
What to skip
- Scrubbing. The AAD says the black dots "aren't dirt, so resist scrubbing. It will only worsen your acne."
- Hot water. The AAD says "Hot water can irritate your skin, causing pores to look larger."
- Toothpaste. The AAD's adult acne page says toothpaste contains abrasive ingredients, whitening agents, color and flavor, and "None of these ingredients fight acne, but they can irritate or harm your skin."
- Squeezing. The AAD says "squeezing a blackhead can cause an infection or permanent scar." The 2025 study says squeezing the nose at home can result in "skin infections, further pore dilation, and capillary damage." Capillaries are the tiny blood vessels near the surface.
- Peel-off masks. The same study lists peel-off masks with squeezing as home methods that can make nose blackheads worse. The guide pore strips for blackheads looks at what strips remove and what they leave behind.
- Metal tools at home. The guide comedone extractors explains the risks of using them yourself.
Why nose pores look bigger
Clogged pores look larger. The AAD says "When pores clog, they expand, which can make your pores look more noticeable." It adds that "Picking at, squeezing, or digging into your pores can also irritate your skin, making pores look more noticeable," and that pores look larger as skin loses firmness with age and sun damage. That is why the AAD recommends daily sunscreen for pore size. The guide does niacinamide shrink pores covers what the studies show about pore size.
Keep them from coming back
Blackheads on the nose can return after they clear. The AAD says blackheads "can return, so you'll need to follow a skin-care plan to prevent new blemishes." Its page on acne that will not clear adds: "Even when you see clearing, you'll want to keep using the acne treatment. This helps to prevent new breakouts." The AAD also says dermatologists may recommend a topical retinoid as a maintenance treatment to keep skin clear once acne is under control.
Three habits protect the result. Check that everything you put on your face, including sunscreen and makeup, says non-comedogenic or "won't clog pores." Remove makeup every night, which the AAD says to do with "No exceptions." And take a photo of your nose in the same light every two weeks, so you can compare the photos and see slow change.
When a dermatologist can help
If blackheads on your nose remain after six to eight weeks of daily treatment, a dermatologist has more to offer:
- Extraction. The AAD says acne extraction "involves using sterile instruments to get rid of blackheads and whiteheads," and is a safe way to remove them when a dermatologist does it.
- Prescription retinoids, such as tretinoin or tazarotene.
- Chemical peels, which the AAD says help "remove dead skin cells that are clogging your pores and excess oil."
- Photopneumatic therapy, a light treatment combined with gentle suction. The AAD says it is "FDA-approved to treat blackheads, whiteheads, and some pimples."
The guide how a dermatologist removes blackheads explains each option. Small white bumps on the nose are a different problem, covered in whiteheads on the nose.
When to see a doctor sooner
See a doctor for a painful, red or swollen spot on the nose, a lump that keeps growing, or a sore that does not heal. The guide pimple on nose explains which nose spots need prompt care. Skinli gives general education and is not a doctor. If you want a plan built from a photo of your skin, Skinli's free acne plan starts there.
Frequently asked questions
How to get rid of blackheads on nose?
Blackheads on the nose clear with a pore-clearing treatment used on the whole nose and the skin beside it for 6 to 8 weeks or longer. The American Academy of Dermatology recommends a retinoid, such as adapalene sold without a prescription, and a benzoyl peroxide wash. Wash gently without scrubbing. A dermatologist can remove stubborn blackheads with sterile instruments in a procedure called extraction.
What causes blackheads on nose?
Blackheads on the nose are caused by oil and dead skin cells that fill a pore and stay open to the air, as the American Academy of Dermatology describes. A 2025 study in the Journal of Cosmetic Dermatology called the nose the most common site for blackheads, and named three drivers: too much oil, less firm skin around the pores, and larger hair follicles.
Are blackheads on nose normal?
Blackheads on the nose are common. A 2025 study in the Journal of Cosmetic Dermatology called the nose the most common and noticeable place for them. The American Academy of Dermatology says mild acne can include blackheads and whiteheads. Grey or yellow dots on the sides of the nose can also be sebaceous filaments, which a 1976 study describes as a common, normal feature of oily pores.
Are blackheads on nose permanent?
Blackheads on the nose can clear with treatment, and they can also come back. The American Academy of Dermatology says blackheads and whiteheads can return even after a dermatologist extracts them, so you need a skin care plan to prevent new ones. It also says to keep using acne treatment after your skin clears, because this helps prevent new breakouts.
Should you squeeze blackheads on your nose?
Squeezing blackheads on your nose carries risks. The American Academy of Dermatology says squeezing a blackhead can cause an infection or a permanent scar, and recommends treating blackheads with a retinoid instead. A 2025 study in the Journal of Cosmetic Dermatology says squeezing the nose at home can lead to skin infections, larger pores and damage to small blood vessels. A dermatologist can extract them safely.
How to remove blackheads on nose naturally at home?
Home care for nose blackheads that the sources support is gentle washing, products that will not clog pores, and a treatment sold without a prescription. The American Academy of Dermatology says to wash twice a day with your fingertips and lukewarm water and to avoid scrubbing. The AAD says toothpaste can irritate or harm skin and has no acne-fighting ingredients. Adapalene clears pores over several weeks.
How to get blackheads out of nose?
Getting blackheads out of the nose safely is a job for a dermatologist, who uses sterile instruments in a procedure the American Academy of Dermatology calls acne extraction. At home, a retinoid such as adapalene loosens the plugs over weeks. The AAD says squeezing a blackhead yourself can cause an infection or a permanent scar, and that blackheads can return after extraction.
What can I use for blackheads on my nose?
For blackheads on the nose, the American Academy of Dermatology recommends adapalene, a retinoid sold without a prescription, and salicylic acid, which it says works best on whiteheads and blackheads. A benzoyl peroxide wash reduces bacteria. The adapalene label says to cover the entire affected area with a thin layer once a day, and the AAD says to give treatment six to eight weeks.
Do blackheads on your nose make pores bigger?
Blackheads can make pores on the nose look bigger. The American Academy of Dermatology says that when pores clog, they expand, which makes them more noticeable, and that picking or squeezing pores irritates skin and makes them look larger. A 2025 study in the Journal of Cosmetic Dermatology described a type of nose blackhead where pores widen over time from too much oil or harsh removal.
How long does it take to get rid of blackheads on nose?
Blackheads on the nose take 6 to 8 weeks of steady treatment to show improvement, the time the American Academy of Dermatology gives any acne product. The adapalene drug label says results may take up to 3 months of once daily use, and the AAD says complete clearing generally takes 3 to 4 months. A 1976 study found a pore refilled within 30 days after its oil plug was squeezed out.
Sources
- Effectiveness of the Optimal Pulse Technology in a novel technique for treating nasal blackheads in Asians: a clinical study (Journal of Cosmetic Dermatology (PubMed Central))
- How to treat different types of acne (American Academy of Dermatology)
- Acne: Signs and symptoms (American Academy of Dermatology)
- What can treat large facial pores? (American Academy of Dermatology)
- Face washing 101 (American Academy of Dermatology)
- Adult acne treatment dermatologists recommend (American Academy of Dermatology)
- Pimple popping: Why only a dermatologist should do it (American Academy of Dermatology)
- Acne: Diagnosis and treatment (American Academy of Dermatology)
- 9 things to try when acne won't clear (American Academy of Dermatology)
- Differin (adapalene) gel 0.1%, Drug Facts label (DailyMed, U.S. National Library of Medicine)
- Sebaceous filaments (Archives of Dermatological Research (PubMed))
- Lasers and lights: How well do they treat acne? (American Academy of Dermatology)
- 10 skin care habits that can worsen acne (American Academy of Dermatology)
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Analyze my skinSkinli gives simple tips for skin with pimples. It is not a doctor. It cannot tell you what is wrong the way a doctor can. If your pimples hurt, are deep under the skin, are getting worse, or will not go away, see a doctor.