Okay, so all of us have had a blackhead or two at some point during our lives, but normally they are just the small, little dots you find in areas such as on your face, your back and shoulders, or even on your chest. But some people unfortunately develop a super-giant blackhead, also known as a Dilated Pore of Winer. These are no tiny little black dots – they can be absolutely huge, needing specialist treatment to remove them.
So What is a Dilated Pore of Winer?
This type of giant blackhead is actually what is called a dilated hair follicle, which results in an enlarged pore in the skin. This then fills with all many of debris and oil, just like a regular blackhead but on a much bigger scale. Dilated Pore was first reported by Winer in 1954, thus Dilated Pore of Winer.[1]
Experts don’t really know what causes these blackheads to develop, only that they are more likely to occur in people who are middle-aged or older and are predominantly seen in young adult males as a solitary brown to black, giant comedo with a central pore. Typically, they are found on the back, usually in hard or impossible to reach places, which is why they tend to grow so big. Most of the time, they are noticed by a friend or a partner, or during a routine medical examination.[2]
What Do They Look Like?
A dilated pore of winer presents as a nodule that is raised, usually on its lonesome, with a tip that is brown or sometimes black. They can be anything from a few millimeters up to a few centimeters in size, most of which is underneath the skin, so what you can see is only the tip.[2]
The most common sites are on the forehead, face, back, chest, and neck or behind the ears. Some can ooze a little pus when squeezed, but this doesn’t mean it is infected. There are no other symptoms, such as pain, irritation, inflammation or itching. They are simply just there.
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Diagnosis
Most dilated pore of winers are diagnosed by sight, as they are quite typical in presentation. Sometimes though a dermatologist may examine the surrounding skin using a magnified lens, an examination called dermoscopy. This is undertaken if there is any suspicion at all that the lesion may possibly be cancerous or malignant.
Getting Dilated Pore of Winer Out And Keeping Them Out
Treatment of Dilated Pore of Winer
There are really only two ways to treat these giant blackheads – digging them out or surgically removing them. A dermatologist may use a small nick in the area where the black head is prominent, and then use a comedone extractor to remove the contents of the pore. This is usually quite successful, and with the aid of local anesthetic, is not painful for the patient. Some of these blackheads are quite stubborn, so it can take a bit of time to tease them out. The dermatologist will also want to ensure no pieces are left behind.
When the blackhead is removed in this manner, it leaves a hole in the skin, and this can lead to a recurrence of the blackhead. Regular monitoring can enable earlier treatment if the blackhead does recur. Alternatively, the whole pore can be surgically excised. For this, the dermatologist or plastic surgeon will cut out the entire nodule, scrape out the wound to remove all debris, then suture the wound back together. This is a more effective way of preventing a recurrence, as there is no longer a dilated pore to fill.
Preventing a Dilated Pore of Winer
Prevention techniques can not only stop these blackheads from occurring, they can also help to treat them in the early stages before they get too big. Looking after your skin is the best way of preventing dilated pore of winers, or any other forms of blackheads, whiteheads and acne.
A good skincare routine is essential for everyone, whether you have troubled or problem skin or not. Washing and moisturizing your skin can help to remove any dirt or debris that could lead to pimples, blackheads and whiteheads. Be careful what products you choose to use however, as some can end up doing more harm than good, by leaving a residue on your skin. Gentle and mild is the key here.
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As tempting as it may be, if you have a pimple or regular blackhead, it is not a good idea to try and squeeze it yourself. By doing this you not only can create an open wound for bacteria to enter, you can also transfer oils and dirt from your hands to that wound. If the pimple or blackhead gets infected, you could end up with an even larger problem to deal with, often resulting in scars.
Conclusion
A dilated pore of winer is nothing to be concerned about as it poses no risk to your health. Most people want them removed simply because they look unpleasant, and they feel that others would be judgmental about them. These super blackheads are not because you are dirty or unclean; they are simply because of a slight defect in the pore of your skin.
Sources & Links
- Photo courtesy of practicalcures: www.flickr.com/photos/practicalcures/23388045145/
- Photo courtesy of practicalcures: www.flickr.com/photos/practicalcures/23020066689