top of page
image (2).webp

Dr. Alpana Mohta Ranka, MD, DNB, IFAAD, is a triple-board-certified dermatologist with over 100 research publications in peer-reviewed scientific journals.


Trichostasis Spinulosa vs Blackheads: What Do You Really Have?

Updated: Jun 2

When it comes to skin concerns, it's crucial to distinguish between different conditions for effective treatment. Two common yet often confused conditions are Trichostasis Spinulosa and Blackheads. This article aims to demystify these conditions, highlighting their differences, causes, and treatment options.

An image showing a nose of a man with either blackheads or trichostasis spinulosa

Understanding Trichostasis Spinulosa

Trichostasis Spinulosa is a less-known skin condition, often mistaken for blackheads. It occurs when multiple fine vellus hairs become trapped in a hair follicle, creating a black dot-like appearance. Unlike blackheads, these are not open comedones.

Causes and Risk Factors:

  • Genetic predisposition

  • Aging, leading to slower hair shedding

  • Excessive sebum production

Distinguishing Blackheads

Blackheads, or open comedones, are a form of acne. They appear when hair follicles are clogged with excess oil (sebum) and dead skin cells. The open nature of the follicle allows the contents to oxidize, turning black.

Causes and Risk Factors:

  • Hormonal changes, especially during puberty

  • Excess oil production

  • Poor skin hygiene

Diagnosis and Identification

The key to treating these conditions lies in correct identification.

Trichostasis Spinulosa Diagnosis:

  • Hair-like structures in the comedones

  • No inflammation

  • Typically found on the nose, cheeks, and forehead

Blackheads Diagnosis:

  • Open pores filled with blackened debris

  • Other acne forms often accompany them.

  • It can. occur anywhere on the body

Treatment Approaches

Trichostasis Spinulosa:

  • Topical retinoids to increase cell turnover

  • Hair removal methods

  • Regular gentle exfoliation


  • Salicylic acid and benzoyl peroxide treatments

  • Manual extraction by a dermatologist

  • Consistent cleansing routine

Prevention Tips

Trichostasis Spinulosa:

  • Avoid over-cleansing, which can stimulate more sebum production

  • Use non-comedogenic skincare products.


  • Regular cleansing to prevent oil buildup

  • Non-comedogenic makeup and skincare products

  • Avoiding excessive sun exposure


While Trichostasis Spinulosa and Blackheads may appear similar, understanding their distinct characteristics is vital for effective treatment. Implementing appropriate skincare routines and seeking professional advice can significantly improve skin health.


bottom of page