This sweet man has been bringing his wife in to see me, and I have been treating a large skin cancer on her face, with her recently getting Mohs skin cancer surgery. So, he is not directly a patient of mine, but I couldn’t help but notice that he has so many comedones on his nose. He tends to not pay much attention to himself, spending much of his energy and efforts making sure his wonderful wife is doing alright. She has more disabilities than he does, in fact he looks amazing for 90 years old!
He has fantastic blackheads and whiteheads to extract. As you may know, blackheads and whiteheads are also called open and closed comedones, and they are benign growths. In his case, he has rosacea and rhinophyma, which causes increased thickening of the skin of the nose, increased oil production in the area, and very large pore that fill with keratinous material creating huge blackheads and whiteheads.
These don’t need to be extracted, but certainly the appearance of the nose with improve greatly if they are.