It might be a good idea to correct your diet and monitor the results. In the long run, it will improve your overall health and should improve your form of acne. However where the case of back acne is moderate, this can be addressed by using over-the-counter products or prescription medications. But when the back acne becomes or is severe, and causes cysts, it is imperative to seek out the expertise of a skin doctor. Most importantly you are wanting to help minimize the possible scarring that could result.
A blackhead is an open comedo where the plugged portion gets larger and pushes through the surface. It doesn't look black because of dirt, but because of the melanin in the skin. This is another type of inflammatory acne.
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