Blemished skin - causes and treatment

Pimples, blackheads and blemished skin

Impure skin is shown by white or black blackheads or by pimples. Our skin is provided with a large number of sebaceous glands, which have the task of making the skin supple. However, if there is too much sebum and / or if there is a cornification disorder, blackheads and pimples form.


The cause of blemished skin is often a change in the hormone situation, since the production of sebum and fat is strongly influenced by hormones. Adolescent acne is known here, which can develop during puberty due to the massive hormone changes. Especially when there is too much of the male hormone testosterone, which is also produced in girls, the people affected "bloom".

Hormone changes are also responsible for impure skin during pregnancy and the menopause. Stopping the pill is also a possible cause for this. Or during the cycle, for example before the period begins, women react with increased pimples.

Other causes of blemished skin are stress, an unhealthy diet and insufficient hydration.

How blackheads and pimples develop

The skin is our external protection and this layer of skin is kept supple by sebum glands. However, if too much sebum is produced, the gland ducts can become blocked. The sebaceous gland expands, which then creates a white blackhead under the skin layer (whitehead). Often there is also a cornification disorder. Instead of loose horny cells, solid horny cell clusters form, which in turn leads to constipation. These impurities occur primarily in areas such as the forehead, nose, cheeks, chin, shoulder, cleavage or on the upper back - where there are many sebaceous glands. If the blackhead is no longer covered by the skin layer and there is contact with the air, the blackhead is called black, also called blackhead.

Blackheads can become pimples

The mixture of sebum and dead horn cells is a good basis for the multiplication of bacteria, especially Propionibacterium acnes. Inflammation occurs, along with redness nodules or pimples. If the pimples are more frequent and also common, it may be acne.

Skin care

In order to counteract impure skin, the right care is the be-all and end-all. Cleaning is the top priority here, both in the morning and in the evening. A washing gel is not absolutely necessary in the morning, for some warm water is sufficient. But in the evening, a washing gel or a washing lotion should be used. Not everything that is expensive is good. You need a cleanser that suits your skin type, best contains no chemical additives and is gentle. In addition, a gentle peeling that does not irritate the skin can help - however, a maximum of twice a week, in no case more often. In addition, a facial mask is recommended once a week, which is matched to blemished skin and contains no harmful substances (see recipes).

Constant changing of products stresses the skin - it gets stressed and may react with blackheads or even pimples. Even if the skin is very impure, please do not use any sharp anti-pimple products, these will dry out and irritate the skin. It reacts with even more sebum production. Better get a gel for "emergency pimples" that contains mint, zinc and salicylic acid.

Too much care is not good either. As a result, the skin feels troubled and can react with impurities. The protective coat of the skin is destroyed by excessive care and it reacts with a so-called allergic acne. This mainly occurs around the mouth. This area is often littered with small pustules. This perioral dermatitis often occurs in flight attendants who, due to the dry air in the airplane, over-care for their skin with a variety of means.

Decorative cosmetics

Many sufferers who have blemished skin want to refine their complexion and cover the impurities during the day. Here you should make sure that the products fit your skin type and are not comedogenic.

Anything that can clog the pores is called comedogenic. Of course, this is an absolute no-go for already blemished skin. Such products can cause blemishes and further worsen the complexion of those affected. The skin must be able to breathe! Examples of comedogenic are: palm oil, silicone oil, linseed oil, petroleum jelly and much more. The non-comedogenic substances include arachidic acid, argan oil and hemp oil. A list of non-comedogenic and comedogenic substances can be found on the Internet. Just take it with you when you go to the drugstore.


Diet can be to blame for blemished skin, or at least to blame. If someone always has blackheads and / or pimples, the menu should be checked first. Too much fat, sweet and fast food, but also a diet that is too acidic can lead to blemished skin. Researchers have also found that dairy products are bad for the skin. Milk contains substances that resemble a “hormone cocktail”.

We recommend a base-rich diet that contains a lot of fresh vegetables and fruits and few animal products. Adequate hydration in the form of still water is essential. Alcohol and nicotine are not good for the skin.

Treat blemishes yourself

Who does not know that: You stand in front of the mirror and see one or the other blackhead or pimple. The fingers are very quickly in the game and even hands are put on. But caution is required here.

Even washed hands still have bacteria under their fingernails. This is perfectly normal. If it is absolutely necessary to press yourself, please note the following: the hands must be washed and is always pressed using a facial tissue or a so-called comedone squeezer (please disinfect it beforehand). With gentle pressure from all sides, from bottom to top and as soon as blood comes out, it stops immediately. Then the spot is cleaned. Calendula essence is recommended for this. This is diluted 1:10 with boiled water and then dabbed the spot. Later you can treat with a zinc ointment. This has a healing and anti-inflammatory effect. But please only use selectively - zinc ointment is not suitable for large-scale use.

The best time for expressing the pimple is the evening. Before that, the face is washed thoroughly and the affected area is "softened" with a hot washcloth. A sterile needle can be used to open the pimple. The small wound heals overnight, so that makeup can be applied again the next day.

Constantly touching pimples or blackheads is to be avoided, as they can catch fire in this way.
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Recipes for blemished skin

If you suffer from blemished skin, it is good to get natural skin care products. Masks can be mixed at home with simple ingredients. It is best to wear the masks at a time when the skin is no longer made up. The eyes and the mouth area are always spared during use.

Steam baths are also recommended. You open your pores. After that, one or the other pimple can be removed more easily. Ointments or creams work better after a steam bath.

Mask with healing earth

Everyone knows healing earth. It has an anti-inflammatory effect both internally and externally. For a mask, mix some fine healing earth with lukewarm water or chamomile tea and apply this to the skin. After about ten minutes, the whole thing is carefully washed off with lukewarm water and treated with your own skin cream as usual.

Mask with cucumber, healing earth and honey

A piece of cucumber is peeled and pureed. Add a teaspoon of honey and a little healing earth to make a paste. The whole thing is brought onto the skin and stays there for about 20 minutes. If the mask feels uncomfortable, it is of course carefully removed with lukewarm water before the time expires.

Mask with egg yolk and honey

This mask is good for recurring pimples. An egg yolk is mixed with a little honey. The mask is finished. This can remain on the skin for up to an hour before being removed with enough lukewarm water. This mask, applied regularly, can help prevent blemished skin.

Mask with black tea and curd

Black tea is anti-inflammatory and curd has a cooling and decongestant. Quark is mixed with some strong black tea and brought to the skin. The mask can be washed off after about 20 minutes. Individual impure skin areas can be treated by placing an already brewed tea bag.

Facial steam bath

A steam bath is a very simple home remedy to widen the pores of the skin. To do this, hot water is mixed in a bowl with a little salt (cleaning), chamomile flowers (anti-inflammatory) or rosemary leaves (disinfectant). The face is held over the vessel so that the steam is not too hot. In addition, a towel comes over the head, so that a small steam cabin is created and no steam can escape. The facial steam bath cleans the skin, and sebum and toxins can drain off.

After this treatment, the skin needs some rest. Only then can gentle, mild care be used. A facial steam bath should not be done more than once a week.

Salt peeling

With a salt peeling, the skin can be cleaned thoroughly and deep into the pores. Dead skin flakes are removed and blood circulation is stimulated. If the skin is already inflamed, this should not be done. Otherwise, this is a simple application that is primarily used for prevention.

And this is how it works: Sea salt or Himalayan salt is mixed with a little argan oil to form a spreadable paste. The porridge is applied to the face with a brush or a cosmetic pad and gently massaged in. The area around the eyes and mouth are left out like in the masks. The salt-oil mixture is then rinsed thoroughly with sufficient clear water. The skin feels really fresh afterwards. Smaller impure areas can also be dabbed with the salt-oil paste.

General tips to improve the complexion

Impure skin doesn't go away overnight. Here consistent action is necessary. If skin care products do not help immediately, they should not be discontinued and new ones tried out. Give it all time.

Basically, washing the skin in the morning and in the evening is essential. Depending on the type, a washing gel is also necessary in the morning.

Food is tolerated differently. So one or the other intolerance reactions can show up in the form of impure skin. Watch yourself, test this out. Leave the triggers away for at least two weeks to see how the skin develops.

Fresh air is important for the skin. Just go for a walk every night. This relaxes and promotes a good night's sleep. If you travel south, you should protect yourself from Mallorca acne with suitable sunscreens and avoid the sun as much as possible.

Help from naturopathy

In natural medicine, the skin is considered holistically. There it is referred to as the “mirror of the soul”. This means that psychological problems can definitely show up on the skin. Accordingly, a detailed medical history is taken in naturopathic practice. How do those affected live? Where and what does she / he work? Are there any stresses, problems, concerns? Does she feel uncomfortable in her skin?

Examination of the intestinal flora is also important. If the intestine is not in order, it can easily affect the skin. No skin treatment without an intestinal cleansing.

In addition, the liver and kidney are detoxified using suitable agents. This has to be done very carefully in skin patients. Usually these are people who are very sensitive to homeopathy, Phytotherapy or Schuessler salts react. The agents in question are initially only administered in small doses to see how the patient's skin reacts.

The visit to the doctor

If nothing can influence the blemished skin or if skin irritation occurs more and more, a visit to a doctor is essential. If the acne is tangible, medication is prescribed that is used not only externally but also internally in severe cases. Young people sometimes suffer massively from blemished skin. You may need psychological support.

Young girls who have blemished skin are often prescribed the birth control pill.

Professional treatment by a beautician is also recommended. Most of them use water vapor to open the pores first. This is followed by a thorough cleaning. A microdermabrasion may be carried out (the top layer of skin is minimally removed). After cleaning, the skin is provided with special care products. (sw)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.


  • Alexander Nast et al .: Treatment of acne, S2k - Guideline for acne therapy, German Dermatological Society, (accessed August 12, 2019), AWMF
  • Dorothea Terhorst-Molawi: Dermatologie Basics, Elsevier / Urban Fischer Verlag, 4th edition, 2015
  • William J. Cunliffe; Harald P. M. Gollnick: Acne Diagnosis and Therapy, Taylor & Francis Ltd, 2004
  • Martin Röcken, Martin Schaller, Elke Sattler, Walter Burgdorf: Taschenatlas Dermatologie, Thieme Verlag, 1st edition, 2010
  • Jonette E. Keri: Basics of topical dermatological therapy, MSD Manual, (accessed August 12, 2019), MSD

Video: HOW TO GET RID OF BLEMISHES IN 3 DAYS. Jessicvpimentel (January 2022).