Protruding plug from pores on nose

[sam7377 0]

Hello, 

I'm a 24 male seeking some insight on what the hell is going on with my nose. I have clear skin on my entire face except for the sides of my nose where I get protruding gunk coming out of my pores. This gunk will keep getting larger until plucked, after it is plucked it is left with an empty pore that does not return to its normal size. The pore wil hen  fill up with the same exact substance within a week or so. I'm not sure what the plug is But I'm guessing it's hardened sebum? It's a tan-yellow type color, much like petroleum. I went to the derm about 2 months ago and he precibed me tazorac gel 0.05. Since using taz my nose has been popping up with more of these plugs and it seems like these pores are scarring. I have been doing a lot of research to figure out what the heck this is and I've been seeing answers from some sort of fungal infection, demo-Dex or sebaceous fillaments but no concrete diagnosis . im having a hard time finding people with the same condition. To give you some backroumd my nose is very oily. 

Here is my regimen . 

Am
cetephil gentle cleanser 
cerevea am lotion/sunscreen 

pm
cetephil gentle cleanser 
cerevea pm moosturizer
taz 0.05 

thw he past two weeks I have also been adding 10% gycoloc wipes and alternating nights with taz.  

Check out out the picks of my nose. This is about after a week of leaving my pores unplucked. I'm really hoping someone out there knows what' the is. 

Edited May 17, 2018 by sam7377

[username110 78]

yes from personal  experience, I believe  its caused by an overproduction of sebum. 
 
if you google it, your find ways to stop your body overproducing sebum. 
 

[sam7377 0]

16 hours ago, MrBakery said:

yes from personal  experience, I believe  its caused by an overproduction of sebum. 
 
if you google it, your find ways to stop your body overproducing sebum. 
 

Unfortnately this is one of the responses I've feared as controlling oil without the help of accutane can be hard to accomplish. Since you had mentioned you dealt with this personally is there anything you tried with success? 

[username110 78]

myself.. vitamin zinc, minimal face washing, avoiding products  containing sls, pure tea tree oil  topically. 

[sam7377 0]

3 hours ago, MrBakery said:

myself.. vitamin zinc, minimal face washing, avoiding products  containing sls, pure tea tree oil  topically. 

Sorry for not knowing but what exactly is sls? 

[username110 78]

sls is Sodium laureth sulfate, its in most creams and soaps. its known to cause problems for people with acne problems

[sam7377 0]

Does anyone else out there have some insight on what might be the cause of this and possible treatments? 

[HeavenlyBlouse 0]

On 5/17/2018 at 6:07 PM, sam7377 said:

Hello, 

I'm a 24 male seeking some insight on what the hell is going on with my nose. I have clear skin on my entire face except for the sides of my nose where I get protruding gunk coming out of my pores. This gunk will keep getting larger until plucked, after it is plucked it is left with an empty pore that does not return to its normal size. The pore wil hen  fill up with the same exact substance within a week or so. I'm not sure what the plug is But I'm guessing it's hardened sebum? It's a tan-yellow type color, much like petroleum. I went to the derm about 2 months ago and he precibed me tazorac gel 0.05. Since using taz my nose has been popping up with more of these plugs and it seems like these pores are scarring. I have been doing a lot of research to figure out what the heck this is and I've been seeing answers from some sort of fungal infection, demo-Dex or sebaceous fillaments but no concrete diagnosis . im having a hard time finding people with the same condition. To give you some backroumd my nose is very oily. 

Here is my regimen . 

Am
cetephil gentle cleanser 
cerevea am lotion/sunscreen 

pm
cetephil gentle cleanser 
cerevea pm moosturizer
taz 0.05 

thw he past two weeks I have also been adding 10% gycoloc wipes and alternating nights with taz.  

Check out out the picks of my nose. This is about after a week of leaving my pores unplucked. I'm really hoping someone out there knows what' the is. 

I have the exact thing on my cheeks! I have been trying to find someone with the same thing but no luck! I'm thinking its sebum that has hardened inside the pore and not being fully pushed out? We need an answer!!

[ElaineA 12]

Recommend that you get a dermatologist to test you for microscopic demodex skin mites and a possible fungal infection.  Both can cause folliculitis.  The treatment for each cause is completely different.  That is why it is important to get tested.  If its fungus, you will need an anti-fungal treatment.  If the cause is demodex, you need an anti-parasitic treatment.

Everybody over the age of 5 has demodex skin mites.  A healthy immune system normally keeps the mite population in check.  The mites can get overpopulated when the immune system is low due to illness or stress.  The mites eat skin oil and live in the pores and oil glands.  They can cause demodex folliculorum or plugs coming out of the skin among other skin and eye issues. 

Effective treatment for demodex skin mites is available.  Note:  Use a clean towel daily to dry your face after washing.  The mites can live on a wet towel for up to 54 hours.  Ordinary laundering at 58 degrees Celsius in washer/dryer machines will kill the mites on towels, etc.

Topical:  Prescription:  Soolantra Cream (1% Ivermectin).

                 Over the counter:  Tea Tree Oil based Face Wash (Desert Essence, The Body Shop, eye eco all are good brands).  Tea Tree Oil Ointment (5% tea tree oil) used at night before bed.  The mites are active at night.

Oral:    There is a 2 week, highly effective, cheap, 2 drug oral, anti-parasitic treatment for demodex.  It was published in the May 2013 International Journal of Infectious Diseases by 5 doctors.  It is a proper medical study on 120 patients.  

2 Week Anti-parasitic treatment consists of taking 2 inexpensive, generic anti-parasitic drugs:  
1.  Oral Ivermectin:  Two doses, one week apart (each dose based on body weight at 200 micrograms per kilogram of body weight) - Take Day 1 and Day 8.
2.  Oral Metronidazole at 250 mg 3 times a day (with food, no alcohol while taking or for 72 hours after last table).  

Both drugs have good safety records and are on the WHO's list of 100 essential medications.  

Link to the medical paper  "Evaluation of the efficacy of oral ivermectin in comparison with ivermectin–metronidazole combined therapy in the treatment of ocular and skin lesions of Demodex folliculorum"     URL:  https://www.sciencedirect.com/science/article/pii/S120197121201315X

If the link is broken, Google the title of the paper to find it.

 

Edited July 31 by ElaineA