Happy holidays, here’s my gift to you Enjoy! Let me just get ahead of the Karen’s right now. No, I’m not tearing his skin off. That is skin sloughing that is normal from starting a retinoid. Very superficial and not painful. Hundreds of clogged pores, this will take several sessions. Thanks to my patient for sharing his procedure. Not many Dermatologist or Derm PAs perform extractions themselves. Commonly they utilize others to do them because they can be time consuming and not high in profits. However, I really like to be hands on and watch my patients closely so so I can monitor medication tolerability and how quickly they respond to treatment. This helps me gauge if I need to adjust strengths of medications or need to change treatment protocols. Acne extractions. Blackheads, whiteheads, ingrown hairs. Loop extractor, cotton tipped applicators. Dermatology procedure. Dermatology Physician Assistant. MrPopZit.