This patient is a typical presentation of excessive oil production mixing with dead skin cells causing clogged pores. Many ingrown hairs and follicular plugs. Blackheads in the ears. Inflammatory acne nodules with purulent discharge. Patient has many scars from previous acne breakouts. As we stabilize her acne we have a laser that improves acne scars that we will follow up with. Thanks to our patient for sharing her procedure. Dermatology Physician Assistant. Dermatology procedure. Acne extractions. Blackheads, whiteheads, ingrown hairs. Multiple tools and techniques used. MrPopZit.