It’s important to remember with very severe acne patients with over 1000 clogged pores and active inflammation, that it can easily take 3 to 6 months to stabilize and improve the acne, utilizing all the tools in our tool box. Setting realistic expectations is essential. Every patient is unique, but all improve much quicker when their pores are manually expressed with extractions. This patient has come a long way but we still have some work ahead of us. She is very happy so far and seeing her smile get bigger and bigger with every follow up is very rewarding. Her post inflammatory hyperpigmentation will take months to fade, but her new acne lesions have greatly reduced. Thanks again to her for sharing her story! Acne extractions. Whiteheads, blackheads, milia. Cystic acne pops. Q-tips. Juicy pops. Waxy pore plugs extracted. Pore dirt. Acne protocols. Dermatology extractions. MrPopZit.