This is my 4th session with a patient that came back from last year. We had him clear but he stopped using his meds and his pores filled up again. Manual extractions to clear the keratin and restarting his medication regimen will get him back on track. He has some nice plugs in very sensitive areas (nose tip, lips, ears) but he doesn’t even flinch, very tough young man. He’s excited to have smooth skin again! Many fingertip squeezes on the spongy tip of the nose. Thanks to my patient for sharing his procedures and his journey to clear skin. Acne extractions. Mining pore dirt. Blackheads, whiteheads, milia, ingrown hairs. Dermatology procedure. Dermatology Physician Assistant. Acne protocols. Retinoids. MrPopZit.