Have you ever tried oil cleansing? My best friend had great success with clearing up persistent blackheads that way.

Use natural green bentonite clay. It's the cheapest option and by far the best. You can find it online.

Have you tried a good BHA? I like Mandelic Acid for this.

Do those who have blackheads removed feel it makes an overall difference in overall look?

Thanks for the recommendations. I might give a facial a shot.

I am using a retinoid and it doesn't make a dent in the blackheads.

I have the same issue. In addition to have a lot of blackheads, I also have whiteheads that are very difficult to remove. I have been going to Sedi at Hala Spa in Chevy Chase. She is pretty aggressive in getting your skin cleaned and with extractions. A 50 minute deep cleansing facial is $120.

Best bet is to go to a dermatologist and get a perscription for a topical retinoids. It'll clear up your face and help with fine lines. It'll net out to be cheaper in the long run than getting a single $80 facial.

I never have had lasting effects from a facial. Plus they make me break out. So I've been trying Neutrogena blackhead face mask every other day or so for the last 2 weeks. Plus a few boire strips. Much, much better than before (and not traumatic to my sensitive skin). Anyway it'll be easier/cheaper to maintain than frequent facials. Just throwing it out there.

I've been going to a dermatoligist for a while which has helped but I still have very clogged pores on my nose. I am looking for a spa/facial place that will help clear them up -- extractions, etc. Any recommendations?