Blackheads and pimples should be blackheads and can be resolved by general treatment, topical medication, systemic medication, and physical therapy. Blackheads acne is formed due to excessive secretion of hair follicles and oxidation of follicular lipid plugs. 1. General treatment: wash your face with water or suitable cleansing products, avoid squeezing and scratching the skin, avoid staying up late, eat more vegetables, and quit smoking and drinking. 2. Topical medication: Vitamin A acid ointment, tazarotene ointment, azelaic acid ointment, fusidic acid cream and so on. The main purpose is to reduce the secretion of hair follicles, control the hyperkeratosis of hair follicles, and anti-infection treatment. 3. Systemic medication: Doxycycline, minocycline and other antibiotics can be taken, isotretinoin can also be taken to inhibit sebaceous gland secretion, and spironolactone can be taken by serious patients to neutralize excessive androgens. 4. Physical therapy: LED blue light, photodynamic and other physical therapy measures can be used, also has a certain effect. Blackheads and acne need to actively seek medical advice and treatment as prescribed by the doctor. All of the above medications should be used in accordance with the doctor’s instructions, do not self-medicate.