There are small black spots on the nose but can not be squeezed out may be due to blackheads acne, pigmented nevi, freckles and other factors, need to clarify the cause of the disease, symptomatic treatment, is not recommended to squeeze out on their own, so as not to lead to infection. 1. Black acne: also called “open acne”, is due to the follicle sebaceous gland ducts are blocked after the formation of the face, chest and other parts of the manifestation of the follicle consistent with the conical papules, due to the top of the papules are exposed to the surface of the skin, the oxidation of sebum and the impact of dust leads to acne black, can be accompanied by pore size, sebum overflow and other symptoms. It may be accompanied by enlarged pores, sebum overflow and other symptoms. 2. Pigmented nevus: it is a common benign tumor, almost everyone has it, it can occur in any part of the skin, manifested as black, brown or yellow papules or spots with clear boundary, usually without conscious symptoms. 3. Freckles: they are pigmented spots occurring on the facial skin, commonly found on the nose, cheeks and other parts of the body, manifested as brown, black pinpoint to corn size spots, which can be round, irregular, scattered distribution, with no obvious uncomfortable symptoms, and can be affected by ultraviolet rays, aggravated in spring and summer, and mitigated in winter. There are small black spots on the nose but can not be squeezed out may also be caused by other factors, it is recommended that patients seek medical advice in a timely manner.