Extractions
in Bozeman
Beyond the Surface
Deep Clean for Flawless Skin
We’ve all been tempted to “fix” a breakout in the mirror, but at-home picking often leads to more inflammation, or worse—permanent scarring. For our patients in Bozeman, professional extractions are the essential “reset” your skin deserves. Whether you are struggling with stubborn blackheads or those tiny, hard white bumps known as milia, we provide a sterile, expert clearing that leaves your skin smooth and significantly less congested. At SkinCare MT, we don’t just clear the surface; we set the stage for your healthiest, most radiant skin yet.
The Science of the “Plugged”
Congestion occurs when a mixture of sebum (oil) and dead skin cells becomes trapped within the hair follicle. When this plug remains under the skin, it can oxidize and turn into a blackhead or stay trapped as a firm, keratin-filled cyst like milia. These “plugs” act as a biological roadblock, preventing your skincare products from working and often leading to larger inflammatory breakouts if not professionally addressed. By clearing these impactions, we restore the skin’s natural “breathing” process and prevent the cycle of chronic acne.
Clinical Comedone Expression & Follicular Health
At SkinCare MT, extractions (ICD-10: L70.0 for acne or L72.0 for milia) are performed with surgical-grade tools and a focus on skin integrity. Our providers are trained to identify which lesions are “ready” for extraction and which require topical prep, ensuring a safe and effective result.
How the Treatment Works
We utilize a process called Mechanical Expression. After softening the skin with professional enzymes or ultrasonic steam, our providers use a variety of tools including sterile comedone extractors, a lancelet, blade and CTAs to apply even, radial pressure around the follicle.
For milia, we perform a “micro-incision” using a sterile lancet to create a tiny exit point for the trapped keratin. This allows for the complete removal of the “plug” without tearing the surrounding tissue, ensuring the pore can finally close and heal without the risk of post-inflammatory hyperpigmentation.
* For cosmetic laser appointments, call (406) 587-4432.
Elevated Standards in Medical Aesthetics
Our Clinical Commitment to You.
Medical Precision
Your extractions are performed with the precision of a medical procedure. Under the oversight of Dr. Aaron Bruce our providers utilize sterile techniques and a deep understanding of skin histology to ensure that every extraction is performed without damaging the underlying dermal structure.
Types of Extractions
- Acne Vulgaris (Comedonal)
- Congested Pores
- Milia (Milk Spots)
- Sebaceous Hyperplasia (early stage)
- Post-Acne Texture
PATIENT QUESTIONS
Extractions FAQ
Clinical answers from our board-certified dermatologists.
When you squeeze a blemish at home, you often apply uneven pressure that can rupture the follicle wall sideways. This pushes bacteria and debris deeper into the dermis, leading to a much larger inflammatory response, potential infection, and permanent post-inflammatory hyperpigmentation (PIH) or scarring. At SkinCare MT, we use sterile tools and a specific “downward and inward” pressure technique to ensure the entire impaction is removed without damaging the surrounding skin.
Milia are small, firm, white cysts that sit just under the skin’s surface. Unlike a blackhead, milia have no “pore” or opening, which is why they cannot be squeezed out. They are essentially pockets of trapped keratin. At our [Location] clinic, we treat milia by creating a microscopic, sterile “nick” in the skin’s surface with a lancet. This allows the firm pearl to be expressed cleanly without trauma to the skin.
While you may feel a moment of firm pressure, the process is generally well-tolerated. We prepare the skin using clinical enzymes or steam to soften the sebaceous plug before we begin. This “pre-softening” makes the evacuation of the pore much easier and significantly reduces discomfort compared to attempting it on cold, dry skin.
It is normal to experience some localized redness immediately following extractions, as we are stimulating blood flow to the area to aid in healing. This typically subsides within a few hours. At SkinCare MT, we follow every extraction session with a calming, medical-grade mask or High-Frequency therapy to kill residual bacteria and soothe the skin, so you can return to your day in Bozeman with confidence.
While you cannot change the biological size of your pores, extractions make them appear significantly smaller. When a pore is filled with oxidized oil and debris (a blackhead), it stretches the follicle opening. By removing that “plug,” the pore can snap back to its original shape, resulting in a much smoother and more refined skin texture.
Latest Technology and Physician-Led Training
- Utilizes the latest proven cosmetic dermatology technologies to deliver safe, effective, and natural-looking results
- Aesthetic services are physician-guided and provided by skilled nurse practitioners with specialized training
- Care is delivered in an award-winning, thoughtfully designed clinic environment focused on patient comfort and privacy