When I get a cystic acne boil, it sometimes doesn't seem to want to heal even after squeezing out the pus (if any, sometimes none), and I notice a pinpoint white thing that seems to be the center of it all. And if it does heal, it heals as a round raised scar.
Finally one day, i decided to use a pair of tweezers to take out that pinpoint white thing. I got a good grip on it, and out came what appeared to be a ~2-4mm white waxy plug. The site then proceeds to de-inflame and heal quickly, without a scar.
I've since pulled out a few of these from cystic acne sites, sometimes more than one if the lesion and/or scab area is big enough. The plugs seem to reside IN the pores. I also have noticed that it's easier to pull them out when i take a hot shower first, then rub the area with some 91% isopropyl alcohol. They actually sort of become even more prominent such that I can grab the end of it with the tweezers, and the plugs also seem to "let go" of the pore more easily. The other thing that i just noticed makes them "let go" is rubbing some neem oil over the area, but then on its way out the plug sort of slips out from tweezers because of the oil. When I do pull out one of those waxy plugs in its entirety, the pore fills with blood and starts bleeding pretty briskly for a couple minutes. If i'm not successful in pulling out the plug and it only comes out half way before slipping out of the tweezers, i find that it sort of retreats and it's harder to make it come out again and i would have to wait a day or two for it to "regrow" and/or reappear.
What the hell are these things???? Is it a conglomerate of demodex + cylindrical dandruff??? or is it just thick sebum???
p.s. For context, I'm a 33 year old female. I have KP over my arms since my teenage years (nonpustular), and under my thighs since my mid-20s that is often pustular, mild-moderate acne that is sometimes cystic over my neck and chest (always cystic on the chest). Maybe some mild rosacea too. Breakouts seem to be hormonal and tend to happen during "PMS" time but not always, and stress related.