There are topical meds that can be used. They help break up the keratin plugs. See your dermatologist for a prescription.

Suzanne Sirota Rozenberg, DO, FAOCD, FAAD

You should NEVER break the skin barrier yourself at home. Reason is that you might get bad infections eg MRSA etc. It may cause serious health problems, disfigurement or even death. Always go to a dermatologist for proper care.

You can try using a condone extractor. Works better if using topical Retinoids for a month prior

Extraction facials are efficient for some comedones, but at times comedones can actually be milia cyst that are deeper and harder to extract. Please visit your dermatologist to get more recommendations and for your yearly skin exams.