There are 12 nozzles on 6 handles (not interchangeable). 3 pokers work but are quite large. I would advise you to use a sterilized needle instead. Another good tool for opening pimples are diabetic test needles. You can buy hundreds of them fairly cheaply and throw them away when they're used up so you don't have to sterilize or reuse them. They have nice little handles and you don't have to worry about impaling yourself too deeply. All 3 cup tips are slightly different sizes and are designed to put pressure on small pimples and blackheads. Loopheads vary in size and shape. Mainly used to apply pressure to blackheads and large pimples or to blend pores. Their application works only on mature pimples ready to appear. If they can't be pushed to pop, they probably won't work either. The purpose of the cup and loops is to apply constant downward pressure on the hole you make with the piercing instrument or needle and to localize that pressure only to the surrounding area of the acne. And yes, just like popping them out when you squeeze them, you'll likely have a blood stain when you're done. People who complain that it damages their pores should understand that every time you cause an open pimple by opening a hole in it, you leave an open, often bleeding, hole when you're done. But you're more likely to open a smaller hole by hitting or poking it first than by squeezing it forcefully until it ruptures its own hole. If this bothers you that much, don't force the pimples out and leave them until they heal or open up on their own. The bigger the acne, the more likely it will leave a tiny scar or open pore that needs to be healed. Don't blame the tools. If you use these tools carefully, you will minimize scarring and in most cases, pimples that pop out will heal completely. But usually there's a small area that bleeds a little even if you do it right. You really want to try and apply pressure to clean out your pores as much as possible. If you leave the material in a pore, it can grow back. Of course, if you continue to push the tools into the skin so hard that you make a hole with them, then you've obviously pushed too hard. And you have to open the pimples with one of the pokers or a needle before applying that pressure. The comments that some reviewers have left about going to the dermatologist have some validity. If you have the money to do this on a regular basis, this is by far the safest bet. But most of us can't afford to see a dermatologist every time we get acne. Additionally, if you look at how dermatologists work, you'll see that they also poke or cut pimples and press on them. These tools are very similar to those used for acne. DO NOT use these instruments on cysts or lipomas. This is best left to a dermatologist, as the contents of a cyst or lipoma wound must be opened and drained completely, not just squeezed out. durable and metal and should last someone a long time. If you bend the tips or leave big scars on your face like some of the one star reviewers have commented, press too hard and/or don't open them first. Just press lightly and if using loops, move the tool horizontally to pinch the sides of the nubs together as well. These are not sharp instruments, but with too much pressure they can pierce the skin. If the pimples don't burst when you press lightly, do not press after opening until the tool is stuck in your face! People need common sense. Use these tips more often when dealing with multiple pimples. Don't rub the acne medication into your skin, or you could infect other skin pores with it. And when you start and finish, sterilize your skin with sterile water or whatever product you find most effective for your skin. You don't want all that shed material to remain on the skin's surface to cause new pimples to form. After a long period of acne removal, do not just apply some rubbing alcohol as you will be applying it to many small open wounds. Not only will the pain be intense, alcohol should not be applied to open wounds. Everyone's skin is different and you'll just have to experiment to find what works best for you. To sum it up, I gave it 4 stars because I wanted people to understand that there is no one perfect acne remedy for everyone. Having lived with acne for decades, I can attest that there is no one product that works for all cases. It depends on your skin and acne. But with these 12 tips, you have plenty of options that you can try to enforce them. For some people's skin, they may not work at all. For others, this can work great. These are just tools. You must use them safely and responsibly. And no matter what methods you choose to remove acne, it can result in blood and minor scars. For me, these 12 inexpensive attachments are worth their price.
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