Those small black dots that you are noticing are a form of acne, known as "blackheads" or "open comedones." They occur when pores on the skin become clogged open with dead skin, oil, bacteria, and other debris.
Most simple cases of blackheads are easy to manage. The basic principle involves cleaning out the pores and preventing them from becoming clogged again. One strategy that can work is daily facial cleansing and gentle exfoliation. If this is not sufficient, you may need to add a comedonolytic, which is a type of chemical that can be used to strip debris off of the surface of the skin. Commonly used comedonolytics include salicylic acid and benzoyl peroxide.These can be found in many over the counter acne preparations, and they are also available as prescriptions from your doctor
The next step up from these simple remedies definitely requires a visit to see either your primary care doctor
or a dermatologist
. There are multiple stronger anti acne medications that can be prescribed, if you and your doctor decide that that is what is needed.
Start by making an appointment with your doctor today. I hope you find a satisfactory solution to this problem soon!