Manual follicular extraction relieves deep comedonal impactions without tearing epidermal tissue.
We target closed comedones, sebaceous microcysts, and oxidized follicular plugs across the face and neck using sterile No. 26 lancets and ultrasonic cavitation. Sessions range from $169 to $300 USD with zero vague beauty spa additions.
Pricing tiers for facial extractions depend on congestion density and session time.
A patient with isolated T-zone blackheads requires a 30 to 45-minute localized clearing. A patient with generalized grade 2 comedonal acne across the cheekbones, mandible, and neck requires 60 to 80 minutes of painstaking manual unroofing.
| Extraction Tier | Clinical Duration | Technique & Materials Used | Confirmed Price |
|---|---|---|---|
| Targeted T-Zone Clearing | 30–45 min | Ultrasonic blade, open comedone evacuation, high frequency, zinc calming | $169 USD |
| Full Face Clinical Cleanse | 60 min | Enzymatic pre-softening, manual lancet unroofing of closed comedones, cold globe massage | $235 USD |
| Extended Face & Neck Protocol | 80 min | Full face and mandibular extraction, lymphatic drainage, 20-min LED phototherapy (830nm) | $300 USD |
"Pore clearing fails when technicians squeeze against closed keratin plugs. That rupture forces lipid debris deeper into the reticular dermis, causing cystic granulomas. We puncture the stratum corneum roof at a 30-degree angle with a sterile lancet, allowing the solidified plug to slide out freely under lateral pressure."— Casey Finch, LE/LI, Esthetician and Laser Specialist since 2019
Clinical oversight by Casey Finch, LE/LI in Uptown Charlotte.
Founded and operated by Casey Finch, practicing clinical aesthetics in North Carolina since 2019. Every facial extraction is executed under verified North Carolina state board hygiene mandates and Associated Skin Care Professionals (ASCP) protocols.
- Practitioner:
- Casey Finch, LE/LI
- Practice Start:
- 2019
- Licensure:
- North Carolina State Board
- Professional Org:
- ASCP Member in Good Standing
All comedone extractors, micro-tweezers, and stainless steel trays are sealed in chemical indicator pouches and processed in our on-site autoclave at 270 degrees Fahrenheit under 30 PSI pressure. Single-use surgical lancets are opened in front of you and placed immediately into an OSHA-approved sharps container.
Traditional spa facials use aggressive boiling hot steam that exacerbates rosacea and ruptures delicate facial telangiectasia. We use warm enzymatic compresses and ultrasound waves that soften the follicular keratin matrix without overheating capillaries.
What happens during your clinical facial extraction.
We follow a disciplined 4-stage mechanical sequence designed to leave pores completely cleared and calmed within the same 80-minute window.
We inspect each follicle under dermatological magnification. A stabilized bromelain and papain enzyme mask dissolves cellular glue holding the stratum corneum tight, followed by 28kHz ultrasonic vibration to emulsify surface sebum.
Casey Finch uses sterile lancets to open the follicular ostium of closed comedones. Directional lateral pressure empties the sebaceous plug without pinching or bruising adjacent capillaries.
An argon glass electrode passes over freshly extracted follicles, generating singlet oxygen molecules that instantly kill anaerobic Cutibacterium acnes bacteria and arrest post-extraction flare-ups.
A chilled biocellulose recovery mask infused with centella asiatica and high-molecular hyaluronic acid reduces redness, followed by non-nano zinc oxide sunscreen. You leave with clean skin and minimal erythema.
When we refuse extraction: honest clinical limits.
Extraction is not suitable for every blemish. Attempting to force an extraction on an inflamed lesion leads to permanent hyperpigmentation and tissue loss.
Deep hormonal cysts located in the lower dermis do not possess an open follicular exit. Squeezing or piercing a deep cyst causes internal rupture and scar tissue. We treat these with Aerolase 1064nm laser coagulation or topical salicylic acid, never lancet extraction.
Systemic isotretinoin severely thins the epidermis and slows fibroblast repair. Mechanical extraction risks permanent tearing. We restrict our work to barrier hydration until you are 6 months post-course.
Extraction produces transient pinkness for 2 to 6 hours depending on individual capillary fragility. Do not book a deep pore extraction on the morning of a photo shoot or wedding.
Book your facial extraction intake in Charlotte.
Submit your contact information and describe your skin concerns. Casey Finch LE/LI will review your intake details and confirm availability at 130 North Tryon Street within one business day.