You never know what you’re going to get when you tune into dermatologist Sandra Lee, MD, a.k.a. Dr. Pimple Popper. She can be quite the trickster and so can the pimples on her patients. In her latest Instagram video, she shows off a fancy new trick. She clears out what appear to be blackheads, but are a totally different and crazy phenomenon. And, Dr. Pimple Popper uses a pair of tweezers for the extraction process.

WTH are those? Dr. Pimple Popper calls them sebaceous filaments. These are structures in the pores that allow sebum to flow to the surface of the skin. All good when everything is flowing along, but that’s not always the case.

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