These may be keratin plugs. It will take a while to get rid of them and a concerted effort on your part. You should be on a Retinoid medication such as Tazorac or Retin A. You should begin on a lower strength and work your way up to the strongest. Is your skin dry or oily? If oily then Tazorac gel 0.1.
You should wash your face twice a day with Neutragena Clear Pore. In the morning apply Brevoxyl 5 gel and at night Tazorac.
A salacylic acid or a pumpkin peel will also help clear the keratin plugs.
For that you should see an aesthetician. Ask for a pumpkin peel with deep pore extractions.
I am sure this will help. Please let me know if you have any questions.
Thank you so much! You've renewed my hope that I might actually be able to have clear skin.