In the video you can see how two women take out a black dot, which according to the protagonist of the video had been on his back for 20 years.
Those in charge of extracting and ending this pore obstruction spent several minutes to get all the sebum and keratin out.
And it is that, a blackhead is made up of sebum and keratin that is stored inside a pore. When it comes into contact with oxygen, it begins to oxidize and acquire that dark hue that characterizes and gives its name to the black dot.