Watch Dr. Pimple Popper Remove a Huge Cluster of Blackheads from a Man’s Back

In her latest Instagram video, Dr. Pimple Popper got back to work along with the rest of us, kicking her Monday off with a series of blackhead extractions on a patient’s back. In the clip, Dr. Pimple Popper—aka, dermatologist and TLC host Dr. Sandra Lee, MD—uses her trusty comedone extractor to remove the blackheads more smoothly and safely than pinching them, which can cause irritation. Adjacent to the blackheads, she notes, are brown spots known as benign seborrheic keratoses, a type of noncancerous skin growth that can typically develop in older adults, according to the Mayo Clinic.

Blackheads are extremely common, affecting up to nearly 50 million people every year, according to MedicalNewsToday.