Until you find the right dermatologist- Biore strips (Wal Mart, CVS, etc) are great. They pull the blackheads right out without pinching your skin like squeezing. If you haven't tried them-try them! Afterwords use a nice toner to tighten the pores. It's something to use a couple times a week,not a cure, but its great when the blackheads are gone. Also, drugstore.com is a good way to review products before you buy just by reading descriptions. Look for acne treatments. Bye Bye Blemish is good, but more for zits, not blackheads. Try Biore! Also, getting lots of circulation and sweating helps a lot. She could steam her face first to open pores and then use Biore. Keep her hydrated and active! Good luck!