The image provides a close-up view of a common dermatological or esthetician procedure. Here's a breakdown:
Blackheads: The small, dark dots on the skin are blackheads. A blackhead, or an open comedo, is a hair follicle that has become clogged with a mixture of excess sebum (the skin's natural oil) and dead skin cells. The dark color isn't dirt; it's the result of the trapped material oxidizing after being exposed to the air.
The Tool: The metal instrument is a comedone extractor. It's designed with a loop or a cup at the end to apply precise, even pressure around the pore. This pressure forces the clogged material out of the follicle.
The Procedure: A person, likely a professional given the white gloves, is pressing the extractor tool against the skin to manually remove the blackheads.
While this procedure is effective for clearing clogged pores, it's generally recommended to have it performed by a trained professional. Improperly extracting blackheads at home can lead to skin damage, inflammation, scarring, and potential infection.