and a tiny little white dot in the middle if i take a pair of tweezers or small pliars it comes out like a root sometimes with a tiny what looks like white hair on the end but seems to be just really thin skin and it has a hard top to it and soft root any answers will be appreciated have pictures if needed
. Without examination and lab investigations like skin biopsy and examination of the tissue sampleunder the microscope, nothing can be said with confirmation.
In my opinion, you should follow up with your dermatologist and discuss about these three possibilities with him.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.