Q. How to treat dark areas on the skin resembling hair follicles without any hair?
Hello doctor,
I am a 19-year-old female. For a while, or rather since puberty, I have had these embarrassing marks all over my butt. Sometimes I get bumps there but not a lot. It is more of small dark areas as small as hair follicles, but no hair. They do not seem like bumps to me, just more of a nuisance, and it is not very comfortable when wearing swimsuits or even shorts sometimes. I have tried exfoliating, but sometimes it seems to make it worse. Please help me find a solution.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I have viewed the images (attachment removed to protect the patient's identity). You have keratosis pilaris, which are follicular keratotic plugs with the hair coiled or trapped inside the keratin plug. I suggest oral isotretinoin to remove the plugs for a few weeks to months. In addition, I suggest you apply an exfoliating lotion or cream such as Cutiyt-G lotion. The glycolic acid in it would also help lighten the dark spots. However, please consult a physician, discuss with them, and start taking the medications with their consent.
Hope this helps.
Thanks and take care.
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