What are the ways to treat razor bumps?

Question

Hello doctor,

I have severe razor bumps, scars, and occasional ingrown hairs from shaving, as I did not know the proper technique when I first started. Over the years, these issues have persisted. I even got tested for herpes, but the results came back negative. I switched to waxing, and the esthetician advised me to exfoliate twice a week, but I have not seen any improvement. I am feeling very self-conscious about the scars and am hesitant to get waxed due to the embarrassment of my appearance. Could you please help me with this issue?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Based on the image you provided (which has been removed to protect your privacy), it appears that the condition is likely caused by an allergic reaction due to shaving or waxing, both of which are common triggers for this issue.

For now, I recommend avoiding shaving as much as possible. If the condition continues to be bothersome, you may want to consider laser hair removal for a more permanent solution. In the meantime, I have prescribed the following treatment to help alleviate the symptoms:

Probable causes:

Shaving.
Waxing.

Probable diagnosis:

Acneiform eruption (a type of skin condition that resembles acne but is not caused by the same factors).
Keratosis pilaris (a condition where small, hard bumps appear on the skin due to the buildup of keratin, a protein in the skin).

Treatment plan:

Retino A 0.025 percent cream (Tretinoin): Apply in the morning after a bath.
Deriva BPO gel (Adapalene and Benzoyl Peroxide): Apply at night and wash off after 1 hour.
Azithromycin 500 mg: Take 1 tablet once a day after meals, for 3 consecutive days a week, for 4 weeks.
Aquasoft cream (Urea and Lactic Acid): Apply twice a day.

With this treatment, you should notice improvements within a month. We will reassess your progress after that and adjust the treatment plan as needed.

I hope this helps.

Revert with the answer to assist further.

Thank you and take care.