Pseudofolliculitis Barbae: Treatment, Causes, Prevention, and More (2024)

Razor bumps can be uncomfortable, but there are things you can do to soothe the irritation, like applying aloe vera or gently exfoliating the area. Shaving in the direction of hair growth, using an electric razor,, and other strategies can help to prevent razor bumps.

A good, clean shave leaves your skin feeling so smooth and soft at first — but then come the red bumps. Razor bumps are more than just an annoyance; in some cases, they can cause permanent damage if they’re not treated.

Other names for razor bumps include:

  • pseudofolliculitis barbae (PFB)
  • pseudofolliculitis pubis (specifically when the bumps occur in the pubic area)
  • barber’s itch
  • folliculitis barbae traumatica

While the primary symptom is raised, red bumps, others may include:

  • itching
  • pain
  • darkening of the skin
  • small papules (solid, rounded bumps)
  • pustules (pus-filled, blister-like lesions)

Razor bumps can occur anywhere that’s been shaved. Waxing, plucking, and removal by chemical depilatory may cause the condition in some cases, too. They’re most likely to occur in the following areas:

  • face (particularly the chin, neck, and lower cheeks)
  • underarms
  • groin
  • legs

The bumps occur when curly hairs get stuck inside the hair follicles, according to Dr. Cynthia Abbott, a medical, surgical, and cosmetic dermatologist with Dermatology Affiliates in Atlanta, Georgia.

“Instead of growing straight out of the follicle, hairs meet resistance from dead skin at more steeply angled pore openings and the hair curls back around inside the pore,” she says. “This causes inflamed, painful, red bumps.”

While anyone who removes hair can develop razor bumps, they’re most likely to affect African-American males. In fact, between 45 and 85 percent of African-American males experience PFB. Hispanic men and people with curly hair are also more likely to develop razor bumps.

Christopher Byrne, a certified physician assistant with Advanced Dermatology PC in New York, says if you have recurring bumps, it’s important to see a dermatologist. They’re often confused with tinea barbae. Tinea barbae and PFB can both cause an itchy beard, for example.

“Tinea barbae is a fungal infection of hair-bearing areas and can look very similar to PFB on visual examination,” he says. “Tinea barbae requires different medication for treatment in the form of oral and topical antifungal medications.”

PFB can usually be diagnosed with a physical examination. In some cases, skin cultures may be taken to identify if bacteria are causing the bumps. Another separate but related condition, sycosis barbae, is a type of deep folliculitis caused by a bacterial infection. It may appear first as small pustules on the upper lip.

While prevention is the best method to address razor bumps, the following natural remedies may help soothe affected areas:

Aloe vera

Aloe vera has an antibacterial, soothing, moisturizing, and anti-inflammatory effect. It helps to quickly stop itchiness, inflammation, and redness caused by the razor bumps.

Remove the aloe gel from inside the plant leaves and apply it to the affected areas. Let it dry and leave it on for at least 30 minutes. Repeat a few times a day. Learn other amazing uses for aloe vera.

Tea tree oil

Tea tree oil has antibacterial, anti-inflammatory, and antiseptic properties. It opens up the pores, loosens the ingrown hair, and soothes the redness and inflammation of the razor bumps.

Mix 10–15 drops of tea tree oil into a bowl of warm water. Soak a washcloth in the bowl and apply the cloth over the affected area for 30 minutes. Repeat a few times a day, as needed.

Exfoliating scrub

Gently exfoliate the affected area to clear away dead skin cells that may be clogging up the pores. You can use a mild store-bought exfoliator or you can mix sugar and olive oil together to form a do-it-yourself paste.

Rub the exfoliator or paste over the affected area in a circular motion for five minutes. Rinse off with warm water.

Irritated red bumps can be treated with a combination of:

  • prescription antibacterial lotions
  • warm compresses with green tea bags
  • spot treatment with over-the-counter steroid creams

Sterile incision and extraction of the hair is sometimes necessary.

Laser hair removal or electrolysis is also an effective option in some cases. Find out which option is best for you.

“No hair follicle growth means no chance of an ingrown hair,” Byrne says. However, that may not always be practical in terms of the areas that need to be treated and cost. According to the American Society of Plastic Surgeons, the average cost of a laser hair removal session is $306, but how many sessions a person needs will vary.

The good news is that there are things you can do to stop the bumps from occurring in many cases. Prevention techniques include the following:

Tips

  • Avoid shaving too closely.
  • Shave in the direction of hair growth rather than “against the grain.”
  • Use a non-irritating shaving cream.
  • Use an electric razor.
  • Avoid pulling skin while shaving.
  • Reduce the frequency of shaving.
  • Replace your razor frequently.
  • Exfoliate with retinoids, glycolic or salicylic acids, or benzoyl peroxides to help clear the follicle opening.

Was this helpful?

If treated early, most serious complications from razor bumps can be avoided. In some cases, however, if the bumps aren’t treated, there’s a risk of scarring. This can include keloid scarring, which consists of hard, raised bumps. In rare cases, abscesses may form, and you may need surgical intervention.

PFB is a chronic condition that can be physically uncomfortable. However, in most cases, it can be treated and prevented with simple adjustments in your hair removal process. If you find that you’re unable to resolve razor bumps on your own, seek professional treatment as soon as possible to prevent complications that could result in permanent scarring.

Pseudofolliculitis Barbae: Treatment, Causes, Prevention, and More (2024)

FAQs

Pseudofolliculitis Barbae: Treatment, Causes, Prevention, and More? ›

Shaving every other day, rather than daily, will improve pseudo-folliculitis barbae. If one must use a blade, water soften the beard first with a hot, wet washcloth for 5 minutes. Then use lubricating shaving gel (Edge, Aveeno), and the Aveeno PFB Bump Fighter Razor or the Flicker razor.

How do you prevent pseudofolliculitis barbae? ›

Shaving every other day, rather than daily, will improve pseudo-folliculitis barbae. If one must use a blade, water soften the beard first with a hot, wet washcloth for 5 minutes. Then use lubricating shaving gel (Edge, Aveeno), and the Aveeno PFB Bump Fighter Razor or the Flicker razor.

What is the cause of Pseudofolliculitis? ›

Pseudofolliculitis barbae is a disorder that occurs mainly in African American men. If curly beard hairs are cut too short, they may curve back into the skin and cause inflammation. Folliculitis can affect people of all ages.

How do you prevent folliculitis after shaving? ›

Avoiding shaving too close by using an electric razor or guarded blade and by not stretching the skin. Using a clean, sharp blade and rinsing it with warm water after each stroke. Avoiding shaving the same area more than twice. Applying moisturizing lotion after you shave.

How do you prevent razor bumps and cure them? ›

While shaving, always use a moisturizing shaving cream. Once you're done shaving, apply a soothing aftershave formulated to reduce the risk of razor bumps and irritation. Use proper technique when shaving to reduce bumps. Shave in the direction your hair grows or you're training it to grow.

What causes pseudofolliculitis barbae? ›

Pseudofolliculitis barbae most frequently occurs in association with shaving and results from an inflammatory response to the cutaneous entrapment of recently cut, short hairs. Pseudofolliculitis barbae typically presents with firm papules and pustules in the beard area (picture 1A-C).

Is there a way to prevent folliculitis? ›

Folliculitis may be avoided by following these strategies: Shaving: Shave with care. Use an electric razor or a new blade every time you shave. Keep the shaved area clean and try to avoid cuts and nicks.

Does pseudofolliculitis barbae go away on its own? ›

Over time, though, the skin improves because the grown-out hair stays above the skin's surface. Hence, it is much less likely for ingrown hairs to develop. In many cases, stopping shaving will completely clear up pseudofolliculitis barbae.

What is the fastest way to cure folliculitis? ›

Self care
  1. Apply a warm, moist washcloth. Do this several times a day to relieve discomfort and help the area drain, if needed. ...
  2. Apply a nonprescription antibiotic. ...
  3. Apply a soothing lotion or cream. ...
  4. Clean the affected skin. ...
  5. Protect the skin.

What bacteria causes pseudofolliculitis barbae? ›

Folliculitis barbae is most often due to Staphylococcus aureus (S. aureus) colonization of more superficial portions of the hair follicle (for example, the infundibulum) and skin surface. However, cases of herpes simplex and candida folliculitis barbae (folliculitis barbae candidomycetica) have been reported.

What kills folliculitis naturally? ›

Essential Oils

Tea tree oil, neem oil, geranium oil, grapefruit seed oil are very effective in treating folliculitis. Tea tree oil can be added to your shampoo, lotion or body wash. Rub it gently onto the affected area and let it sit. Before using it do a patch test to make sure there are no adverse reactions.

What kills folliculitis bacterially? ›

Benzoyl peroxide is an antiseptic that confers not only antibacterial effects but also keratolytic effects, which cause the skin to dry and peel (Kawashima 2017). Systemic antibiotics can directly inhibit or kill the pathogenic bacteria causing folliculitis and boils.

Does vaseline help razor bumps? ›

Yes, using vaseline can help prevent and treat razor bumps, Lipner said. The best time to apply it is after shaving.

Does shaving with coconut oil prevent razor bumps? ›

The beauty of shaving with coconut oil is that it softens your skin and to follicle to prevent the growth of ingrown hairs that causes razor bumps (no one has time for that!).

Why can't I stop getting razor bumps? ›

It might just be your genetics—curly or coarse facial hair is the most susceptible to razor bumps. Black men, you may have it the roughest. Whatever the cause, the diagnosis is the same. Razor bumps are a type of folliculitis—or as your dermatologist might write in your file, pseudofolliculitis barbae.

How to fix razor bumps fast? ›

Some skin care tips to help clear razor bumps include:
  1. Apply cool compresses. This will help with any discomfort in the affected area.
  2. Apply warm compresses. This will soften the skin and help ingrown hairs come to the surface.
  3. Use aftershave or aloe. ...
  4. Moisturize the affected area. ...
  5. Keep the skin clean.
Nov 27, 2023

How do I prevent bumps on my beard? ›

6 razor bump prevention tips from dermatologists
  1. Grow your hair.
  2. Figure out the direction your hair grows.
  3. Shave when your hair is soft.
  4. Use the right products.
  5. Use proper technique when shaving to reduce bumps.
  6. Shave more often.
Oct 3, 2022

Top Articles
Latest Posts
Article information

Author: Clemencia Bogisich Ret

Last Updated:

Views: 6086

Rating: 5 / 5 (80 voted)

Reviews: 87% of readers found this page helpful

Author information

Name: Clemencia Bogisich Ret

Birthday: 2001-07-17

Address: Suite 794 53887 Geri Spring, West Cristentown, KY 54855

Phone: +5934435460663

Job: Central Hospitality Director

Hobby: Yoga, Electronics, Rafting, Lockpicking, Inline skating, Puzzles, scrapbook

Introduction: My name is Clemencia Bogisich Ret, I am a super, outstanding, graceful, friendly, vast, comfortable, agreeable person who loves writing and wants to share my knowledge and understanding with you.