Dealing with Ingrown Hairs: Seeking Dermatological Help - Dermatology

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Hair plucking and its underlying issues?


Hello, doctor.
I used to have a severe habit of pulling out my hair, and I am currently working on controlling it.
After pulling my hair, I often experience ingrown hairs.
Each time this happens, I am unsure of what to do, so I usually just leave them alone or create a small wound and wait for it to rupture.
The ingrown hairs often stick to the discharge from the wound, and I remove them together.
However, this method seems to leave a slight redness or darkening in that area after the wound heals.
I am unsure how to remove it, and the hair that grows back tends to be darker and coarser, making me want to pull it out again.
Should I seek assistance from a dermatologist if I experience ingrown hairs?

You, 10~19 year old female. Ask Date: 2019/04/12

Dr. Wu Yuxin reply Dermatology


Yes, but changing bad habits is the correct approach.

Reply Date: 2019/04/12

More Info


Dealing with ingrown hairs can be quite frustrating, especially if you have a history of hair-pulling or tweezing. Ingrown hairs occur when hair grows back into the skin instead of rising up from it, which can lead to inflammation, redness, and sometimes infection. Your experience of allowing the ingrown hairs to remain until they form a small wound is not uncommon, but it can lead to complications such as scarring or hyperpigmentation, which may explain the red or dark spots you are noticing after healing.

First and foremost, it is advisable to seek help from a dermatologist. They can provide you with a professional assessment of your skin and the ingrown hairs. Dermatologists can offer treatments that are more effective and safer than home remedies. They may recommend topical treatments that can help reduce inflammation and prevent infection, such as corticosteroids or antibiotics if there is an infection present.
In addition to medical treatments, a dermatologist can guide you on proper hair removal techniques to minimize the risk of ingrown hairs in the future. For instance, they might suggest using a gentle exfoliating scrub or chemical exfoliants containing salicylic acid or glycolic acid to help keep the hair follicles clear. Regular exfoliation can help remove dead skin cells that can trap hairs beneath the surface.

If you are experiencing significant discomfort or recurrent ingrown hairs, the dermatologist may also discuss alternative hair removal methods. For example, laser hair removal is a long-term solution that can significantly reduce hair growth and the occurrence of ingrown hairs. This method targets the hair follicles with laser light, which can lead to permanent hair reduction over time.

Regarding the dark or red spots left behind after the ingrown hairs heal, these are often a result of post-inflammatory hyperpigmentation. This condition occurs when the skin produces excess melanin in response to inflammation or injury. To address this, dermatologists may recommend topical treatments containing ingredients like hydroquinone, retinoids, or vitamin C, which can help lighten these spots over time.
It’s also essential to avoid picking at or pulling out ingrown hairs, as this can exacerbate the problem and lead to further irritation or scarring. Instead, if you notice an ingrown hair, consider using a warm compress to soothe the area and encourage the hair to break through the skin naturally. If the hair is visible and close to the surface, a sterile needle can be used to gently lift it out, but this should be done with caution to avoid infection.

In summary, seeking the assistance of a dermatologist is a wise choice for managing ingrown hairs and the associated skin issues. They can provide tailored advice and treatments that can help you achieve healthier skin and reduce the occurrence of ingrown hairs. Remember, proper skincare and hair removal techniques are crucial in preventing future ingrown hairs and maintaining skin health.

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