Post Hair Removal: Dealing with Redness, Pain, and Infection - Dermatology

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Post-hair removal redness and purulence?


After shaving the pubic hair on July 1st, there are several areas where the hair follicles are red and swollen, resembling pimples.
Squeezing them is painful and there is pus.
What should I do about this? Additionally, there are other areas without redness that have white flakes.
What could this be?

Niming, 10~19 year old female. Ask Date: 2019/07/06

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If you are very concerned, please seek medical attention as soon as possible.
A proper examination is necessary to identify the problem and determine the appropriate treatment.

Reply Date: 2019/07/06

More Info


After shaving your pubic hair, it’s not uncommon to experience some redness, swelling, and even the formation of small bumps that resemble pimples. This condition can be attributed to a few factors, including irritation from the razor, ingrown hairs, or folliculitis, which is the inflammation of hair follicles. When you mention that some areas are painful and have pus, it suggests that there may be an infection present, likely due to bacteria entering the hair follicles after shaving.


Immediate Steps to Take
1. Avoid Picking or Squeezing: It’s crucial to refrain from squeezing the bumps, as this can worsen the inflammation and increase the risk of spreading bacteria, leading to further infection.

2. Keep the Area Clean: Gently wash the area with mild soap and warm water. Avoid using harsh soaps or scrubs that can irritate the skin further.

3. Apply a Cool Compress: To reduce swelling and discomfort, you can apply a cool, damp cloth to the affected areas for 10-15 minutes several times a day.

4. Use Over-the-Counter Treatments: Consider applying an over-the-counter hydrocortisone cream to reduce inflammation and itching. If there are signs of infection (such as increased redness, warmth, or pus), an antibiotic ointment like Neosporin may be beneficial.

5. Moisturize: After the area has been cleaned and dried, applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent further irritation.


Understanding the White Flaky Skin
The white flakes you are observing could be a result of several conditions:
- Dry Skin: Shaving can strip the skin of its natural oils, leading to dryness and flaking.

- Folliculitis: As mentioned, this is an inflammation of the hair follicles that can sometimes present with flaky skin.

- Seborrheic Dermatitis: This condition can cause flaky skin and is often associated with oily areas of the body. It may require specific treatments if it persists.


When to Seek Medical Attention
If the redness, swelling, and pain do not improve within a few days, or if you notice increasing pus, fever, or spreading redness, it is essential to consult a healthcare professional. They may prescribe topical or oral antibiotics if an infection is confirmed. Additionally, if you experience persistent flaking or irritation, a dermatologist can provide a more accurate diagnosis and treatment plan.


Preventive Measures for Future Shaving
To minimize the risk of similar issues in the future, consider the following tips:
- Use a Clean, Sharp Razor: Always use a clean and sharp razor to reduce the risk of irritation and infection.

- Shave in the Direction of Hair Growth: This can help prevent ingrown hairs and reduce irritation.

- Moisturize Before and After Shaving: Using a shaving cream or gel can help protect the skin, and applying a moisturizer afterward can soothe and hydrate the skin.

- Consider Alternative Hair Removal Methods: If shaving continues to cause issues, you might explore other hair removal methods such as trimming, waxing, or laser hair removal, which may be less irritating to the skin.

In summary, while experiencing redness and bumps after shaving is common, proper care and attention can help manage these symptoms effectively. If problems persist, seeking medical advice is always the best course of action to ensure your skin's health and well-being.

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