Dealing with Ingrown Hairs: Redness, Swelling, and Pain Explained - Dermatology

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After hair removal, hair grows under the skin, and the surrounding area is red and swollen, with the affected area turning black?


Hello Doctor, I have a habit of plucking hair myself.
A couple of months ago, I removed the hair below my navel, but it instead grew under the skin, forming a bump similar to a pimple, which is now about 1x2 cm.
Recently, it has started to become red and swollen, and it hurts when touched (it also hurts when my belt presses against it).
I am currently working in the Philippines and it is inconvenient for me to return to my home country.
Do you have any suggestions, Doctor? Thank you very much for taking the time to respond.

Ga Ga, 20~29 year old female. Ask Date: 2020/03/25

Dr. Wu Yuxin reply Dermatology


After hair removal, if the hair tip does not emerge and instead rotates beneath the skin causing inflammation known as pseudofolliculitis, the best approach is to gently puncture the skin's surface to allow the hair tip to grow out.
In the future, it is advisable to avoid hair removal methods that pull the hair out.

Reply Date: 2020/03/25

More Info


Dealing with ingrown hairs can be quite uncomfortable, especially when they lead to symptoms such as redness, swelling, and pain. Based on your description, it sounds like you are experiencing an ingrown hair that has become inflamed, possibly due to irritation or infection. Here’s a detailed explanation of what might be happening and how you can manage the situation.


Understanding Ingrown Hairs
Ingrown hairs occur when hair grows back into the skin instead of rising up from it. This can happen for several reasons, including improper hair removal techniques, curly hair types, or simply due to the natural growth pattern of your hair. When hair becomes trapped beneath the skin, it can cause a localized inflammatory response, leading to redness, swelling, and pain, much like a pimple.


Symptoms and Diagnosis
The symptoms you are experiencing—redness, swelling, and pain—are common indicators of an ingrown hair. The bump you described, measuring approximately 1x2 cm, suggests that the hair may have created a cyst-like formation under the skin. If the area is painful to touch and has become increasingly red, it may indicate that the ingrown hair is infected or has developed folliculitis, which is an inflammation of the hair follicle.


Immediate Care Recommendations
1. Avoid Picking or Squeezing: It can be tempting to try to pop the bump, but this can worsen the inflammation or lead to infection.
2. Warm Compress: Applying a warm compress to the area can help reduce swelling and promote drainage if there is any pus. Do this for about 10-15 minutes several times a day.

3. Topical Treatments: If you have access to over-the-counter treatments, consider using a topical antibiotic ointment to prevent infection. If the area is particularly painful or swollen, a hydrocortisone cream may help reduce inflammation.

4. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.

5. Keep the Area Clean: Maintain good hygiene by gently washing the area with mild soap and water. Avoid harsh scrubs or exfoliants that could irritate the skin further.


When to Seek Medical Attention
If the redness and swelling do not improve within a few days, or if you notice increased pain, pus, or fever, it is important to seek medical attention. A healthcare professional may need to drain the area or prescribe antibiotics if an infection is present.


Prevention Tips for the Future
To prevent ingrown hairs in the future, consider the following tips:
- Proper Hair Removal Techniques: If you choose to shave or wax, ensure you are using clean, sharp tools and techniques that minimize irritation. Shaving in the direction of hair growth can also help reduce the risk of ingrown hairs.

- Exfoliation: Regularly exfoliating the skin can help remove dead skin cells and prevent hair from becoming trapped beneath the surface.

- Moisturizing: Keeping the skin moisturized can help maintain its elasticity and reduce the likelihood of hair becoming ingrown.

- Avoid Tight Clothing: Wearing tight clothing can cause friction and irritation, which may contribute to the development of ingrown hairs.


Conclusion
Ingrown hairs can be a nuisance, but with proper care and preventive measures, you can manage and reduce their occurrence. If your symptoms persist or worsen, do not hesitate to seek medical advice, especially since you are currently in a different country. Your health and comfort are paramount, and a healthcare professional can provide the necessary treatment to alleviate your symptoms.

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