Will Steroid Creams Cause Facial Hair Growth? Expert Answers - Dermatology

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After using topical corticosteroids, fine hair began to grow on the skin?


Hello Dr.
Wu,
I recently visited a doctor due to skin sensitivity and was prescribed corticosteroids.
However, I've started to notice fine hair growing on my lips.
Will this hair disappear after I stop the medication, or should I remove it? If I do remove it, will it grow back? Thank you for your response!

Niming, 10~19 year old female. Ask Date: 2020/08/27

Dr. Wu Yuxin reply Dermatology


It will be fine after a period of discontinuation.

Reply Date: 2020/08/27

More Info


Steroid creams, particularly those containing potent corticosteroids, can indeed have various effects on the skin, including potential changes in hair growth patterns. When applied to the face, these creams can sometimes lead to increased hair growth, a condition known as hypertrichosis. This is particularly true if the steroid cream is used over a prolonged period or in high concentrations.
The mechanism behind this phenomenon is not entirely understood, but it is believed that corticosteroids can influence hair follicle activity. They may stimulate hair follicles or alter the normal hair growth cycle, leading to the development of fine, vellus hair or even more coarse hair in some cases. This effect is more likely to occur in areas where the skin is thinner and more sensitive, such as the face.

If you have noticed new hair growth on your upper lip after using a steroid cream, it is important to consider a few factors. First, the duration and potency of the steroid cream used can significantly influence the likelihood of developing hypertrichosis. If the cream was used for a short period and is of lower potency, the risk may be lower.
Regarding your concern about whether the hair will disappear after stopping the steroid cream, the answer is generally yes. In many cases, once the use of the steroid cream is discontinued, any excess hair growth may gradually diminish over time. However, this process can take several weeks to months, and the extent of hair loss may vary from person to person.
As for the option of plucking the hair, it is generally safe to do so, but it is essential to be cautious. Plucking can lead to irritation or inflammation, especially if the skin is sensitive due to previous steroid use. Additionally, plucking does not prevent the hair from growing back; it will likely return, as the hair follicles remain active.
If you are concerned about the appearance of the hair or if it causes you distress, you might consider other hair removal methods, such as shaving or using depilatory creams, which can provide a more temporary solution without the risk of irritation associated with plucking. However, always ensure that any product used is suitable for facial skin and does not contain harsh chemicals that could exacerbate sensitivity.

In summary, while steroid creams can lead to increased hair growth on the face, this effect is often reversible after discontinuation of the cream. If you have ongoing concerns about hair growth or skin sensitivity, it is advisable to consult with a dermatologist. They can provide tailored advice and alternative treatment options that may better suit your skin type and condition.

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