Can Cosmetic Surgery Treat Keratosis Pilaris Effectively? - Plastic Surgery

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Keratosis pilaris


I have been troubled by keratosis pilaris since middle school.
I have seen a dermatologist, but the doctor said it is hereditary and cannot be cured.
At first, I didn't understand and kept trying to squeeze it, which only left me with many scars.
I would like to ask if keratosis pilaris can be resolved through cosmetic surgery?

m.m, 10~19 year old female. Ask Date: 2003/08/20

Dr. Luo Qihua reply Plastic Surgery


Hello: Keratosis pilaris can indeed be quite bothersome.
In addition to affecting appearance, it can also lead to occasional breakouts.
Treatment typically involves the use of alpha hydroxy acids, retinoids, and salicylic acid for exfoliation.
Erbium chromium laser resurfacing has also shown effectiveness.
However, similar to acid treatments, long-term therapy is necessary to improve skin condition.
Dr.
Kuei-Hua Lo, Department of Plastic Surgery, Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2003/08/20

More Info


Keratosis pilaris, commonly known as "chicken skin," is a benign skin condition characterized by small, rough bumps, typically found on the upper arms, thighs, cheeks, and buttocks. It occurs due to the buildup of keratin, a protein that protects the skin from infections and other harmful substances. While keratosis pilaris is not harmful and does not require medical treatment, it can be a source of cosmetic concern for many individuals, leading them to seek various treatment options.

To address your question about whether cosmetic surgery can effectively treat keratosis pilaris, it is important to clarify that traditional cosmetic surgery is generally not the recommended approach for this condition. Instead, dermatological treatments are more commonly utilized to manage and improve the appearance of keratosis pilaris.

1. Topical Treatments: The most effective treatments for keratosis pilaris typically involve topical agents. Products containing alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), urea, or retinoids can help exfoliate the skin and reduce the buildup of keratin. These treatments may take time to show results and require consistent application.

2. Chemical Peels: Dermatologists may recommend chemical peels that use stronger acids to exfoliate the skin more deeply. This can help improve the texture and appearance of the skin affected by keratosis pilaris.

3. Laser Therapy: Laser treatments, such as fractional laser or pulsed dye laser, can also be effective in reducing the appearance of keratosis pilaris. These treatments work by targeting the skin's surface and promoting collagen production, which can improve skin texture over time.

4. Microdermabrasion: This is a non-invasive procedure that exfoliates the outer layer of skin, helping to smooth rough patches associated with keratosis pilaris. It can be performed in a dermatologist's office and may require multiple sessions for optimal results.

5. Lifestyle and Home Care: Regular moisturizing and gentle exfoliation can help manage keratosis pilaris. Using a humidifier in dry environments and avoiding harsh soaps can also be beneficial.

It is crucial to note that while these treatments can significantly improve the appearance of keratosis pilaris, they may not completely eliminate the condition. Since keratosis pilaris is often hereditary, individuals may experience flare-ups, especially during dry seasons or due to hormonal changes.

Regarding your experience with scarring from attempting to squeeze the bumps, it is essential to avoid picking at or squeezing the affected areas, as this can lead to further irritation and scarring. Instead, focusing on the aforementioned treatments can help manage the condition more effectively.

In summary, while cosmetic surgery is not a viable solution for keratosis pilaris, various dermatological treatments can provide significant improvement. Consulting with a dermatologist is the best course of action to determine the most appropriate treatment plan tailored to your specific skin type and condition. They can guide you through the available options and help you achieve smoother, healthier skin without the risk of scarring or other complications.

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