Subcutaneous Beard Growth in Men: Causes and Solutions - Dermatology

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Regarding the issue of men not being able to grow facial hair on their chin?


Hello, I would like to ask a question.
My boyfriend had to wear a hat during his military service, and after he was discharged, he developed a condition where his facial hair is growing beneath the skin.
He is unable to shave with a razor and can only pull out the ingrown hairs with tweezers.
The hair that has surfaced is only about 0.1 to 0.2 centimeters, so he has to use tweezers to extract it.
I'm not sure which specialist he should see for this condition, and what kind of condition it is.
Is laser hair removal an option for him?

Miao Miao, 20~29 year old female. Ask Date: 2005/02/19

Dr. Huang Ruiyun reply Dermatology


For individuals with this type of skin condition, it is recommended to avoid using manual razor blades and switch to an electric shaver.
This is because manual blades can shave too closely, causing newly grown hair to become ingrown if it curls.
Electric shavers tend to leave a bit of stubble exposed, which is safer.
Laser hair removal can also be considered.

Reply Date: 2005/02/19

More Info


Understanding subcutaneous beard growth, particularly in men, involves a combination of anatomical, physiological, and sometimes pathological factors. The situation your boyfriend is experiencing, where facial hair grows beneath the skin rather than above it, is commonly referred to as "ingrown hairs" or "subcutaneous hair growth." This condition can be quite frustrating and may require a multifaceted approach to address effectively.


Causes of Subcutaneous Beard Growth
1. Hair Follicle Orientation: The orientation of hair follicles can significantly influence how hair grows. If the follicles are angled in a way that causes the hair to grow back into the skin, this can lead to ingrown hairs. This is often exacerbated by shaving techniques that irritate the skin or cut the hair at an angle.

2. Skin Irritation and Inflammation: Frequent shaving, especially with dull blades or improper techniques, can irritate the skin and lead to inflammation. This inflammation can cause the hair to become trapped beneath the skin surface.

3. Genetic Factors: Some individuals may have a genetic predisposition to ingrown hairs due to the texture and curliness of their hair. Curly hair is more likely to bend back into the skin as it grows, leading to ingrown hairs.

4. Hormonal Influences: Hormones, particularly androgens like testosterone, can affect hair growth patterns and skin characteristics. Increased levels of these hormones can lead to thicker and coarser hair, which may be more prone to becoming ingrown.


Solutions and Treatments
1. Proper Shaving Techniques: Encourage your boyfriend to adopt better shaving practices. This includes using a sharp razor, shaving in the direction of hair growth, and using a moisturizing shaving cream or gel to reduce irritation.

2. Exfoliation: Regular exfoliation can help remove dead skin cells and prevent hair from becoming trapped beneath the skin. Gentle scrubs or chemical exfoliants containing salicylic acid can be effective.

3. Topical Treatments: Over-the-counter treatments containing ingredients like glycolic acid or salicylic acid can help reduce inflammation and promote the shedding of dead skin cells, allowing trapped hairs to emerge.

4. Laser Hair Removal: Laser hair removal is a more permanent solution that targets hair follicles and can significantly reduce hair growth over time. This method can be particularly effective for individuals with darker hair and lighter skin, as the laser targets the pigment in the hair.

5. Consultation with a Dermatologist: Given the specific nature of your boyfriend's condition, it would be advisable for him to consult a dermatologist. A dermatologist can provide a thorough examination and may recommend treatments such as prescription topical medications or procedures to help alleviate the issue.

6. Avoiding Tight Clothing: If your boyfriend wears tight collars or clothing that may irritate the area, it could contribute to the problem. Loose-fitting clothing can help reduce friction and irritation.


Conclusion
Subcutaneous beard growth can be a frustrating condition, but with the right approach, it can be managed effectively. Encouraging your boyfriend to adopt better grooming habits, consider topical treatments, and possibly explore laser hair removal can lead to significant improvements. Consulting with a dermatologist is crucial for personalized advice and treatment options tailored to his specific situation. By addressing both the symptoms and underlying causes, he can achieve healthier facial hair growth and improve his overall comfort.

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