From the Research
Pseudofolliculitis barbae (PFB) can be effectively treated with a combination of topical eflornithine cream and long-pulsed Nd-YAG laser therapy, as this approach has been shown to significantly reduce inflammatory papules and hair density 1.
Treatment Approaches
When considering treatment options for PFB, it's essential to prioritize methods that reduce inflammation, prevent bacterial infection, and help release trapped hairs. The following approaches can be effective:
- Letting facial hair grow for 3-4 weeks to allow ingrown hairs to release naturally
- Using a single-blade razor or electric razor with guards, shaving in the direction of hair growth, and avoiding pulling skin taut
- Applying a warm compress before shaving and using shaving cream to soften hairs
- Using alcohol-free moisturizers or aftershaves containing glycolic acid or salicylic acid after shaving
Topical and Systemic Treatments
For existing bumps, topical treatments like:
- Benzoyl peroxide 2.5-5%
- Clindamycin 1%
- Retinoids can help reduce inflammation and prevent bacterial infection. Over-the-counter hydrocortisone 1% cream can also be used to reduce inflammation. For severe cases, prescription options include higher-strength retinoids, antibiotics like doxycycline (100mg twice daily for 2-4 weeks), or steroid injections 2, 3, 4.
Permanent Hair Removal
Chemical depilatories or permanent hair removal methods like laser therapy may be better alternatives to shaving for those with recurrent severe PFB. Laser hair removal has become a potential long-term treatment option, and additional studies are warranted to understand its long-term efficacy and permanency 1, 4.