From the Research
For ingrown hairs in a 70-year-old patient that have persisted for 2 weeks, I recommend a gentle approach combining exfoliation and topical treatments, as well as considering laser hair removal as a long-term solution, as suggested by the most recent and highest quality study 1.
Diagnosis
The patient's condition is likely pseudofolliculitis barbae, a chronic inflammatory response to ingrown hair, which can be caused by curly hair, grooming practices, and genetic predisposition 1.
Treatment
To manage the condition, the following steps can be taken:
- Start with warm compresses applied to the affected areas for 5-10 minutes twice daily to soften the skin.
- Gently exfoliate the area using a soft washcloth or a chemical exfoliant containing salicylic acid (1-2%) or glycolic acid (5-7%) every other day.
- Apply a thin layer of over-the-counter hydrocortisone cream (0.5-1%) twice daily for up to 7 days to reduce inflammation.
- For infection prevention, use an antibacterial cleanser containing benzoyl peroxide 2.5% or chlorhexidine when washing the area.
- Avoid shaving the affected region until the condition improves, and when resuming, use a clean, sharp razor with shaving cream and shave in the direction of hair growth.
Long-term Solution
Consider laser hair removal as a long-term solution, as it has been shown to be safe and effective in most skin types, and can help reduce the risk of ingrown hairs 1.
Monitoring
If the ingrown hairs don't improve within another week, show signs of infection (increased redness, warmth, pus, or spreading), or if the patient has diabetes or other conditions affecting wound healing, consult a healthcare provider promptly 2.