Pseudofolliculitis (razor bumps)

 

What is pseudofolliculitis (razor bumps)?

Pseudofolliculitis, also known as razor bumps or shaving bumps, are red, inflamed bumps on the face, neck, scalp, or any area where hair is shaved. They can also occur after waxing or plucking.

This condition is most common in people with naturally curly hair, especially those with Black skin. When curly hairs are shaved too close, they curve back into the skin, causing irritation and bumps. Over time, razor bumps can lead to dark marks or scarring.

Razor bumps are more likely to develop if you:

  • Pull the skin tight while shaving

  • Use razors with multiple blades

  • Shave against the grain of hair growth

  • Shave over the same area repeatedly

  • Pluck hairs with tweezers

  • Remove hairs by waxing

For comparison, see my folliculitis page to understand the difference between folliculitis and pseudofolliculitis.


How do I treat pseudofolliculitis (razor bumps)?

These steps can help calm redness and irritation, but the key to pseudofolliculitis is prevention (see below):


How to use a medicated wash or Hibiclens

  1. In the shower, rinse the areas where you get pseudofolliculitis with water.

  2. Apply a benzoyl peroxide wash or Hibiclens wash to those areas.

  3. Leave it on for 5–10 minutes (or longer if you can) so the medication has time to work.

  4. Rinse off thoroughly at the end of your shower.

  5. Use once or twice daily.

Tips:


How do I prevent pseudofolliculitis (razor bumps)?

If you get red bumps or pimples where you shave (face, neck, scalp, thighs, groin), try these tips:

Before shaving:

Choose the right razor:

Shaving technique:

  • Use your non-dominant hand to shave (this helps avoid pressing too hard).

  • Do not stretch or pull the skin tight.

  • Shave only in the direction of hair growth.

  • Keep blades sharp so you only pass over each area once.

  • Shave less often if possible.

  • Avoid plucking hairs with tweezers.

After shaving:

Special tip:

  • If your job requires a clean shave, ask your dermatologist about getting a “beard card” or medical permission to keep a well-groomed beard.


What if my pseudofolliculitis (razor bumps) isn’t getting better?

For most people, the steps above help prevent or improve razor bumps. But if your pseudofolliculitis is severe, scarring, or not improving with over-the-counter options, you may need prescription creams or oral antibiotics. In that case, see a board-certified dermatologist in your area. If you are in or near Utah, see one of my excellent colleagues at the University of Utah or me virtually with Honeydew.


DISCLAIMER

The statements expressed and content of this website are not intended to be a substitute for professional medical advice. Readers should seek their own professional counsel for any medical condition or before starting or altering any treatment, exercise, or dietary plan. Please see our full disclaimer here.

 
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Folliculitis (razor burn)

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Acanthosis nigricans