No universally effective treatment is available for keratosis pilaris. There are different treatment options available for treatment of this problem. There are skin care recipes available for it. If the patients follow a regular skincare program, they often have good temporary improvements. The treatment for the problem should be continuous. The list of lotions and creams that are used for offering remedy is long. However, the problem may completely cure without any treatment at all.
The best results in treatment of k
eratosis pilaris may be found using combination therapy. The general measures are taken for prevention of excessive dryness of the skin, which include soap-less cleansers like Dove, Cetaphil etc. Lubrication is a very important part of the treatment in this problem.
In case of mild problem, improvement can be achieved with basic lubrication. For such basic lubrication, over-the-counter lotions for moisturising are good enough. Such over-the-counter lotions include Cetaphil, Purpose, or Lubriderm etc.
For severe keratosis pilaris other therapeutic options are used which include different types of lotions and creams. Such lotions include lactic acid lotions (AmLactin, Lac-Hydrin), retinoic acid products like tazarotene (Tazorac), tretinoin (Retin-A), and adapalene (Differin), alpha hydroxy acid lotions such as Glytone, glycolic body lotions etc. Creams used in the treatment include urea cream like Carmol 10, Carmol 40, Carmol 20, Urix 40), salicylic acid (Salex lotion), and topical steroid creams such astriamcinolone 0.1%, Locoid Lipocream etc. Sometimes, the doctor may also prescribe compound creams that contain multiple different ingredients.
The affected area should be washed once or twice everyday using a gentle cleanser. In case of acne prone skin, therapeutic cleansers may be used for cleaning the skin. Such therapeutic cleansers include salicylic acid, Proactiv, GlySal, or benzoyl peroxide.
If you're using a lotion, massage it gently on the affected area. Do that for 2 to 3 times a day. In case of inflaming skin, bland moisturisers should only be used until the inflammation is gone.
If your doctor prescribes emollient-based topical steroid cream to be applied on the inflamed, red rash areas, then do that once or twice a day. Such steroid creams include Locoid Lipocream, Cloderm etc. Generally, such a course runs for 7 to 10 days. After the inflammation is remitted, the residual dry, rough bumps can be healed using a compound preparation that includes 2-3% salicylic acid in 20% urea cream. Such a compound should be used twice daily.
In case of severe keratosis pilaris, it can be treated orally using isotretinoin pills, which is generally prescribed for several months. As isotretinoin is a strong medicine, so it is reserved for resistant and severe problems. In case of persistent skin discolouration known as hyperpigmentation, fading creams are used for its treatment. Such creams include kojic acid, hydroquinone 4%, and azelaic acid 15-20%. However, care should be taken as high concentration of hydroquinone can cause irritation of the skin.
Some of the home remedies include
¢ Exfoliation pads (Buf-Puf)
¢ Retinol creams
¢ Gentle suction exfoliation and Vacubrasion
¢ Topical emollients
¢ Glycolic acid peels 10-20%
In case of resistant keratosis pilaris, minor surgical procedures like gentle acne extractions can help more. Combination therapy that uses physical treatment and topical emollients show better results. The physical treatments may include microdermabrasion, mineral extraction of whiteheads and chemical peels.
The treatments performed by physicians in the clinic along with a home maintenance skin care routine will help in getting the best result in case of keratosis pilaris.
The treatments performed by physicians in the clinic include-
¢ Chemical peels
¢ Extraction of keratin plugs or trapped coiled hairs
¢ Vacubrasion (uses vacuum suction and synthetic diamond abrasion)
¢ Photodynamic therapy
¢ Intense pulsed light
Cure keratosis pilaris easily