What is the treatment for an ingrown hair?
Although an ingrown hair can heal
on its own and spontaneously dislodge, in some cases, it may be tough to get rid
of it. Available treatments include
- chemical depilatories,
- topical creams,
- topical antibiotics,
- medical removal of the ingrown hair by small incision and
pulling out the hair,
- hair-removal laser.
Best results may be achieved with combination therapy. Consulting a medical
doctor who specializes in dermatology may be necessary for the optimal treatment
of more severe cases.
Chemical depilatories like Neet or Nair can loosen the structure of hair,
resulting in blunt tips of shaved hairs at the follicular opening. Chemical
depilatories may be used every second or third day rather than every day due to
the possible chemical irritation on the skin. Hydrocortisone cream can be
applied to alleviate the irritation caused by chemical depilatories.
Tretinoin (Retin A) cream can help decrease skin plugging or hyperkeratosis.
Topical tretinoin cream may thin out the epidermis, reduce the buildup of dead
skin cells, and decrease hair embedding into the follicles. Topical
corticosteroid creams with a mild strength can be applied to reduce inflammation
of inflamed ingrown hairs.
Topical and oral antibiotics may be required for severe cases that form
pustules and abscesses, which indicate secondary infection. Topical antibiotics,
including erythromycin (E-Mycin, Ilosone) and clindamycin (Cleocin), topical antibacterial agents, such as
benzoyl peroxide (Persa-Gel), and the combinations of topical antibiotics and antibacterial
agent, can help reduce the growth of skin bacteria and treat secondary infection.
Oral antibiotics, such as tetracycline (Sumycin) or cephalexin (Keflex, Keftabs), are used to control
infected pustules or abscess formation. Antibacterial washes, such as benzoyl
peroxide (Clearasil, Proactiv) or chlorhexidine (Hibiclens), can be used once or
twice a day to control the infection. Topical eflornithine HCl 13.9% cream
(Vaniqa) is a prescription that can reduce the rate of hair growth when applied
to the skin twice a day over one to two months. Hence, it can be useful as long-term
therapy in individuals with excessive facial hair or patients who have
pseudofolliculitis barbae.
Prescribed fading creams such as hydroquinone 4% (Eldoquin), kojic acid, azelaic acid
15%-20%, or over-the-counter fading creams with 2% hydroquinone can help improve
any residual or persistent skin discoloration. Prescription of higher
concentration of hydroquinone may also be formulated by compounding pharmacists
to help particularly resistant skin discoloration.
Laser hair removal may be an option for preventing ingrown hairs. Laser
treatments applied to an area help to permanently decrease the number of hairs.
Currently, laser removal works primarily on dark hairs only. Laser hair removal
is generally very fast, efficient, and safe. Laser treatment risks include skin
discoloration.
Electrolysis may be used to permanently remove hairs. This procedure targets
individual hair follicles and can be performed on any color of skin and any size
and color of hair. The destruction of hair follicles is permanent. Electrolysis
is often slow, tedious, and requires multiple treatments.