Ingrown Hairs



Posted: Saturday, October 30, 2010

by John Laurusonis
Doctors Medical Center

Did you know that when a hair grows back into the skin, or grows sideways in its' follicle sheath, it is just like a splinter in the skin? It stirs up an inflammatory area, often a nodule, in the surrounding skin. Men tend to form the inflammatory nodules over the shaving area of the face. African-American men will have these in 60% of the male population; Caucasians will have them in 20% of the male population. There can be single nodules, or groups of nodules, depending upon the severity. The lesions scar with increased pigment in African-Americans; the scars in Caucasians tend to be less pigmented than the surrounding skin.

The particular situations which lead to ingrown hairs are shaving in men, and shaving and waxing in women. Women can particularly form the nodules in the bikini line. They tend to form them in areas where tight clothing abrades the skin. The ingrown hair nodules are particularly likely to form in areas where the hair is curly, for instance, in the pubic areas.

The in growing hair can happen for a number of reasons. One is due to using a multiblade razor. The first blade pulls the hair out from the skin, and the second blade cuts it so short that it retracts back into the skin. This is why a single bladed sharp razor is recommended for people with ingrown hair problems. In waxing the same phenomenon takes place. The distal hair shaft is pulled out and broken, and then the hair root retracts under the skin where it can form the inflammatory nodule. As mentioned, the areas where hairs tend to curl in women are under the arms, in the pubic area, and over the shaven areas of the legs. In men it tends to be the facial shaving area, but there can be ingrown also in the underarm areas and in the pubic hair.

There are several ways to treat ingrown hairs at home. One is to apply warm compresses for at least five minutes to bring the hair closer to the skin surface. Then the curled end can be gently grasped with sterilized pointed tweezers, or coached out with gentle use of a sterile needle. Once the end of the hair is out, the inflammation starts to resolve. Sometimes the cure for men is to stop shaving altogether and to grow a beard.

On frequent occasions the reason for the ingrown hair is that there is too much dead skin and debris over the hair follicle to let the growing hair come out. In these cases an exfoliant like glycolic acid, salicylic acid , or even plasters made with an aspirin or acetaminophen tablet with a few drops of water added, can open the pore. There are several commercial products, like Retin-A or benzoyl peroxide, for this purpose also. One particularly interesting home remedy is to apply extra virgin olive oil to the affected area, then to layer on granulated sugar for a while. The sugar is then washed off, the oil is wiped off, and the area is clean of debris.

One way to remove offending hairs is by using a depilatory product which literally dissolves the hairs. This is applied to specific skin areas for 5 to 14 minutes, and then washed off. It does have an offensive odor, and can irritate the skin in certain sensitive people, but otherwise works well.

A modern effective treatment is to remove hair with broad base light from a laser device. This can destroy the hair follicles for three to four years. Other techniques with light therapy can be used to ameliorate the scars from previous ingrown hairs. The bottom line is that individual ingrown hairs can be managed rather effectively at home. Careful shaving techniques with a sharp, single bladed razor can help, as well as shaving up on the neck and down on the face. Remember ladies when shaving areas like the underarm and bikini line, one single stroke. Don't keep going all different directions. For example if you're doing your underarms start at the top and in a single motion move the razor down, don't move the razor every direction because if you do that you will cause irritation and might even cause an ingrown hair. If one is getting ingrown hairs from waxing and shaving other areas, perhaps a depilatory product could be considered. Skin treatments which exfoliate dead skin and debris can be helpful. If the condition becomes chronic or disfiguring, it may time to see a physician with special dermatological or laser expertise.

John Drew Laurusonis

Doctors Medical Center

www.doctorsmedicalctr.com
Dr. Laurusonis was conferred his Doctor of Medicine degree in 1983 and has been actively taking care of patients since completing his Internal Medicine residency in 1987 in the Garden State of New Jersey. Dr. Laurusonis has been licensed in four states but ultimately chose to permanently relocate to Georgia with his family and begin a private practice.

He has expanded his practice to include many cosmetic therapies that have previously been treated with painful and extensive plastic surgery. He has been invited to the White House numerous times, has been named Physician of the Year, as seen in the Wall Street Journal, and has served as Honorary Co-Chairman on the Congressional Physicians Advisory Board

John Drew Laurusonis, MD

Doctors Medical Center

3455 Peachtree Industrial Blvd

Suite 110

Duluth, GA 30096

770-232-1101

www.doctorsmedicalctr.com

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