Pseudofolliculitis Barbae: Causes, Treatment & Prevention

Skin Conditions

Folliculitis Barbae and Pseudofolliculitis Barbae are commonly confused similar conditions that cause inflammation in the hair follicles. Folliculitis Barbae is caused by a bacterial infection and Pseudofolliculitis Barbae is created by irritation from shaving and ingrown hairs, also know as razor burn.

Folliculitis Barbae and Pseudofolliculitis Barbae

Skin Conditions

Folliculitis Barbae and Pseudofolliculitis Barbae are commonly confused similar conditions that cause inflammation in the hair follicles. Folliculitis Barbae is caused by a bacterial infection and Pseudofolliculitis Barbae is created by irritation from shaving and ingrown hairs, also know as razor burn.

What is Folliculitis Barbae?

Folliculitis barbae is a type of folliculitis mostly affecting the beard area of men, however, women can also experience this condition. It is much more common when using a blade razor versus and electric shaver.

Folliculitis barbae is due to a Staphylococcus aureus bacterial infection . It can occur in men and women who shave or do not shave. It can lead to a more serious condition called sycosis barbae which may cause scarring and areas of permanent hair loss.

Treatment Options

If folliculitis barbae and sycosis barbae is a mild infection, it will usually respond to a short course of a suitable topical antibiotic applied to the skin. Chronic inflammation may develop creating the need for a more long term treatment, including mild steriod creams in addition to  topical or oral anti-staphylococcal antibiotics.

What is Pseudofolliculitis Barbae?

Pseudofolliculitis Barbae, most commonly known as razor bumps, is a condition that consists of irritated red bumps around the hair follicles, mainly in the beard area. Men suffer from this condition most often due to frequent shaving of sensitive facial areas. If left untreated, these follicles could become severely irritated, which could cause an infection. If swelling persists, the next time you shave, you could be at an increased risk of shaving the bumps too close and causing bleeding, or worse, scarring.

Treatment Options

The best way to prevent Pseudofolliculitis Barbae is to ensure your face is clean and wet before starting your shave, as well as use a cream or soap to help lubricate the blade. If you already have this condition, the best thing to do is reduce the frequency in which you shave and use an anti inflammatory cream to reduce irritation. Ultimately laser hair removal is the most effective way to stop folliculitis barbae from developing. By using laser hair removal, the need to shave is greatly reduced, and ultimately your face will experience far less irritation.

FAQs About Pseudofolliculitis Barbae

What is pseudofolliculitis barbae?

Pseudofolliculitis barbae, often called razor bumps, is skin inflammation caused when shaved or plucked hairs curl back into the skin or grow into the surrounding skin. It commonly affects the beard and neck area and can cause small, itchy or tender bumps, dark marks, and sometimes scarring.

How do you prevent razor bumps?

Avoiding close shaving is often the most effective way to prevent razor bumps. If you shave, try using an electric clipper that leaves a little stubble, shaving in the direction the hair grows, and using short, gentle strokes without stretching the skin or repeatedly shaving the same spot. Use warm water and shaving gel to soften the hair, and avoid dry shaving.

What’s the best treatment for pseudofolliculitis barbae?

The best approach depends on how severe the bumps are. Taking a break from shaving or switching to a method that doesn’t cut the hair close to the skin can help. A dermatologist may recommend prescription creams to reduce inflammation or help prevent ingrown hairs. For recurring razor bumps, laser hair reduction may be an option. A dermatologist can confirm the diagnosis and help choose a treatment, especially if the bumps are painful, worsening, or leaving scars.

Can women get pseudofolliculitis barbae?

Yes. Women can develop pseudofolliculitis barbae anywhere they shave, pluck, or otherwise remove hair, including the face, neck, legs, and bikini area. It is not limited to men or to the beard area.

author avatar
Dr. Timothy Jochen Medical Director, Contour Dermatology and Cosmetic Surgery Center
Dr. Jochen specializes in Mohs Surgery for skin cancer removal, facial rejuvenation including cosmetic laser technology, Botox® and facial fillers, soft tissue augmentation, leg and facial vein treatment, tumescent liposuction and hair restoration/transplants.

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