Keratosis pilaris is a very common and harmless skin condition that causes small, rough bumps on the skin, most often on the upper arms, thighs, buttocks and sometimes the cheeks. It is related to a build-up of keratin within hair follicles, giving the skin a dry, “goosebump” texture. In some people, there is also associated redness.
While it is not medically concerning, it can be persistent and cosmetically bothersome. Treatment focuses on improving skin texture and reducing redness rather than achieving a permanent cure.
Treatment options
Topical treatments
Regular use of moisturising and exfoliating creams is the first step and helps soften the skin and smooth the bumps. Commonly used ingredients include:
- Urea
- Lactic acid or other alpha hydroxy acids
- Salicylic acid
- Gentle retinoid creams in selected cases
These treatments work gradually and require consistent use. They improve texture but often have limited effect on redness.
Laser treatment
Laser therapy can be particularly helpful for patients troubled by the redness associated with keratosis pilaris.
Vascular lasers or similar devices target the small blood vessels responsible for the red appearance. This can significantly reduce redness and improve overall skin appearance, even when the rough texture persists to some degree.
In selected cases, other laser or light-based devices may be used to further improve skin tone and texture.
It is important to understand that:
- Laser does not “cure” keratosis pilaris
- Multiple treatments are usually required
- Maintenance sessions may be needed over time
- Results vary depending on skin type and severity
General care
- Regular moisturising
- Avoiding overly harsh scrubs or irritation
- Gentle skin care routines
With the right combination of treatments, most patients can achieve a noticeable improvement in both the appearance and feel of their skin.
Frequently Asked Questions
Are keloids dangerous?
No. Keloids are benign (non-cancerous) growths of scar tissue. They do not turn into skin cancer.
Will a keloid go away on its own?
Keloids do not typically resolve without treatment. In some cases, they may stabilise over time but usually persist.
Why did I develop a keloid?
Some people are genetically more prone to keloid formation. Even minor skin injuries can trigger them in susceptible individuals.
Can keloids come back after treatment?
Yes. Recurrence is common, particularly if keloids are treated with surgery alone. This is why combination therapy is often recommended.
Are treatments painful?
Some treatments, such as injections or cryotherapy, can cause temporary discomfort. This is usually brief and manageable.
Can I prevent keloids?
If you are prone to keloids, it is best to avoid unnecessary skin trauma such as cosmetic piercings or elective procedures. Early treatment of new scars may help reduce the risk of keloid formation.
Do silicone gels really work?
They can be helpful, particularly in early or smaller scars. They are safe and often used as part of a broader treatment plan.
When should I seek treatment?
Early assessment is helpful. Treating a keloid in its early stages often leads to better outcomes than waiting until it becomes large or symptomatic.