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Appendix

What is pseudofolliculitis barbae (PFB)?

Pseudofolliculitis barbae (razor bumps)

How does it develop?

Who gets it?

Pseudofolliculitis barbae (razor bumps)

How can it be prevented?

General advice !!navigator!!

  • Don't pluck hairs because new hairs will again grow from below and penetrate a site that is already inflamed.

  • Allow your hairs to grow long enough so they will not grow back into the skin.

  • The key is to reduce the closeness of the shave so that you lessen the chance of ingrown hairs. Hairs cut too short are at risk of curling into the skin while growing and causing more razor bumps.

Razor shaving !!navigator!!

  • Avoid a close shave by using a guarded razor. Two recommended products are the PFB Bump Fighter or the Aveeno PFB Bump Fighter Razor. Both of these products should be available at your local drug store.

  • Soften your hairs before shaving. Try shaving after you take a warm shower. Steaming helps soften your beard. Washing your face before shaving removes oil and causes hairs to become more erect, making them easier to cut. Lather the beard area with a nonirritating, lubricating shaving gel such as Aveeno Therapeutic Shave Gel, Edge, or a benzoyl peroxide-containing prescription shaving foam such as Benzashave.

  • Use shaving gels to hydrate your hairs and to provide lubrication between the razor blades and your skin.

  • Shave with downward strokes; “go with the grain.” Shaving in the same direction that the hair lies (typically down) results in less pull on the hairs and less tendency to cut them too short.

  • Minimize repeat shaving strokes. Repeated shaving may result in hairs being cut too short.

  • Don't stretch the skin during shaving, because this leads to a closer shave and increases the chances of producing ingrown hairs.

  • Don't shave on a daily basis if you don't have to.

Electric shaving !!navigator!!

  • Using an electric razor with gentle pressure is another method that reduces the closeness of the shave.

Mechanical method !!navigator!!

  • A curled hair can be flipped up before it has a chance to plunge into the skin by using a fine needle or toothpick to gently lift it before reentry.

Medications !!navigator!!

  • A prescription benzoyl peroxide such as BenzaClin gel may work very well for you.

  • An over-the-counter benzoyl peroxide such as eOxy-5 may also be effective.

Other methods of hair removal !!navigator!!

Many methods are available for temporary or permanent hair removal, including the following:

  • Chemical depilatories: depilatories remove hair from the surface of the skin. For PFB, chemical depilatories such as Magic Shave and Royal Crown Powders are effective in removing and softening hairs. These products dissolve the hairs but can be too strong and cause chemical burns on facial skin.

  • Removing hairs permanently: techniques of permanent epilation include electrolysis, thermolysis, and laser epilation.


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