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this post was submitted on 21 Feb 2024
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"Pseudofolliculitis barbae (razor bumps) is a common condition of the beard area occurring in up to 60% African American men and other people with curly hair. The problem results when highly curved hairs grow back into the skin causing inflammation and a foreign body reaction. Over time, this can cause keloidal scarring which looks like hard bumps of the beard area and neck. Shaving sharpens the ends of the hairs like a spear. The hairs then curve back into the skin causing pseudofolliculitis barbae.
A 100% effective treatment is to let the beard grow. Once the hairs get to be a certain length they will not grow back into the skin. For most cases, totally avoid shaving for 3 to 4 weeks until all lesions have subsided, while applying a mild prescription cortisone cream to the involved skin each morning. Shaving every other day, rather than daily, will improve pseudo-folliculitis barbae. If one must use a blade, water soften the beard first with a hot, wet washcloth for 5 minutes. Then use lubricating shaving gel (Edge, Aveeno), and the Aveeno PFB Bump Fighter Razor or the Flicker razor. Shave with the grain of the beard and do not stretch the skin. Use only one stroke over each area of the beard."
https://www.aocd.org/page/pseudofolliculitisb#:~:text=Pseudofolliculitis%20barbae%20(razor%20bumps)%20is,and%20a%20foreign%20body%20reaction.