Dermatology
|
January 14, 2025

How to Prevent and Treat Pseudofolliculitis Barbae (Razor Bumps)

Written By
Dr. Kristin Robinson ND
Medically Reviewed by
Updated On
January 21, 2025

Razor bumps may feel unavoidable in shaving, but they don’t have to be. Whether shaving for work, a special event, or just your daily routine, those red, irritated bumps can leave you feeling frustrated and less confident.

Pseudofolliculitis barbae, or razor bumps, is a common skin condition that occurs after shaving. While it can affect anyone, it’s particularly common among individuals with curly or coarse hair.

This guide offers practical tips for better understanding razor bumps and managing their appearance for a smoother shaving experience.

[signup]

What is Pseudofolliculitis Barbae?

Pseudofolliculitis barbae (PFB) is a skin condition that occurs when shaved hair grows back into the skin, causing irritation and small bumps. Instead of growing outward through the follicle, the hair curls back under the skin, causing small, red bumps or pus-filled pimples

Razor bumps can appear anywhere hair is shaved but are most common on the face and neck. They can also form in the armpits, groin, and legs.

Causes and Triggers

Shaving too closely can increase the risk of hair growing back at an angle, which may cause it to curl under the skin. This can lead to the formation of ingrown hairs, which cause irritation and result in red bumps or pustules.

Individuals with curly or coarse hair are more likely to develop razor bumps because this hair type naturally curls back into the skin. The texture of curly hair makes it easier for the hair to re-enter the skin's surface after shaving.

Other factors that can contribute to PFB include shaving too frequently, using dull razors, or applying too much pressure when shaving. These habits can cause uneven cuts and increase the risk of the hair becoming trapped under the skin.

Clinical Features

Common features of pseudofolliculitis barbae include small, red, or dark bumps that can develop in the shaved area. In some cases, they may form a white or yellow center. The discomfort can be more severe when the hair is deeply embedded within the skin.

The skin surrounding the bumps may feel tender, and in some cases, multiple ingrown hairs may be trapped beneath the surface. Over time, repeated irritation can cause dark spots or hyperpigmentation in the affected area.

Razor bumps can also affect mental well-being. Many individuals feel self-conscious, especially when the bumps appear on visible areas like the face or neck. Some may cover the bumps with makeup or clothing.

In severe cases, this may lead to body image concerns, causing individuals to become overly focused on their skin and grooming habits. This can impact self-esteem, especially if the condition persists.

Effective Prevention Strategies

Preventing razor bumps before they occur is the best approach.

Choosing the Right Tools

Choosing the right tools for your skin and hair type can minimize the likelihood of developing razor bumps.

Electric Razors

These are a good option for individuals who have sensitive skin or are prone to razor bumps. Electric razors may reduce the risk of cutting hair too close to the skin. They also glide more smoothly, reducing the chances of hair curling back into the follicle.

Single-Blade Razors

Unlike multi-blade razors, which can cut the hair too short or at an angle, single blades cut the hair at a more natural angle. This allows the hair to grow out properly without causing ingrown hairs.

Research suggests that single razors cause less skin redness than multiple-blade razors. A study found they caused less irritation immediately after shaving and five minutes later. Advanced imaging showed they were gentler on the skin, making them a better choice for sensitive skin.

Clippers

Clippers are a trimming alternative for those who prefer to avoid shaving altogether. They keep hair longer and avoid the close cut that can cause razor bumps.

Pre-Shave Preparations

Proper preparation is key to a smoother, more comfortable shave with less risk of irritation. Here are three simple steps:

  1. Warm Water: Before shaving, rinse your face with warm water. The heat opens pores and softens hair, making shaving easier and helping prevent irritation.

  2. Exfoliating: Gently exfoliate before shaving to remove dry skin. This prevents clogged pores and ingrown hairs. Exfoliating also lifts the hair away from the skin to allow for a smoother shave. Choose scrubs with gentle ingredients like sugar or salt.

  3. Pre-Shave Creams and Oils: Pre-shave creams and oils help soften the hair and create a protective barrier between the skin and the razor. They reduce friction so the razor glides more easily over the skin. Oils are especially helpful for coarse or curly hair.

Shaving Techniques

Being mindful of your shaving technique reduces irritation and promotes smooth skin. Shave in the direction that your hair naturally grows (with the grain) rather than against it. It’s tempting to shave against the grain for a closer cut, but this likely will lead to more irritation. Repeated passes can irritate the skin. If you need to go over an area again, do so gently and only after reapplying shaving cream to minimize friction.

Post-Shave Care

After shaving, consider using an alcohol-free aftershave to help prevent skin dryness. Opt for calming ingredients like aloe vera, witch hazel, or chamomile.

Once the aftershave has been absorbed, follow up with a gentle moisturizer designed for sensitive skin. This will help lock in moisture, calm the skin, and improve its appearance.

Solutions for Razor Bumps

While no single solution works for everyone, a variety of options are available.

Over-the-Counter Solutions

Over-the-counter (OTC) products are a good starting point for addressing razor bumps. They can help reduce irritation, calm redness, and minimize the chances of ingrown hairs. 

Salicylic acid and glycolic acid are often used as exfoliants to help remove dead skin and prevent clogged pores. Benzoyl peroxide is a common ingredient in acne products often used for its exfoliating properties. It's a good idea to patch-test any new product to check for potential reactions with your skin.

Home Remedies

Some natural options can also help manage razor bumps at home. While results vary, many of these remedies are gentle and accessible:

  • Aloe Vera: Known for its cooling effect, aloe helps soothe irritated skin and calm redness.

  • Tea Tree: This essential oil has antibacterial properties that may help reduce swelling. Dilute it with a non-comedogenic carrier oil, like jojoba that won’t block pores.

  • Colloidal oatmeal: Oatmeal, used as a soak or topical lotion, is gentle and hydrating for irritated skin.

Dermatologist-Recommended Treatments

If razor bumps persist, a dermatologist may recommend other approaches, such as prescription retinoids or chemical peels. Retinoids accelerate skin turnover, which can help prevent hair from becoming trapped. Chemical peels remove dead skin cells, unclog hair follicles, and reduce the likelihood of bumps.

Laser hair removal is another option. This method uses light to target hair follicles, reducing hair growth in certain areas and potentially preventing new ingrown hairs. This option can provide longer-lasting results but requires professional supervision.

Long-Term Management of Pseudofolliculitis Barbae

Making a few adjustments to your shaving habits and skincare routine can help promote skin health.

Lifestyle Modifications

For some people, shaving less often can help reduce razor bumps. Fewer shaves give the skin time to heal and can minimize irritation. Another option is to promote natural hair growth, such as growing a beard or trimming with clippers instead of shaving closely.

Additionally, wearing loose clothing can reduce friction in shaved areas. Tight clothing, especially around the neck and chin, may cause irritation and lead to razor bumps. Opt for breathable fabrics to help keep the skin calm.

While diet isn't a direct cause of razor bumps, a healthy, balanced diet can support overall skin health. Drinking plenty of water supports overall skin hydration and health. Nutrients like vitamins A, C, and E may help maintain healthy skin. 

The skin is more sensitive after shaving. Sun exposure can worsen irritation and darken scars. Applying a broad-spectrum sunscreen with SPF 30 or higher can help protect the skin.

Building a Skincare Routine

A consistent skincare routine is a necessary foundation to support skin health. Focusing on gentle cleansing, exfoliation, and hydration can help reduce irritation and prevent razor bumps.

  • Start with a mild, fragrance-free cleanser. This removes dirt and excess oil without stripping the skin. A clean surface helps prevent clogged pores, which can lead to ingrown hairs and razor bumps.

  • Exfoliate to remove dead skin cells that could trap hairs beneath the surface. Exfoliating helps promote smoother skin and prepares it for a more comfortable shave.

  • Hydration helps maintain soft, healthy skin. After shaving, apply a calming moisturizer to lock in moisture and soothe the skin. Regular moisturizing supports the skin’s natural healing process and prevents dryness. 

Contact a healthcare provider or dermatologist to develop the best way to address razor bumps, particularly if they persist or become painful.

[signup] 

Key Takeaways

  • Pseudofolliculitis barbae occurs when hair grows back into the skin, causing bumps and irritation.
  • Regular exfoliation, moisturizing, and gentle skincare can help soothe irritated skin. OTC  products and dermatologist-recommended options may improve the appearance of PFB.
  • Shaving techniques, the right tools, and lifestyle changes may reduce the occurrence of razor bumps.
  • If razor bumps persist or worsen, consider consulting a dermatologist. They can offer personalized guidance and recommend products that work best with your skin.
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

Learn more

No items found.

Lab Tests in This Article

No lab tests!

Achuff, J. (2024, October 3). Effectiveness of Ceramides and Niacinamide-Containing Moisturizer in Acne Treatment. Rupa Health. https://www.rupahealth.com/post/effectiveness-of-ceramides-and-niacinamide-containing-moisturizer-in-acne-treatment

Allais, B., & Friedman, A. (2020). ARTICLE: Colloidal Oatmeal Part I: History, Basic Science, Mechanism of Action, and Clinical Efficacy in the Treatment of Atopic Dermatitis. Journal of Drugs in Dermatology : JDD, 19(10), s4–s7. https://pubmed.ncbi.nlm.nih.gov/33026768/

Anderson, S. (2022, September 14). This is What Happens to Your Body When You are Dehydrated. Rupa Health. https://www.rupahealth.com/post/this-is-what-happens-to-your-body-when-you-are-dehydrated

Basic Skin Care Routine for Beginners. (2022). Cleveland Clinic. https://health.clevelandclinic.org/what-products-do-i-actually-need-for-a-simple-everyday-skin-care-routine

Bertagna, B. (2023, November 29). Aloe for acne: Unlocking the natural healing power of aloe vera in skincare. Rupa Health. https://www.rupahealth.com/post/aloe-for-acne-unlocking-the-natural-healing-power-of-aloe-vera-in-skincare

Bertagna, B., & Christie, J. (2023, December 6). Integrating Acne Solutions with Functional Medicine: The Case for Tea Tree Oil. Rupa Health. https://www.rupahealth.com/post/integrating-acne-solutions-with-functional-medicine-the-case-for-tea-tree-oil

Boodoo, C., Dragos Duta, Swift, N., Hunter, P., Khimchenko, A., Leung, G., & Cross, K. (2024). Multispectral near‐infrared spectroscopy study evaluating the effect of razor design on shaving‐induced erythema. Skin Research and Technology, 30(2). https://doi.org/10.1111/srt.13598

Bryant, A. (2024a, September 18). Pustular Psoriasis: Understanding This Rare and Severe Form. Rupa Health. https://www.rupahealth.com/post/pustular-psoriasis-understanding-this-rare-and-severe-form

Bryant, A. (2024b, October 8). Top Moisturizers and Emollients to Help Manage Eczema-Prone Skin. Rupa Health. https://www.rupahealth.com/post/top-moisturizers-and-emollients-to-help-manage-eczema-prone-skin

Bryant, A. (2024c, December 11). Ibuprofen: Benefits, Risks, and Safe Use Guidelines. Rupa Health. https://www.rupahealth.com/post/ibuprofen-benefits-risks-and-safe-use-guidelines

Cleveland Clinic. (2022). Collagen: What It is, Types, Function & Benefits. Cleveland Clinic. https://my.clevelandclinic.org/health/articles/23089-collagen

Clinic, C. (2023, February 17). Tips for a Smooth Shave Every Time. Cleveland Clinic; Cleveland Clinic. https://health.clevelandclinic.org/want-a-smooth-safe-shave-every-time-try-these-10-tips

Cloyd, J. (2023a, March 30). A Functional Medicine Approach to Cystic Acne. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-cystic-acne

Cloyd, J. (2023b, July 4). Top Micronutrients for Skin Health and How to Test for Them. Rupa Health. https://www.rupahealth.com/post/micronutrients-for-skin-health

Cloyd, J. (2023c, September 8). A Functional Medicine Approach to Addressing Hair Loss in Women. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-addressing-hair-loss-in-women

Cloyd, J. (2023d, September 25). Integrative Approaches to Supporting Mental Health In Chronic Conditions. Rupa Health. https://www.rupahealth.com/post/integrative-approaches-to-supporting-mental-health-in-chronic-conditions

Cloyd, J. (2024a, January 8). The Science of Hydration: How Water Intake Affects Overall Health. Rupa Health. https://www.rupahealth.com/post/the-science-of-hydration-how-water-intake-affects-overall-health

Cloyd, J. (2024b, April 15). The benefits of chamomile tea. Rupa Health. https://www.rupahealth.com/post/the-benefits-of-chamomile-tea

Cloyd, J. (2024c, June 6). 5 Medications That Can Cause Hair Loss: What You Need to Know. Rupa Health. https://www.rupahealth.com/post/medications-causing-hair-loss

Cloyd, J. (2024d, September 11). Intense Pulsed Light Treatment. Rupa Health. https://www.rupahealth.com/post/intense-pulsed-light-treatment

Cloyd, J. (2024e, September 17). Acne vs. Rosacea: Key Differences Explained. Rupa Health. https://www.rupahealth.com/post/acne-vs-rosacea-key-differences-explained

Cloyd, J. (2024f, September 17). Enhancing Psychological Wellbeing Through Exercise: The Role of Self-Esteem. Rupa Health. https://www.rupahealth.com/post/enhancing-psychological-wellbeing-through-exercise-the-role-of-self-esteem

Daglis, S. (2024a, May 22). Sea Salt, Himalayan Salt, or Table Salt: Which is Best for Your Health? Rupa Health. https://www.rupahealth.com/post/sea-salt-himalayan-salt-table-salt-health

Daglis, S. (2024b, September 19). Understanding the Role of the Skin Barrier in Eczema. Rupa Health. https://www.rupahealth.com/post/understanding-the-role-of-the-skin-barrier-in-eczema

Daglis, S. (2024c, December 9). Why Use a Water Flosser? Benefits and Tips for Healthier Teeth. Rupa Health. https://www.rupahealth.com/post/why-use-a-water-flosser-benefits-and-tips-for-healthier-teeth

Daglis, S. (2025, January 8). Skin Lesions 101: Symptoms, Types, and Effective Care. Rupa Health. https://www.rupahealth.com/post/skin-lesions-101-symptoms-types-and-effective-care

Dalia, Y., Khatib, J., Odens, H., & Patel, T. (2023). A Review of treatments of Pseudofolliculitis Barbae. Clinical and Experimental Dermatology, 48(6). https://doi.org/10.1093/ced/llad075

DePorto, T. (2022, November 30). 4 vitamins that may help relieve restless leg syndrome. Rupa Health. https://www.rupahealth.com/post/restless-leg-syndrome-causes-symptoms-and-treatment

Environmental Working Group. (2024). Skin Deep® Cosmetics Database | EWG. Ewg.org. https://www.ewg.org/skindeep/

Gad, H. A., Roberts, A., Hamzi, S. H., Gad, H. A., Touiss, I., Altyar, A. E., Kensara, O. A., & Ashour, M. L. (2021). Jojoba Oil: An Updated Comprehensive Review on Chemistry, Pharmaceutical Uses, and Toxicity. Polymers, 13(11), 1711. https://doi.org/10.3390/polym13111711

Gerow, S. (2023, December 13). Vitamin A for Anti-Aging and Acne: Exploring Its Dual Benefits. Rupa Health. https://www.rupahealth.com/post/vitamin-a-for-anti-aging-and-acne-exploring-its-dual-benefits

Hernández, A. (2025, January 6). Pseudofolliculitis Barbae: What Is It, Treatment, and More | Osmosis. Www.osmosis.org. https://www.osmosis.org/answers/pseudofolliculitis-barbae

How to test skin care products. (2021). Www.aad.org. https://www.aad.org/public/everyday-care/skin-care-secrets/prevent-skin-problems/test-skin-care-products

Jackson, K. (2024, November 26). Understanding Low Porosity Hair: Best Tips for Care. Rupa Health. https://www.rupahealth.com/post/what-is-low-porosity-hair

Kalaichandran, A. (2024, February 23). Extinguishing the Habit, Igniting Life: The Transformative Impact of Quitting Smoking. Rupa Health. https://www.rupahealth.com/post/extinguishing-the-habit-igniting-life-the-transformative-impact-of-quitting-smoking

Keen, M. A., & Hassan, I. (2016). Vitamin E in dermatology. Indian Dermatology Online Journal, 7(4), 311. https://doi.org/10.4103/2229-5178.185494

Khakham, C. (2023a, June 2). Top evidence based herbal medicine and essential oil options for skin health and healing. Rupa Health. https://www.rupahealth.com/post/top-evidence-based-herbal-medicine-and-essential-oil-options-for-skin-health-and-healing

Khakham, C. (2023b, June 30). Personalizing skin health: Leveraging functional medicine labs to tailor dietary interventions and supplements. Rupa Health. https://www.rupahealth.com/post/using-dietary-interventions-and-supplements-to-support-healthy-skin

Kundu, R. V., & Patterson, S. (2013). Dermatologic conditions in skin of color: part II. Disorders occurring predominately in skin of color. American Family Physician, 87(12), 859–865. https://pubmed.ncbi.nlm.nih.gov/23939568/

Laser hair removal: FAQs. (2021). Www.aad.org. https://www.aad.org/public/cosmetic/hair-removal/laser-hair-removal-faqs

Laser hair removal: Overview. (2021). Www.aad.org. https://www.aad.org/public/cosmetic/hair-removal/laser-hair-removal-overview

Marshall, M. (2022). Harvard Health. Www.health.harvard.edu. https://www.health.harvard.edu/topics/skin-and-hair

Mayo Clinic. (2023, August 10). Tea tree oil. Mayo Clinic. https://www.mayoclinic.org/drugs-supplements-tea-tree-oil/art-20364246

Mayo Clinic. (2024). Pseudofolliculitis barbae. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/folliculitis/multimedia/pseudofolliculitis-barbae/img-20006457

Mayo Clinic Staff. (2018). Chemical peel - Mayo Clinic. Mayoclinic.org. https://www.mayoclinic.org/tests-procedures/chemical-peel/about/pac-20393473

MedlinePlus. (2015). Benzoyl Peroxide Topical: MedlinePlus Drug Information. Medlineplus.gov. https://medlineplus.gov/druginfo/meds/a601026.html#why

MedlinePlus. (2023a). Salicylic Acid Topical: MedlinePlus Drug Information. Medlineplus.gov. https://medlineplus.gov/druginfo/meds/a607072.html#why

MedlinePlus. (2023b, January 19). Vitamin A: MedlinePlus Medical Encyclopedia. Medlineplus.gov. https://medlineplus.gov/ency/article/002400.htm

Ngan, V. (2013). Shaving | DermNet NZ. Dermnetnz.org. https://dermnetnz.org/topics/shaving

Nussbaum, D., & Friedman, A. (2019). Pseudofolliculitis Barbae: A Review of Current Treatment Options. Journal of Drugs in Dermatology: JDD, 18(3), 246–250. https://pubmed.ncbi.nlm.nih.gov/30909328/

Ogunbiyi, A. (2019). Pseudofolliculitis barbae; current treatment options. Clinical, Cosmetic and Investigational Dermatology, 12(12), 241–247. https://doi.org/10.2147/CCID.S149250

Preston, J. (2023, December 22). Functional Medicine Tips for Healthy Skin in Cold Weather. Rupa Health. https://www.rupahealth.com/post/functional-medicine-tips-for-healthy-skin-in-cold-weather

Pseudofolliculitis Barbae (Razor Bumps): Images and Management - DermNet. (2024). Dermnetnz.org. https://dermnetnz.org/topics/pseudofolliculitis-barbae

Pseudofolliculitis Barbae - American Osteopathic College of Dermatology (AOCD). (2013). Aocd.org. https://www.aocd.org/page/PseudofolliculitisB

Red Blood Cells. (2020). Rupa Health. https://www.rupahealth.com/biomarkers/rbc

Rupa Health. (2020). White Blood Cells. Rupa Health. https://www.rupahealth.com/biomarkers/wbc

Sweetnich, J. (2023a, May 8). The Antioxidant Powerhouse: Exploring Testing, Health Benefits, and Sources of Vitamin E. Rupa Health. https://www.rupahealth.com/post/vitamin-e-101

Sweetnich, J. (2023b, May 9). How to make sure your patients are getting enough vitamin C in their diet: Understanding testing, rdas, and the benefits of supplementation. Rupa Health. https://www.rupahealth.com/post/vitamin-c-101

Tang, S.-C., & Yang, J.-H. (2018). Dual Effects of Alpha-Hydroxy Acids on the Skin. Molecules : A Journal of Synthetic Chemistry and Natural Product Chemistry, 23(4). https://doi.org/10.3390/molecules23040863

Waldfogel, M. P. (2024, January 19). Beyond Dry January - How to Help Patients Reduce or Eliminate Alcohol Consumption. Rupa Health. https://www.rupahealth.com/post/beyond-dry-january---how-to-help-patients-reduce-or-eliminate-alcohol-consumption

Want Better Skin? Eat These 23 Foods. (2022). Cleveland Clinic. https://health.clevelandclinic.org/23-foods-good-skin

Weinberg, J. (2023, July 13). Integrative Approaches to Sun Protection: Thinking Beyond Sunscreen. Rupa Health. https://www.rupahealth.com/post/integrative-approaches-to-sun-protection-thinking-beyond-sunscreen

Weinberg, J. L. (2023a, May 15). Integrative Dermatology Approaches to Keratosis Pilaris: Specialty Testing, Supplements, and Treatment. Rupa Health. https://www.rupahealth.com/post/integrative-dermatology-approaches-to-keratosis-pilaris-specialty-testing-supplements-and-treatment

Weinberg, J. L. (2023b, September 25). Integrative Dermatology Approach to Melasma. Rupa Health. https://www.rupahealth.com/post/integrative-dermatology-approach-to-melasma

Whittaker, L. (2022). Emollients and moisturisers | DermNet NZ. Dermnetnz.org. https://dermnetnz.org/topics/emollients-and-moisturisers

Witch Hazel: How to Use. (2025). Cleveland Clinic. https://my.clevelandclinic.org/health/drugs/18640-witch-hazel-wipes

Yoshimura, H. (2024, February 5). The Role of Environmental Toxins in Skin Health: What Practitioners Need to Know. Rupa Health. https://www.rupahealth.com/post/the-role-of-environmental-toxins-in-skin-health-what-practitioners-need-to-know

Order from 30+ labs in 20 seconds (DUTCH, Mosaic, Genova & More!)
We make ordering quick and painless — and best of all, it's free for practitioners.

Latest Articles

View more on Dermatology
Subscribe to the magazine for expert-written articles straight to your inbox
Join the thousands of savvy readers who get root cause medicine articles written by doctors in their inbox every week!
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Subscribe to the Magazine for free to keep reading!
Subscribe for free to keep reading, If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Hey practitioners! 👋 Join Dr. Chris Magryta and Dr. Erik Lundquist for a comprehensive 6-week course on evaluating functional medicine labs from two perspectives: adult and pediatric. In this course, you’ll explore the convergence of lab results across different diseases and age groups, understanding how human lab values vary on a continuum influenced by age, genetics, and time. Register Here! Register Here.