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How to treat dark areas on the skin resembling hair follicles without any hair?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 19-year-old female. For a while, or rather since puberty, I have had these embarrassing marks all over my butt. Sometimes I get bumps there but not a lot. It is more of small dark areas as small as hair follicles, but no hair. They do not seem like bumps to me, just more of a nuisance, and it is not very comfortable when wearing swimsuits or even shorts sometimes. I have tried exfoliating, but sometimes it seems to make it worse. Please help me find a solution.

Answered by Dr. Kakkar

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I have viewed the images (attachment removed to protect the patient's identity). You have keratosis pilaris, which are follicular keratotic plugs with the hair coiled or trapped inside the keratin plug. I suggest oral Isotretinoin to remove the plugs for a few weeks to months. In addition, I suggest you apply an exfoliating lotion or cream such as Cutiyt-G lotion. The glycolic acid in it would also help lighten the dark spots. However, please consult a physician, discuss with them, and start taking the medications with their consent.

Hope this helps.

Thanks and take care.

Answered by Dr. Kakkar
Medically reviewed by iCliniq medical review team
Published At March 19, 2023
Reviewed At September 21, 2023

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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