Surgical Care To Get Rid Of Keratosis Pilaris

Keratosis pilaris is a common skin condition that involves raised, bumpy patches along body surfaces that are prone to fine hair growth, such as the arms, legs, and buttocks. These patches are created by plugs of keratinized skin cells, which block the opening of hair follicles, causing skin to feel like permanent goose bumps. Although most cases of keratosis pilaris disappear over time without extensive treatment, some individuals seek more extensive forms of treatment to reduce their symptoms. 

These procedures include options such as chemical peels, dermabrasion and microdermabrasion, photodynamic therapy, and laser therapy. Preparing skin with a chemical peel removes dead skin cells, making moisturizing more effective and smoothing out rough or uneven skin. Similarly, dermabrasion and microdermabrasion gently exfoliate skin with vacuum-assisted suction to reveal younger, fresher skin below and to reduce the appearance of unsightly bumps. In dermabrasion, this is accomplished by using a wire brush or a diamond wheel with rough edges to level the top layers of the skin, which stimulates the growth of new skin to replace the damaged skin removed during the procedure. In microdermabrasion, however, a dermatologist or plastic surgeon sprays tiny exfoliating crystals onto the skin to reduce dullness, discoloration, and age spots. 

Laser hair-removal, in contrast, is used to diminish hair growth in the affected areas, which often reduces the number and severity of bumps on the skin's surface. Photodynamic therapy or blue-light therapy is also sometimes suggested as a means of destroying certain affected skin tissues to enable new skin growth. No studies have shown a cure of keratosis pilaris with any laser therapy, however. 

Surgical options for keratosis pilaris are only necessary for cosmetic reasons, and therefore are often not covered by insurance companies. As a result, they can often involve long-term expenses. Additionally, some of these procedures can pose medical risks, such as scarring or infection. Dermatologists maintain that for these forms of therapy to be effective, they must be continued on a regular basis to prevent the condition from recurring. For most patients, surgical procedures are not necessary to reduce keratosis pilaris, and they may not be equally effective for all individuals. Because keratosis pilaris has no cure, physicians recommend pursuing a combination of in-office treatments and medically directed home-based skin care.  


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