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Keratosis Pilaris: What Works and What Doesn’t

Keratosis Pilaris: What Works and What Doesn’t
November 7, 2025

Understanding Keratosis Pilaris

Keratosis pilaris (KP) is a common skin condition that shows up as small, rough bumps—often called “chicken skin.” You might notice them on the upper arms, thighs or cheeks. While harmless, these bumps can feel annoying or make you self-conscious, especially in warm weather or when wearing sleeveless tops.

What Causes Keratosis Pilaris?

KP happens when excess keratin, a natural skin protein, clogs hair follicles. The result is tiny, sometimes red or brown-tinted bumps. Genetics play a big role, so if family members in Allen, Plano or McKinney have KP, you may too. Dry skin and colder weather—common in North Dallas winters—can make KP look more pronounced.

Treatments That Work

  • Gentle Exfoliation

    Use a soft washcloth or loofah once or twice weekly. This helps remove dead skin without irritating follicles. Avoid harsh scrubs that can inflame bumps.

  • Regular Moisturizing

    Apply a thick, fragrance-free moisturizer daily. Look for ingredients like lactic acid or urea which gently smooth rough patches by softening keratin buildup.

  • Over-the-Counter Creams

    Creams with salicylic acid or alpha hydroxy acids can help clear pores and smooth skin texture. Start with a low concentration to see how your skin reacts.

  • Prescription Topicals

    In some cases, Dr. Nader Aboul-Fettouh may recommend a mild topical retinoid to encourage cell turnover. Use as directed and combine with moisturizer to reduce dryness.

  • Consistent Routine

    Improvement takes time. Stick with your regimen for at least 6–8 weeks before judging results. Consistency is key to smoother skin.

Common Treatments That Don’t Help

  • Harsh Mechanical Scrubs

    Rough exfoliants can tear the skin’s surface and worsen redness. Gentle methods work best for KP.

  • Random Home Remedies

    Unproven DIY mixtures—like baking soda or lemon juice packs—may irritate sensitive skin without clearing bumps.

  • Over-Application of Products

    More isn’t always better. Applying multiple acids or retinoids at once can lead to dryness and flaking.

  • Waiting for a “Miracle” Fix

    Many expect complete removal of KP. In reality, treatments manage appearance rather than permanently “erase” the condition.

Setting Realistic Expectations

Keratosis pilaris often improves with age but may never fully disappear. The goal is to minimize roughness and redness. You’ll likely need ongoing skin care to keep bumps at bay. Seasonal changes—like the dry air in Frisco winters—can cause flare-ups, so adjust your routine to stay hydrated year-round.

Caring for Your Skin in North Dallas

At Blue Ribbon Dermatology, we understand the unique climate challenges in Allen, Plano and McKinney. Our team, led by board-certified dermatologist Dr. Nader Aboul-Fettouh, tailors advice to your lifestyle. Whether you’re a busy professional or a weekend athlete, we provide caring guidance for all ages.

Schedule Your Appointment Today

If keratosis pilaris bumps are affecting your confidence, let us help you build a realistic, effective care plan. Visit Blue Ribbon Dermatology at 1150 N Watters Rd Suite 105, Allen TX 75013, and take the first step toward smoother, healthier skin. Call or book your appointment to learn how we can support your skin care journey.

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