Hello. Let me make clear that i am a doctor, but not a dermatologist. Reading your OP, i would say this. If you were really happy with your dermatologist, you wouldn't be asking help in a forum. Second, let me say, that a patient, is hopelessly incapable of judging a doctor's knowledge. He only judges a doctor from a "external manners" (the so called "bedside manners", about which every doctor is informed about, but not all are as good in performance) and "confidence". But, at the end, the patient, must always look at the result, not at whether the doctor seemed confident or pleasant. No 2 doctors are the same. When you don't solve a situation with a doctor, the best thing to do, is ask a 2nd opinion. If you still don't get a better result, ok, accept reality and live with it. Nobody will diagnose you through internet. What i know, is that there are some general ways of treatment, but, this is choice made case by case, by the dermatologist. Forgive the maybe not exact english terms, as i am not a native speaker.
- Cortisone creams with possible topical antibiotic: They don't solve the root of the problem (there is genetical predisposition), they serve to keep inflammation down or fight possible bacterial infection.
- Chemical peeling: Glicolic acid. Trying to liberate the pore's opening to leave the hair come out.
- Tretinoine-benzoil peroxide creams: These try to prevent the reformation of keratine that seals the pore and traps the hair below. They act as keratolytics in practice. The concept is, that if the pore isn't sealed by the keratine, the ingrown hair might find its way up and escape.
- Finally, i know that there is "the final option", which is laser treatment, which burns the follicules, with the purpose of simply not having hair growing there any more, ever. As you understand, this is very drastic, but leads to aesthetic problems.
The other options, may also have important side effects, so please don't attempt anything on your own (for example, the retinoids, cause skin irritation themselves and become even worse if exposed to sun). The glicolic acid, is for me, the most benign, but like all others aside the laser, they are not definite cures, they are symptomatic treatments, which must be endured in time. Only the laser is "once and for all". But, you might want to ask another dermatologist. If you want to search more about this more scientifically, search for "pseudofolliculitis barbae".
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