What is the first treatment for keratosis pilaris?

Keratosis pilaris, sometimes called chicken skin, develops when keratin collects around hair follicles. It often feels rough rather than painful and may appear on the upper arms, thighs, cheeks or buttocks. The first goal is to reduce dryness and loosen the built-up scale without irritating the skin.

An emollient therapy product can smooth and hydrate the outer skin barrier. Some formulations also contain ingredients that gently exfoliate, but stronger products may sting or worsen redness when used too often. Improvement is usually gradual, and maintenance helps keep the texture controlled.

Apply the recommended moisturiser after bathing while the skin is still slightly damp, then continue regularly. Use warm rather than hot water, a mild cleanser and a soft touch. Avoid scrubbing brushes, harsh exfoliation and picking at individual bumps, which can cause irritation or darker marks.

If moisturising care does not provide enough relief, a clinician may discuss topical retinoids or a procedure such as a chemical peel. Laser hair removal may be considered in selected situations, particularly when follicle-related hair contributes to the concern; it is not a universal first step.

Arrange an assessment if bumps become painful, pus-filled, sharply inflamed, widespread or suddenly different from your usual pattern. Seek advice sooner if a product causes persistent burning, swelling or a rash.

Ask which emollient suits your skin, whether an exfoliating ingredient is appropriate, how often to use it, and when to consider another option.