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Keratosis Pilaris Treatment

Keratosis pilaris can make the skin feel rough, dry, and bumpy, even though it is harmless. At Peak Skin Center, board-certified dermatologist Dr. Thomas Knackstedt and his team provide personalized treatment for keratosis pilaris for patients in Fuquay-Varina, Holly Springs, Apex, and Cary, NC. Treatment plans are focused on smoothing texture, reducing redness, and improving overall skin appearance.

Topical Therapy

Topical treatment is the foundation of keratosis pilaris care. The goal is to soften the keratin buildup that creates the rough bumps, improve hydration, and gradually smooth the skin. Because keratosis pilaris tends to be chronic, treatment usually works best when used consistently as part of a maintenance routine.

Keratolytic moisturizers are often the most useful first step. These include products with lactic acid, ammonium lactate, urea, and salicylic acid. These ingredients help loosen and remove excess dead skin while also softening dry skin, which can make the bumps feel less rough over time. At Peak Skin Center, we often recommend these treatments as part of a daily home routine for the arms, thighs, or other commonly affected areas.

For patients with more persistent texture, topical retinoids may be helpful. These medications work by increasing cell turnover and helping normalize the way skin sheds within the follicle, which can reduce plugging and improve skin smoothness. Retinoids can be effective, but they may also cause irritation, so they are usually introduced gradually and selected carefully based on skin sensitivity.

When keratosis pilaris is associated with more visible redness or irritation, a topical corticosteroid may sometimes be used for a limited period to soften the bumps and reduce inflammation. This is generally a short-term adjunct rather than a long-term primary treatment.

Keratosis pilaris responds best to consistent skin care rather than aggressive scrubbing. Thick moisturizers, gentle cleansers, and regular application of prescribed or recommended treatment products are often key to keeping the skin smoother. Because keratosis pilaris cannot usually be “cured” permanently, maintenance treatment is often needed to keep the bumps under better control.

Patients in Fuquay-Varina, Holly Springs, Apex, and Cary choose Peak Skin Center for thoughtful, personalized dermatology care led by Dr. Thomas Knackstedt and his team. Whether your keratosis pilaris is mild or more persistent, Peak Skin Center offers treatment options designed to improve texture, reduce redness, and help you feel more confident in your skin.

At a Glance

Dr. Thomas Knackstedt

  • Double board certified in dermatology and Mohs Surgery
  • Over ten years of experience providing evidence-based care
  • Nationally renowned physician leader with numerous publications, lectures, and academic affiliations
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