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Publisher Summary This chapter discusses the different techniques for the treatment of pseudofolliculitis barbae. Pseudofolliculitis barbae (PFB) is a condition of the beard area occurring in black men and other people with curly hair. Highly-curved hair can grow back into the skin, causing inflammation and a foreign-body reaction surrounding the site of the ingrown hair. A variety of treatment options exist for managing PFB, and a judicious use of a combination of treatment options may offer the best opportunity for controlling the formation of ingrown hair that results in shaving bumps and inflammation. The magnitude of improvement resulting from compliance with a daily shaving regimen to provide a very safe, effective, economical, and convenient method to manage PFB can, in some subjects, equal that of professional lasers. The use of appropriate topical treatments such as glycolic acid may enhance the ability to comply with daily shaving, as well as alter superficial skin topography to minimize the occurrence of ingrown hair and maximize shaving efficiency. Topically applied hair-growth retardants such as Eflornithine HCl have been demonstrated to slow hair growth, modify the morphology of the hair follicle and the hair shafts in a manner that can reduce ingrown hair, and also improve compliance with a daily-shave regimen. |