Keratosis Pilaris Rubra Faceii – Complete Information

Keratosis Pilaris Rubra Faceii (KPRF) is a subtype of keratosis pilaris presenting with numerous grain-like papules in a background of continuous redness most often affecting the face and upper extremities with persistence beyond puberty.

Keratosis Pilaris Rubra Faceii is most common in children and adolescents.

Genetics, seasonal changes, hormonal imbalances, pregnancy, PCOS, puberty, and medicines (like accutane) are some causes of Keratosis Pilaris Rubra Faceii.

• Cleansers: Use a cleanser that is gentle and free from parabens, sulfates, and alcohol.

• Chemical exfoliation: You can use chemical exfoliating moisturizers (AHA/BHA/Urea) to help remove the surface follicular scale. You can use urea since it is moisturizing and exfoliating.

• Moisturizers: You can also use a normal moisturizer along with the chemical exfoliating moisturizer.

• Use oils: You could oils like jojoba oil and squalane to moisturize the area and reduce redness.

• Try getting sunlight: The sun can improve KPRF for some people, whereas it can worsen for others.

• Wear sunscreen: Wearing sunscreen can help to reduce the redness in KPRF and also control symptoms.

• Topical retinoids: Retinoids like retinol, tretinoin, and isotretinoin should work.

• Topical sirolimus 1% cream: This is an immunosuppressive cream that can be used in reducing the erythema and symptoms related to KPR.

• Hormonal imbalances: Try to regulate your hormones and check if there are any changes in Ulerythema Ophryogenes.

• Lasers: Lasers are another treatment that can help with scarring and redness on the eyebrows. Pulse dye laser or intense pulsed light (IPL) can help with the redness temporarily but it tends to recur. Microdermabrasion can help with roughness.

• Wear sunscreen: as the sun can worsen Keratosis Pilaris Rubra Faceii, wear sunscreen everyday. SPF 50+ is good.

• Try using Niacinamide or azelaic acid: using niacinamide or azelaic acid could help reduce redness.

Morning routine:

1. Use a 2% salicylic acid cleanser
2. Apply niacinamide or azelaic acid
3. Use a chemical exfoliating moisturizer or a normal moisturizer, and
4. Then finish it off with sunscreen

Night routine:

1. Use a normal cleanser
2. Apply retinol
3. Use a chemical exfoliating moisturizer or a normal moisturizer, and
4. Finish it off with a few drops of jojoba oil and squalene oil.

Note: If you’re using tretinoin, you won’t need a chemical exfoliating moisturizer. Just use a normal moisturizer along with oils.

• Vanicream Cleanser

• Cetaphil Gentle Skin Cleanser

• Cerave Hydrating Facial Cleanser

• LRP – Toleriane Hydrating Gentle Facial Cleanser

• Eucerin 5% Urea Repair Cream for Face

• Cetaphil Moisturizing Cream

• Vanicream Moisturizer for Sensitive Skin

• Cetaphil Redness Relieving Night Moisturizer

• Blue Lizard Sensitive Mineral Sunscreen

• EltaMD UV Clear Broad-Spectrum SPF 46