Keratosis pilaris treatment — smoothing chicken-skin bumps on the arms and thighs

Key facts

• Caused by keratin plugging hair follicles
• Harmless, not contagious, often runs in families
• Urea, lactic or salicylic acid creams are first-line
• Laser hair removal may help selected patients
• Ongoing maintenance keeps skin smoother

What causes chicken-skin bumps

Keratosis pilaris happens when keratin, a protein in the outer skin, builds up and plugs the openings of hair follicles. Each plug forms a small rough bump that may be skin-coloured, red or brown, giving the typical goose-flesh or chicken-skin appearance. It commonly appears on the backs of the upper arms, the fronts of the thighs, the buttocks and, in children, the cheeks. It often runs in families and is more common in people with dry skin, eczema or a tendency to allergies. It is not an infection, is not contagious and is not caused by poor hygiene, so scrubbing harder usually makes it worse rather than better.

Exfoliating creams that help

The foundation of treatment is consistent, gentle exfoliation and moisturising. Creams containing urea, lactic acid, glycolic acid or salicylic acid help loosen the keratin plugs and soften the skin over several weeks. They are usually applied once or twice daily after a lukewarm shower, and some people notice mild stinging at first. Using a fragrance-free moisturiser alongside helps reduce dryness, which is common in air-conditioned environments. Dr. Abdullah Anis recommends a specific routine based on your skin type and sensitivity, and may prescribe a topical retinoid for more stubborn bumps, with advice on how to avoid irritation.

Laser and in-clinic options

When redness or bumps persist despite good skincare, in-clinic treatments can be considered. Some patients with keratosis pilaris notice smoother skin after laser hair removal in the affected area, because the hair follicles are involved; at Manhal this uses the Cynosure laser platform and is assessed case by case. Light chemical peels may also help selected patients. These options do not suit everyone and results vary, so Dr. Abdullah Anis discusses whether they are likely to add benefit, how many sessions might be needed and how to protect the skin from sun exposure afterwards.

Realistic expectations

Keratosis pilaris is a long-term tendency rather than a disease that can be removed once and for all. Treatment usually makes the skin smoother and less red, but the bumps tend to return if the routine is stopped. Improvement is gradual, often becoming noticeable after four to eight weeks of consistent use. Many people find it improves in humid weather and with age, and it may worsen during dry or cooler months or with frequent hot showers. Setting realistic goals at the start helps you choose a maintenance routine that fits easily into daily life.

When to see a dermatologist

It is worth seeing a dermatologist if the bumps are very red, itchy or widespread, if over-the-counter products have not helped after a couple of months, or if you are unsure whether the rash is keratosis pilaris at all. Several conditions can look similar, including folliculitis, acne on the body, eczema and some less common follicular disorders. Seek review promptly if the bumps become painful, pus-filled or spread quickly, as this may suggest infection. Dr. Abdullah Anis can confirm the diagnosis by examination and adjust treatment if your skin reacts to exfoliating products.

Eczema and psoriasis are chronic inflammatory skin conditions. Good control comes from an accurate diagnosis, a clear plan for flares, and daily skin care that suits the UAE climate.

Prepared by the Manhal Medical Center editorial team · Updated: 2026-10-18 · Treating specialist: Dr. Abdullah Anis

This page is general information and does not replace a consultation. Suitability, risks and results vary between patients.