Keratosis pilaris (also known as “chicken skin” or “strawberry skin“) is a skin condition that gives you small, rough bumps on your upper arms and thighs. The bumps are caused by your body making too much keratin, which builds up and plugs your skin pores.
Typical features of Keratosis pilaris
- You’ll see some small follicular bumps. They can be skin-colored, red, or even inflamed.
- Most common on upper arms and thighs, sometimes cheeks.
- The texture can feel rough, or kind of like sandpaper with a pitted appearance.
- It’s often a chronic condition that gets better or worse with the seasons. It’s usually worse in dry weather.
This is one of those conditions that seems simple but is surprisingly stubborn to treat. We’ll explain what triggers it and exactly how to deal with it at home.
What Triggers Strawberry Skin?
The main triggers for strawberry skin are related to how you treat your skin and your body’s natural functions. Here are the most frequent causes.
- Shaving: Using a dull razor, skipping shaving cream, or dragging the blade over dry skin creates tiny nicks and irritation. This damage makes it easier for bacteria and dead skin to get trapped, leading to dark dots that look like blackheads.
- Clogged Pores: Unlike shaving, clogged pores aren’t caused by physical irritation, but by buildup. When excess oil, dead skin cells, and bacteria collect inside your skin pores, they harden and oxidize when exposed to air.
- Folliculitis: This is when the hair follicles become inflamed or infected. It can be caused by shaving, waxing, or wearing tight clothing that traps sweat and bacteria. Folliculitis often starts as tiny red bumps that can later turn dark.
- Ingrown Hairs: After shaving or waxing, a hair can sometimes get trapped under the skin instead of growing outward. This creates a little, dark, and sometimes painful bump that helps give you that “strawberry seed-like” appearance.
Is Strawberry Skin Contagious?
No. Strawberry skin is not contagious. It’s just a term for a skin appearance, not a transmissible disease. You can’t “catch” it from someone else, and you can’t pass it on. It’s a result of what’s happening in or on your own skin.
Does Strawberry Skin Go Away?
Fortunately, strawberry skin is not a permanent condition. You can manage it and clear it up with proper care. The dark spots will fade away once you tackle what’s causing them. The trick is to stick with your routine. Here’s a friendly rundown of some effective ways to treat those spots:
- Shower properly: Shower with lukewarm water and use gentle cleansers. Avoid hot water which dries the skin. Once the skin is prepped, the next step is to remove the buildup.
- Exfoliate regularly: A little exfoliation can get rid of those dead skin cells that can block your pores and hair follicles. Use a physical exfoliant like a body scrub or try out a dry brush. use it sparingly (a few times per week) and follow immediately with a moisturizer. Since exfoliation can strip away your natural oils, following up with a moisturizer ensures your skin barrier stays protected and soft.
- Moisturize daily: Apply moisturizer within five minutes of getting out of the shower. This helps trap moisture in the skin and is especially important for people with keratosis pilaris who also struggle with dry skin or eczema. Staying hydrated helps avoid that dry, flaky look and keeps your skin from getting all irritated. Once hydration is in place, you can consider treatments like retinoids for stubborn bumps.
- Use retinoids carefully: If you are using topical ones, pairing them with good moisturizers and start slowly to minimize irritation.
- Improve your shaving technique: Make sure you’re using a nice, clean razor and don’t forget a moisturizing shaving cream or gel; it really makes a difference. Also, try shaving in the direction your hair grows to prevent ingrown hairs and minimize any irritation.
That said, not every skin type can handle strong exfoliants or retinoids. If you have eczema or sensitive skin, start with gentler options first and check with a dermatologist before trying anything stronger.
By sticking to a regular routine, you might be surprised at how much better your skin can look in just a few weeks with in-home treatments. If you’re dealing with itchy or painful strawberry skin and home remedies aren’t doing the trick, it could be a good idea to chat with a dermatologist. They can help create a treatment plan that’s just right for you.
How to Treat Strawberry Skin
For a deeper dive in treating keratosis pilaris, there are two main goals that can make a real difference:
- Break down excess keratin that is clogging hair follicles.
- Restore and protect the skin barrier with moisturization, especially if you also have eczema.
We may add anti-inflammatory measures when there’s a lot of redness and inflammation. Since Strawberry Skin is chronic and linked to genetics, treatments improve the texture and redness but aren’t a permanent cure—you have to keep up with the maintenance.
Key ingredients that help
There are three over-the-counter ingredients you should look for when treating KP, plus one prescription-strength option:
- Salicylic acid: It’s a keratolytic and follicular penetrant that dissolves keratin plugs. Important: it’s not a moisturizer, so pair it with a good moisturizer to protect your skin barrier.
- Ammonium lactate (Amlactin): It acts as both an exfoliant and a humectant. A 12% ammonium lactate lotion is commonly recommended for strawberry skin because it reduces scale and hydrates in one step. It can have a mild scent from the lactic acid (normal but worth noting).
- Urea (10% or higher): At concentrations below ~10%, urea mostly moisturizes. Above 10%, it helps break down excess keratin. So for Strawberry Skin, look for creams at or above 10% for maximum effect.
- Topical retinoids: These are great at speeding up cell turnover, smoothing out the outer skin layer, and reduce enlarged pores. Plus, they can help with redness and inflammation too. Just a heads-up though, they can be a bit rough on the skin, so moisturizing before and after is important, especially if you have skin that’s prone to eczema.
Keratosis pilaris is often resistant to treatment. Even though the bumps look small and benign, they can be stubborn. With consistent treatment you can expect improvement in texture and redness, but it rarely “goes away” permanently without ongoing maintenance. Think of treatment as managing the tendency rather than curing it outright.
When to see a dermatologist for Keratosis pilaris
See a dermatologist if:
- The bumps are very inflamed or painful.
- Over-the-counter stuff causes severe irritation or just doesn’t help after consistent use.
- You’re worried about another skin condition like eczema that needs a prescription.






