Trichostasis Spinulosa Treatment & Management

Updated: Nov 08, 2021
  • Author: Nicholas V Nguyen, MD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

Treatment for trichostasis spinulosa (TS) is usually administered for cosmetic purposes. The individual plugs of impacted hairs may be removed by means of the following:

  • Tweezing with forceps

  • Pressure expression with a comedone extractor

  • Use of depilatory wax, adhesive strips, [7] or laser depilation [8]

Emollients and keratolytics may also be helpful. After the apparent lesions are removed, topical retinoic acids can be used to help prevent future lesions.

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Surgical Care

Laser treatment with a 755-nm long-pulsed alexandrite laser may also be considered. [9, 10]

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Prevention

After the apparent lesions are removed, topical retinoic acids can be used to help prevent future lesions; however, recurrence of lesions is commonplace.

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