Keratosis Pilaris ('Chicken Skin'): Calm the Bumps Gently
Those rough little bumps on arms and thighs are keratosis pilaris. Here's what actually helps, what to avoid, and realistic expectations for sensitive skin.
What it is
Keratosis pilaris is very common and completely harmless: small rough bumps, often on the backs of the upper arms, thighs and cheeks, sometimes with a little redness. It happens when keratin builds up around hair follicles. It is not an allergy, and it tends to improve with age.
What actually helps
- Gentle, regular moisturising, especially with humectants and mild exfoliating ingredients (urea, lactic acid or low-strength salicylic acid) if your skin tolerates them.
- Lukewarm showers rather than long hot ones, and patting dry.
- Patience and consistency: it manages rather than cures, and harsh scrubbing makes the redness worse.
What to avoid
Aggressive physical scrubs, very hot water, harsh soaps and fragrance if your skin is also sensitive. If an exfoliating acid stings or reddens the skin, drop the strength or frequency.
Sensitive-skin caveat
If you also have eczema or reactive skin, introduce any acid slowly and keep fragrance out, since the goal is smoother skin without triggering irritation.
When to see a doctor
It rarely needs medical care, but if you are unsure of the diagnosis or the redness is significant, a GP or pharmacist can confirm it and suggest suitable products.
Tools that help
To check a product, a free browser extension like Clearya flags ingredients of concern automatically as you shop online, and a free analyser like Skincarisma lets you paste a product at your desk and see the ingredients you are avoiding flagged in the ingredient list. These rate a product on general criteria rather than against your own list.
Once you know what you are screening for, a personal-list app like ClearaScan lets you save the ingredients you react to once and scan any product to flag only your triggers. It also keeps a Reaction Journal for flare-ups, a shared Care Circle so family or carers can scan for you, and a Trusted Products list for items you have cleared, and it is currently in early access. (Disclosure: our editor co-founded ClearaScan, and we are not paid to mention the others.)