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While  sundresses and shorts are out for summer, my patients often notice rough, dry patches on elbows and heels, or complain of ‘bumpy skin’ on the backs of their arms and legs. Build up of skin cells can be genetic, or caused by chronic rubbing, and can be improved by a combination of skin smoothing topical treatments and microdermabrasion.

Keratosis Pilaris (KP) is a genetic condition of increased skin surrounding hair follicles. It presents as red or skin colored bumps, frequently on the backs of arms and legs. Mild (not harsh) exfoliating can help. Don’t pick at the bumps as this can cause red, brown, or post inflammatory hyperpigmentation scars.

Hyperkeratosis occurs on areas of friction like elbows, heels, and knees.

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