Does folliculitis require surgery?

Written by Liu Gang
Dermatology
Updated on September 26, 2024
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Folliculitis generally does not require surgery, and can be completely cured by commonly used oral and topical anti-inflammatory drugs. If individual folliculitis is particularly prominent and has some pustules, you can disinfect the area locally, then use a needle to break them open and clean out the pus and blood. Unless the folliculitis is large, especially those on the scalp, and chronic medication is ineffective and gradually worsening, surgery might be required. You can go to the dermatology department of a regular hospital for surgery to completely clean out the pus and blood. To prevent recurrence of this disease, avoid spicy and irritating foods, do not stay up late, strengthen exercise, sweat more, and bathe more frequently.

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Written by Zhu Zhu
Dermatology
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What are the symptoms of folliculitis?

Folliculitis is a common purulent inflammatory skin disease, usually caused by bacterial infection. The symptoms of folliculitis initially manifest as small red papules which, after several days or weeks, develop small pustules at the center with a surrounding erythema forming pustules. These dry out or rupture later to form yellow crusts. Generally, there are no scars left after the crust peels off.

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Written by Liu Gang
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What department should I go to for folliculitis?

Folliculitis is an inflammation of the skin's surface, and this condition falls under the purview of dermatology, which can be treated at a regular hospital's dermatology department. This disease is related to excessive sebum secretion, consumption of spicy and irritating food, or frequent late nights. Prompt treatment is necessary once symptoms appear, and it can involve oral and topical anti-inflammatory medications. It is advisable to avoid spicy and irritating foods and try not to stay up late as this disease has a particularly high recurrence rate. If the folliculitis is relatively large, you can visit the dermatology department of a regular hospital for a minor surgery to drain pus. If it is small, local disinfection followed by using a needle to puncture and clean out the pus and blood may suffice.

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Written by Liu Gang
Dermatology
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Can folliculitis be popped?

Generally speaking, folliculitis can mostly subside slowly by itself through oral or topical anti-inflammatory medications. If an individual follicle is particularly large, or if long-term medication is ineffective, local disinfection followed by draining the pus can be effective. This condition is associated with vigorous secretion of sebaceous glands, eating spicy and stimulating foods, or frequently staying up late. Therefore, after recovery, it is essential to regulate one's diet and lifestyle habits: avoid staying up late and consuming spicy or heavily flavored foods. Regular exercise, frequent bathing, and sweating can help prevent relapse. Continuously taking medications that reduce sebaceous gland secretion or those that clear heat and purge fire long-term can also be beneficial.

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Written by Liu Gang
Dermatology
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Does folliculitis hurt?

Folliculitis is usually associated with excessive sebum secretion by one's own glands, consumption of spicy and irritating foods, or frequent staying up late, leading to inflammatory hyperplasia on the skin surface. Generally, these are relatively small and the symptoms are mild. There is a feeling of pain when pressed by hand. However, some cases of folliculitis are severe and may resemble large abscesses, especially on the scalp where the pain can be more intense, particularly when touching or squeezing with hands. Once folliculitis occurs, it is best to treat it with oral and topical anti-inflammatory drugs. It is important to avoid spicy and irritating foods and not to stay up late. If an individual follicle becomes significantly enlarged, it is advisable to seek surgical excision and drainage at a dermatology department of a formal hospital.

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Written by Liu Jing
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How to completely cure folliculitis?

The occurrence of folliculitis is related to the immune status of the body. To avoid recurrence, regular dietary and lifestyle habits are necessary, along with adjustments to the body's immune status. It is advisable to avoid spicy and irritating foods, and enhance the cleanliness of the scalp and skin. Anti-inflammatory and symptomatic treatments should be administered, including oral ingestion of Tanshinone IIA sulfonate capsules and Doxycycline Hydrochloride capsules. Topical use of Fusidic acid cream on the affected follicle areas can be combined with physical therapies, such as red and blue light exposure twice a week for three consecutive weeks, thus achieving anti-inflammatory effects and improving microcirculation. Folliculitis commonly occurs in oily skin types, therefore, it is advisable to consume more green vegetables and coarse fibers to regulate metabolism. (The use of medications should be carried out under the guidance of a physician.)