If you've noticed small, rough bumps on your upper arms, thighs, or cheeks that never seem to go away—no matter how much you moisturize—you may have Keratosis Pilaris (KP). It's one of the most common and harmless skin conditions, and thankfully, it's also treatable with the right skincare routine.

What Is Keratosis Pilaris?

Keratosis Pilaris occurs when keratin, a natural protein that protects the skin, builds up and plugs the hair follicles. The result is tiny, rough bumps that often feel like sandpaper or "chicken skin."

KP most commonly appears on:

  • The backs of the upper arms
  • The thighs
  • The cheeks
  • The buttocks

It's not contagious, and it doesn't cause scarring, but it can be frustrating if you've been trying to smooth your skin for years.

Who Gets It?

Keratosis Pilaris often develops during childhood or adolescence and frequently improves with age.

You're more likely to develop KP if you have:

  • Dry skin
  • Eczema (atopic dermatitis)
  • Allergies or asthma
  • A family history of Keratosis Pilaris

Many people also notice that KP worsens during cold, dry weather or after using harsh soaps that strip the skin's natural moisture.

How to Treat Keratosis Pilaris

While there isn't a permanent cure, consistent skincare can dramatically improve both the appearance and texture of your skin.

1. Use a Gentle Exfoliating Lotion

Look for products containing ingredients such as:

  • Lactic acid
  • Urea
  • Glycolic acid
  • Salicylic acid

These ingredients help dissolve keratin plugs while softening rough skin.

One excellent over-the-counter option is CeraVe SA Lotion for Rough & Bumpy Skin, which combines salicylic acid with ceramides to exfoliate while supporting the skin barrier.

Apply once or twice daily for best results.

2. Moisturize Every Day

Immediately after bathing, apply a rich, fragrance-free moisturizer to lock in hydration.

Look for ingredients like:

  • Ceramides
  • Shea butter
  • Urea

Daily moisturizing helps improve skin softness and reduce roughness.

3. Skip Harsh Scrubs

It may be tempting to scrub away the bumps, but physical exfoliants often make KP more irritated and red.

Instead, stick with:

  • Gentle cleansers
  • Chemical exfoliants
  • Consistent moisturizing

4. Consider Prescription Treatments

If over-the-counter products aren't enough, a dermatology provider may recommend prescription treatments such as:

  • Topical retinoids (like tretinoin) to improve skin cell turnover
  • Custom compounded creams that combine exfoliating and moisturizing ingredients

Does Keratosis Pilaris Go Away?

For many people, Keratosis Pilaris gradually improves with age.

With regular exfoliation and daily moisturizing, many patients notice smoother skin within just a few weeks.

Consistency is the key.

A Pro Tip from a Dermatology PA

"Think of Keratosis Pilaris as a buildup issue, not an infection. The key is steady, gentle exfoliation and moisture. You can't scrub it away—but you can smooth it away."

Treat It From Home

At Skinetics TeleDerm, we evaluate your skin virtually and create a personalized treatment plan based on your skin type and lifestyle.

Smooth skin starts here—no waiting rooms, no stress.

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Lizzie Brennan

Author

Lizzie Brennan, PA-C is a board-certified Physician Assistant with more than 20 years of medical experience and over a decade specializing in dermatology. As the founder of WellWell, she combines expert skin care with evidence-based metabolic medicine to help patients feel confident inside and out. Lizzie is passionate about making high-quality dermatologic care and medical weight loss accessible through convenient telehealth and personalized, patient-centered treatment.