Ingrown Hairs vs Boils

An ingrown hair is a hair that curls back into the skin instead of growing out of it, leaving a tender bump. It is most common and most stubborn in coarse, tightly curled hair, where it has a name of its own: pseudofolliculitis barbae, better known as razor bumps. Deep bacterial infection of a hair follicle producing a tender lump.

Research updated 2026-10-23
A few firm pink bumps scattered under the jaw and along the upper neck on light skin, with a dark loop of hair visible over one of them.Educational illustration of one localized swollen follicular bump with a small pale pustular center on an upper arm on light skin.

Key differences

The same eight facts on every condition comparison.

Usual age
After puberty
Any age
Where
Beard, legs, armpits, bikini line
Hair-bearing, rubbed skin
Main sign
Tender bumps at shaved hairs
A tender red lump that comes to a head
Itch or pain
Tender, itchy
Painful
Contagious
No
The bacteria can spread
Long term
Recur with shaving
Drains and heals; can recur
Scars
Dark marks and keloids possible
Can leave a small scar
Who gets it
Coarse, curly hair; shavers
Anyone; staph carriers

What is it?

Ingrown Hairs
Boils
What is it?
  • A hair grows back into skin.
    A curved or sharply cut hair pierces the skin or follicle wall.
  • The skin reacts to it.
    The body treats the embedded hair as foreign material.
  • Curly hair is more prone.
    Coarse, curved hair increases risk, but any hair type can be affected.
  • Deep lumps need assessment.
    Painful lumps, drainage or scarring may signal infection or another disorder.
  • What it is
    Deep bacterial infection of a hair follicle producing a tender lump.

What it looks like

Ingrown Hairs

Ingrown Hairs: Bumps after shaving; Razor bumps.

Razor bumps Pseudofolliculitis barbae in the beard area.

Representative image of an ingrown hair bump in a skin fold.

Bikini-line ingrown hairs Bumps after shaving or waxing.

A firm raised skin lump with a curled hair, representing an ingrown-hair cyst.

Ingrown-hair cyst A deeper, larger lump.

Ingrown Hairs: Trapped hair.

Individual ingrown hair A hair visible under the skin.

Boils

A shoulder with a raised red bump and a small yellow-white center.

Boils A rounded red swelling stands out on the shoulder.

Skin tones
A few firm pink bumps scattered under the jaw and along the upper neck on light skin, with a dark loop of hair visible over one of them.
Firm bumps grouped under the jaw and along the upper neck on medium olive-toned skin. The bumps read dusky pink to tan rather than red, and a dark loop of hair is visible over one of them.
Firm bumps crowded under the jaw and along the upper neck on brown skin. The bumps look brown to violet rather than red, and a dark loop of hair is visible over one of them.
Firm bumps crowded under the jaw and along the upper neck on deep brown skin. The bumps read brown to violet rather than red, with mottled darker marks between them and one firm raised scar along the jaw.
Educational illustration of one localized swollen follicular bump with a small pale pustular center on an upper arm on light skin.
Educational illustration of one localized swollen follicular bump with a small pale pustular center on an upper arm on medium skin.
Educational illustration of one localized swollen follicular bump with a small pale pustular center on an upper arm on brown skin.
Educational illustration of one localized swollen follicular bump with a small pale pustular center on an upper arm on deep skin.
Diagram
Ingrown Hairs mechanism diagram. A short hair curves back: Curly hairs can re-enter nearby skin. The tip pierces the surface: The hair becomes trapped in the skin. A local reaction forms: Inflammation causes a tender raised bump.
In the skin

A hair curves back into nearby skin instead of continuing outward. The trapped hair triggers a local inflammatory reaction that can form a tender raised bump.

Bacteria, commonly Staphylococcus aureus, infect a hair follicle and nearby tissue. A deeper collection of pus forms as the immune system responds.

When it usually starts

010203040506070+

Ingrown Hairs. Usually begins after shaving or other hair removal, particularly after puberty.

Boils. Can occur at any age.

Causes and triggers

Causes

Ingrown hairs happen when a cut or broken hair curls back into the skin. The body treats the hair as a foreign object and becomes inflamed.

Usually staphylococcal bacteria infect a follicle and nearby tissue.

Family tendency

Tightly curled hair is inherited and is the biggest single risk.

Risk factors
Curly or coarse hair, Frequent shaving, Waxing and plucking
Skin breaks, Bacterial colonisation, Diabetes or immune suppression
Trigger
● Ingrown Hairs
● Boils
Close shaving
Well established
Not listed
Shaving against the grain
Strong link
Not listed
Dull razors
Strong link
Not listed
Tight clothing
Possible
Not listed
Skin injury
Not listed
Can contribute
Friction
Not listed
Can contribute

Daily Care

Ingrown Hairs
Boils
Daily care

Habits that help

  • Stop shaving for three to four weeks
    The most effective single treatment.
  • Clippers or a guarded trimmer
    A millimeter of stubble keeps the tip out.
  • A single-blade or safety razor
    Cuts at the surface.
  • Shave with the grain
    Do not stretch, press or repeat.
  • Shave less often
    Every second or third day, never over bumps.
  • Soften first, then lubricate
    Warm water, then gel.
  • An electric foil or rotary shaver
    Cuts above the skin.
  • Sun protection
    Protect healing skin from sunlight to limit darkening of marks.
  • A chemical depilatory cream
    Leaves a soft, feathered end.
  • Eflornithine cream
    Prescription, slows facial hair regrowth.

Avoid

  • Avoid: Shaving as close as possible
    The tip ends below the skin surface.
  • Avoid: Multi-blade cartridge razors
    Later blades cut below the surface.
  • Avoid: Stretching the skin taut while shaving
    The cut hair vanishes as skin relaxes.
  • Avoid: Shaving against the grain
    A closer cut, a sharper tip.
  • Avoid: Going over the same patch repeatedly
    Bumps come from the later passes.
  • Avoid: Shaving every day, or over bumps
    Inflamed skin needs time to settle.
  • Avoid: Dry shaving, or shaving with bar soap
    The blade drags and irritates.
  • Avoid: A dull or dirty blade
    Tugs the hair and leaves a worse tip.
  • Avoid: Waxing, tweezing and epilating
    The regrowing hair has to reopen its way out.
  • Avoid: Digging a hair out with a needle
    Turns a bump into a wound.
  • Avoid: Picking and squeezing
    The same damage, more often.
  • Avoid: Gritty scrubs and stiff brushes
    Inflammation, and the hair stays put.
  • Avoid: Alcohol-heavy aftershaves
    Sting broken skin, add irritation.
  • Avoid: Tight collars, straps and underwear
    Friction pushes hairs back in.
  • Avoid: Sun on healing marks
    Makes marks deeper and slower to fade.

Habits that help

  • Keep the area gently clean and cover any drainage
    Use a clean non-stick dressing and replace it when wet, dirty or as instructed.
  • Wash hands before and after dressing changes
    Dispose of used dressings safely and clean surfaces contaminated by drainage.
  • Keep towels, washcloths and razors for your own use
    Launder items that touch the affected area and let them dry fully.
  • Reduce pressure and rubbing over the lump
    Choose loose clothing and avoid shaving across inflamed skin.
  • Use a comfortably warm clean compress for a small boil
    Hold it on for 10–15 minutes several times daily; avoid hot temperatures and never force drainage.

Avoid

  • Avoid: Squeezing, lancing or piercing the lump at home
    This can spread infection; a collection of pus may need professional drainage.
  • Avoid: Delaying assessment for spreading redness, fever or worsening pain
    Home care does not replace drainage or antibiotics when they are needed.

Treatment differences

Evidence labels come from each condition’s own treatment list.

Treatment
● Ingrown Hairs
● Boils
Filter by type
Ingrown hair pattern

Select one or more.

All types
Over-the-counter
Illustration: Generic topical cream tube and white cream.

Depilatory cream

Limited evidence

A chemical hair remover dissolves the hair rather than cutting it, leaving a soft feathered end that does not spear the skin. Used every few days instead of shaving it genuinely reduces bumps. The trade-off is real: it smells strong and it irritates or burns some people, so test a small patch and never use it on skin that already has active bumps.

Existing reference image of Microneedling vs Microdermabrasion — At Home.

Exfoliating scrubs and brushes

Limited evidence

Gritty scrubs and stiff brushes are sold for this and they are the wrong tool. Scrubbing does not free a hair that is already through the follicle wall, and it adds inflammation to skin that has too much. If you want exfoliation here, use a gentle glycolic or salicylic acid instead.

Five adapalene gel 0.1% tubes and boxes lined up on white, including Differin, Effaclar, PanOxyl and Neutrogena

Adapalene

Limited evidence

A retinoid gel used at night on the shaved area. It thins the plug over the follicle opening so a growing hair is more likely to find its way out, and it slowly evens the dark marks left by old bumps. It takes six to twelve weeks and it does not stop a hair curving back in, so it works alongside a change of razor rather than instead of one.

Four glycolic acid toner and liquid bottles lined up on white, one with its box

Glycolic Acid

Limited evidence

A leave-on lotion or toner used two or three times a week keeps the follicle openings clear, which is the point where a curved hair gets stuck. It also helps the flat dark marks fade. Use it on days you do not shave, because acid on freshly shaved skin stings and adds irritation.

Paula's Choice 2% BHA exfoliant, La Roche-Posay Effaclar cleanser and a CeraVe psoriasis cream pump

Salicylic Acid

Limited evidence

Does much the same job as glycolic acid and suits oilier skin and the bikini line better, because it gets into the follicle itself. Two or three times a week is enough. It is not an exfoliating scrub, and it will not free a hair that is already trapped.

Three acne wash tubes on white: Differin Deep Cleanser, CeraVe Acne Foaming Cream Cleanser and PanOxyl

Benzoyl Peroxide

Limited evidence

Worth adding when the bumps carry pinpoints of pus, because bacteria have joined in on top of the trapped hair. A wash or a low-strength gel on the shaved area is enough. It does nothing about the hair itself, and it bleaches towels and collars, so keep the strength low and the expectations modest.

Five azelaic acid tubes and bottles on white, most marked 10 percent, from Peach Slices, Paula's Choice, Facetheory, The Ordinary and Naturium

Azelaic Acid

Limited evidence

Aimed at the marks rather than the bumps. It calms inflammation and slowly lifts the flat dark patches left along the jaw and neck, and it is gentle enough for skin that is shaved regularly. It works over months, not weeks, and only once new bumps have stopped forming.

None listed
Prescription topicals

Eflornithine

Moderate evidence

Eflornithine cream. A prescription cream that slows facial hair regrowth, so there is less hair to cut and shaving can be done less often. It is used twice a day on the face and neck alongside your usual hair removal, not instead of it. It does not remove hair, and the effect fades within weeks of stopping.

Tretinoin — Header Image

Tretinoin

Limited evidence

The prescription-strength version of the retinoid approach, used at night on the beard and neck. It keeps follicle openings clear and does more for the dark marks than anything else on a shelf. It makes skin drier and more easily irritated by a razor for the first month or two, so build up slowly and shave more gently while you do.

A white metal tube lying at an angle on a white background, white ribbed cap to the left, labeled Clindamycin in black lettering with a teal swoosh curving beneath the word.

Clindamycin

Limited evidence

An antibiotic lotion, usually prescribed with benzoyl peroxide, for when a lot of the bumps have gone pustular. It settles the infected ones faster than benzoyl peroxide alone. It is a short course rather than a permanent fix, because the trapped hair, not the bacteria, is what starts each bump.

A plain white ointment tube lying on its side, labeled Hydrocortisone with a blue swoosh

Hydrocortisone

Limited evidence

A low-strength steroid cream calms a badly inflamed patch quickly and takes the soreness out of it. It is a short course of days, prescribed for a specific flare, not something to keep using. Facial and neck skin thins with repeated steroid use, and it does nothing about the hair that caused the bump.

None listed
Prescription pills
None listed

Antibiotics when indicated

Listed

Spreading infection, systemic illness or individual risk factors may require antibiotics alongside source control.

Injections
Editorial illustration for Cortisone Injection, based on the entry’s treatment or equipment reference.

Cortisone Injection

Limited evidence

A steroid injected directly into a firm raised or keloid scar left by old bumps. It flattens and softens the scar over a series of visits a few weeks apart. It treats what is already there and does nothing to prevent the next one, and repeated injections can leave a pale or dented patch.

None listed
Procedures
Editorial illustration for Laser Hair Removal, based on the entry’s treatment or equipment reference.

Laser Hair Removal

Strong evidence

The most durable treatment there is for this, because it reduces the number of hairs that can become ingrown at all. It usually takes a series of sessions and it thins rather than eliminates hair for most people, with occasional touch-ups. It is the option to ask about when scarring is starting or when a job requires close shaving.

Editorial illustration for Nd:YAG Laser, based on the entry’s treatment or equipment reference.

Nd:YAG Laser

Strong evidence

The specific device used for hair removal on deeper skin tones, at a wavelength of 1064 nm. It passes more safely through pigment in the skin to reach the hair, and it is used routinely for razor bumps. Ask what wavelength a clinic uses, ask how often they treat skin like yours, and have a test patch first, because settings and cooling matter more than the marketing.

Editorial illustration for Chemical Peel, based on the entry’s treatment or equipment reference.

Chemical Peel

Limited evidence

A course of light salicylic or glycolic peels aimed at the mottled dark marks across the beard and neck once the bumps have stopped. On deeper skin tones it has to be done cautiously and by someone who treats them regularly, because too strong a peel causes exactly the darkening you are trying to clear. It does nothing for the bumps themselves.

Editorial illustration for Electrolysis, based on the entry’s treatment or equipment reference.

Electrolysis

Limited evidence

Destroys hairs one follicle at a time with a fine probe, so it can permanently clear a small stubborn patch. It is slow and uncomfortable over a beard-sized area, which is why laser is the usual choice here. It is worth considering for a few repeatedly troublesome spots rather than a whole neck.

Editorial illustration for Incision and Drainage, based on the entry’s treatment or equipment reference.

Incision and drainage

Listed

A clinician may need to drain a collection of pus; do not lance it at home.

Outlook

Long term

A single ingrown hair follows a short, predictable course; the long-term picture depends on what happens to it. Stop removing the hair and this condition stops - beards grown out for three to four weeks usually clear almost completely. Established scarring does not reverse, which is the argument for changing course early.

A boil can heal after it drains, but deeper or worsening infections may need professional treatment. Repeated boils warrant assessment for contributing factors rather than repeated squeezing or self-drainage.

Complications

Possible complications
  • Dark marks that outlast the bumps
  • Raised and keloid scars
  • Bumps at the nape of the neck
More details

Dark marks that outlast the bumps
Every inflamed bump can leave a flat darker patch behind, and those patches routinely take several months to fade. They are the most common thing people are left with, and on deeper skin tones they are the most noticeable. They will not clear while new bumps keep forming, so stopping the bumps does more for them than anything applied on top. Daily sunscreen helps, because sun makes them deeper and slower to go.

Raised and keloid scars
Where bumps keep forming in the same place and are shaved over or picked, the skin can build firm raised scars, and in some people keloids that grow beyond the original bump. They form most readily along the jawline, the front of the neck and the nape, and more readily on deeper skin tones. Once a keloid is there it is difficult to treat, so changing the shaving early is worth much more than anything applied later.

Bumps at the nape of the neck
Firm bumps along the hairline at the back of the head are a separate problem called acne keloidalis nuchae. They can thicken into keloid-like scars and leave permanent bald patches, and it is far more common in people with tightly curled hair. It needs treating earlier and harder than bumps anywhere else, because that scarring does not reverse. Bumps in this spot are a reason to book rather than wait.

Infection can spread to nearby skin or cause systemic illness.

When to get help

When to get help

Seek care for recurring painful bumps, scarring or pus. A large painful swelling or spreading redness may need treatment for infection.

Seek prompt care for a painful pus collection; fever, spreading swelling or feeling unwell increases urgency.

Common questions

Ingrown Hairs:Can I just pull the hair out?

Not out - free it. If a loop of hair crosses the bump, a sterilized needle can lift it from underneath and leave the hair rooted in the follicle. Pulling the whole hair out means the next one grows back through inflamed skin, which often makes another bump in the same place. Never dig for a hair you cannot see. That is how bumps become scars.

Ingrown Hairs:Will laser hair removal work if I have deep skin tone?

Yes. The concern comes from older devices. The standard choice now for deeper skin tones is a long-pulsed 1064 nm Nd:YAG laser, which reaches the hair with less risk to surrounding pigment. It takes a series of sessions, reduces rather than eliminates hair, and touch-ups are common. Ask what wavelength they use, how often they treat skin like yours, and have a test patch.

Ingrown Hairs:Do I have to stop shaving forever?

No. Most people go back to shaving once the bumps clear, as long as it is different from what caused the problem - usually a single blade or trimmer, with the grain, less often, without stretching the skin. If close shaving is unavoidable and bumps keep returning, laser lets you have both.

Ingrown Hairs:Why do I get them on my neck but not my cheeks?

The hair on the neck grows in swirls and changes direction over short distances, so a stroke with the grain in one spot is against it an inch away. The skin there is softer and easier to pull taut. The neck and under the jaw are the classic sites.

Ingrown Hairs:How long do the dark marks take to fade?

Longer than anyone wants. A mark from one bump commonly takes several months. Years of repeated bumps take longer, and nothing fades while new bumps keep forming. Two things speed it up: stopping the new bumps, and daily sunscreen.

Ingrown Hairs:Is this acne?

No, though they look similar and sometimes occur together. Acne begins with a clogged oil gland and features blackheads and whiteheads. This begins with a hair growing back into the skin, appears in shaved areas, and follows the shaving schedule. Some acne treatments help, but not the cause.

Boils:What is Boils?

Deep bacterial infection of a hair follicle producing a tender lump.

Boils:What can I do day to day?

Keep the area clean and covered. Do not squeeze or lance it; do not share towels.

Boils:When should I get medical advice?

Seek prompt care for a painful pus collection; fever, spreading swelling or feeling unwell increases urgency.

Sources

Sources and further reading

  1. DermNet
  2. Boil
Dermapedia on YouTube