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Bumpy, Rough Skin: Causes and Treatment Options
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Bumpy, Rough Skin: Causes and Treatment Options

1 March 2025


Bumpy, Rough Skin: Causes and Treatment Options




Bumpy, rough skin is a common complaint among people with many different skin types and can be caused by a variety of skin conditions, including keratosis pilaris, folliculitis, and dry skin due to an impaired skin barrier.



Find out how to tell if you might be dealing with one of these common dry skin conditions and what the best treatment options are to get rid of and prevent rough bumpy skin in the future.




Different kinds of rough bumps on the skin



What are rough bumps on skin?




Many things can cause rough bumpy skin. Here is the differential diagnosis of sandpaper like or small rough bumps on skin:



Acne




Actinic Keratosis



Asteatotic Eczema




Dermatitis Herpetiformis



Folliculitis




Goose Bumps (also known as Piloerection or Cutis Anserina)



Granuloma Annulare




Ingrown Hairs (Pseudofolliculitis)

Keratosis Pilaris

Lichen Planus

Milia

Molluscum Contagiosum

Perioral Dermatitis

Seborrheic Keratosis

Of these, the one that feels most like sandpaper is keratosis pilaris.

Keratosis Pilaris

Keratosis pilaris, often referred to as KP, is a common skin condition that causes dry, sandpaper-like bumps on the skin, usually on the arms and outer thighs. These bumps, caused by an increase in keratin production, are typically red or flesh-colored and do not itch or hurt. While KP bumps are harmless, they can be unsightly if left untreated, so many men and women with these rough bumps choose to speak with a dermatologist about the best treatment options for KP.

Exfoliation and moisturization are the two most important steps when treating KP bumps. Exfoliants help to remove the buildups of keratin on the skin that create these bumps, while moisturization helps to prevent continued keratin buildup in the future.

The type of exfoliant to choose for your skin care routine depends upon your skin type. Sensitive skin, for example, tolerate chemical exfoliants such as hydroxy acids better than physical exfoliants such as scrubs.

Here are some dermatologist- recommended body scrubs:

Revision Skincare Finishing Touch

$58.00

Out of Stock

Nuxe Reve de Miel Deliciously Nourishing Body Scrub

$38.00

Out of Stock

Jan Marini Bioglycolic Resurfacing Body Scrub

$80.00

Add to Cart

What are goosebumps?

Goosebumps

Goose bumps, also known as “piloerection,” are a temporary change in the skin that occurs in response to various stimuli, most commonly cold or emotional stress. This phenomenon is a reflex action orchestrated by the sympathetic nervous system, which is the part of the nervous system that prepares your body to respond to stress or cold. Here’s the step-by-step process:

Stimulus and Nervous System Activation: When the body is exposed to a cold environment or experiences a strong emotion (like fear or excitement), the sympathetic nervous system is activated.

Release of Neurotransmitter: The activation of the sympathetic nervous system leads to the release of a neurotransmitter called norepinephrine (also known as noradrenaline).

Muscle Contraction: Norepinephrine acts on tiny muscles at the base of hair follicles called “arrector pili” muscles. When these muscles contract, they pull the hair follicles upward, creating a raised spot on the skin.

Appearance of Goose Bumps: This pulling action of the contracted arrector pili muscles causes the surrounding skin to form small, raised points, which we refer to as “goose bumps.”

Purpose in Animals: In many animals, this response increases the amount of air trapped in the fur, which adds insulation and increases warmth, or makes the animal appear larger to frighten potential predators. This is akin to a cat puffing up its fur when it is frightened.

Human Response: In humans, this reflex doesn’t have the same practical applications since we don’t have a thick coat of fur. It’s considered to be a vestigial response, meaning it’s a leftover trait from our evolutionary past.

Resolution: Once the stimulus (cold or emotional stress) is removed or lessened, the nervous system signaling decreases, the arrector pili muscles relax, and the skin smooths down again, causing the goose bumps to disappear.

It’s worth noting that “goose bumps” get their name from the way the skin looks during this reaction—similar to the skin of a plucked goose, where the feather shafts were attached.

Patches of goosebumps on skin that do not go away and goosebumps on the face are most likely keratosis pilaris.

Why do we get goosebumps?

Goosebumps are a physiological phenomenon that occur as part of the body’s fight-or-flight response, which is triggered by various forms of stress including cold temperatures, fear, or emotional arousal. When we are cold, the contraction of small muscles called arrector pili at the base of hair follicles (caused by the release of the neurotransmitter norepinephrine) pulls the hairs upright. In furry animals, this action creates an insulating layer of air trapped beneath the erect hairs, helping the animal to retain heat. In humans, this response is largely vestigial, as we have significantly less body hair, but it follows the same pattern. When we are scared or emotionally stimulated, the same fight-or-flight response is activated. In this context, the piloerection reflex is thought to be a defensive mechanism that, in animals, makes them appear larger or more threatening to predators.

For humans, goosebumps during emotional moments, such as while listening to a moving piece of music, are a lingering echo of this ancient reflex, showcasing the profound link between our emotions and physiological responses, even when the response itself no longer serves a clear practical function.

What is folliculitis?

Folliculitis

Red, pus-filled bumps that appear in areas where you shave, such as under your arms, on your legs, or face, are likely caused by a condition called folliculitis. Folliculitis occurs when a hair follicle becomes inflamed, usually caused by a bacterial or fungal infection.

In addition to shaving, wearing tight-fitting clothing when working out, not changing clothes immediately after sweating, and soaking in improperly-maintained hot tubs can cause folliculitis. A specific type of folliculitis, called pityrosporum folliculitis, is likely the cause of a common skin rash seen in many people who wear Lululemon or other tight-fitting pants to the gym. This type of folliculitis often resembles acne but is distinct in that it causes itching, whereas acne typically does not.

The best treatments for folliculitis depend on the type and cause of folliculitis you have, as well as how mild or severe it is. Mild cases of folliculitis may clear up on their own, and warm compresses can help to soothe skin in the meantime. For more severe or recurrent cases, your dermatologist might prescribe topical or oral medications to clear the infection.

To prevent folliculitis in the future:

Use a moisturizing shaving cream each time you shave.

Shave in the direction of hair growth, not against it.

Shower or change clothes immediately after working out.

Avoid wearing tight clothing such as leggings, especially when working out, if you begin to develop a bumpy rash.

Use a skin care routine for your skin type

We can help you find the best skin care routine to treat your unique skin issues.

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Treatments for rough, dry skin

Dry Rough skin

Rough, itchy, or ashy skin can also be caused by dehydration. Skin becomes dry and dehydrated when its protective barrier is impaired and unable to function properly. An impaired skin barrier will have trouble retaining moisture and keeping allergens and irritants out.

While some people are genetically predisposed to have dry, dehydrated skin, lifestyle factors such as spending lots of time in the sun or exposing the skin to cold wind in the winter can also contribute to a damaged skin barrier.

Dry skin in darker skin tones can sometimes appear to be gray or ashy and often feels rough or bumpy.

Adding a barrier repair moisturizer or oils to your daily skincare regimen will help your skin to retain moisture, diminishing the appearance of ashy skin.

Very dry or ashy skin can benefit from twice-daily applications of a good-quality barrier repair moisturizer. As your skin begins to repair itself, you should notice dryness, itching, and flaking diminish, revealing a smoother and brighter complexion. Darker skin types rave about Zerafite Brightening Barrier Cream to treat rough bumps on dark skin and brighten the skin.

Moisturizers for rough, bumpy skin

Moisturizers to treat rough bumpy skin

To restore proper skin barrier function and healthy hydration to your skin, use a barrier repair moisturizer that has a maltese cross pattern under the microscope which means it can mimic your skin’s natural lipid structure and repair barrier damage.

You can learn more about these in my interview with a skin barrier expert on YouTube.

The best barrier repair creams to treat bumpy rough skin should be chosen based on what other issues your skin has.

If it is red and rough and bumpy, use Zerafite Soothing and Calming Moisturizer.

I it is rough and bumpy and wrinkled use Zerafite Wrinkle Defense Barrier Cream Moisturizer.

If it is rough and bumpy with dark spots use Zerafite Brightening Barrier Cream

Other moisturizers to treat bumpy sandpaper skin on the face are:

Zerafite Barrier Repair Moisturizer

$50.00

Add to Cart

Zerafite Soothing and Calming Moisturizer

$9.99

Add to Cart

Zerafite Skin Brightening Barrier Cream

$10.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

La Roche-Posay Toleriane Dermallergo Night Moisturizer

$31.97

Add to Cart

Obagi Hydrate Luxe

$80.00

Add to Cart

Medature PSL Repair Moisturizer

$48.00

Add to Cart

Revision Skincare D.E.J. Face Cream

$72.00

Add to Cart

SkinCeuticals Triple Lipid Restore 2:4:2

$155.00

Add to Cart

Alastin Ultra Nourishing Moisturizer

$88.00

Add to Cart

Zerafite Barrier Repair Moisturizer

$50.00

Add to Cart

Zerafite Soothing and Calming Moisturizer

$9.99

Add to Cart

Zerafite Skin Brightening Barrier Cream

$10.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

La Roche-Posay Toleriane Dermallergo Night Moisturizer

$31.97

Add to Cart

Obagi Hydrate Luxe

$80.00

Add to Cart

Medature PSL Repair Moisturizer

$48.00

Add to Cart

Revision Skincare D.E.J. Face Cream

$72.00

Add to Cart

SkinCeuticals Triple Lipid Restore 2:4:2

$155.00

Add to Cart

Alastin Ultra Nourishing Moisturizer

$88.00

Add to Cart

Zerafite Barrier Repair Moisturizer

$50.00

Add to Cart

Zerafite Soothing and Calming Moisturizer

$9.99

Add to Cart

Zerafite Skin Brightening Barrier Cream

$10.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

La Roche-Posay Toleriane Dermallergo Night Moisturizer

$31.97

Add to Cart

Obagi Hydrate Luxe

$80.00

Add to Cart

Medature PSL Repair Moisturizer

$48.00

Add to Cart

Revision Skincare D.E.J. Face Cream

$72.00

Add to Cart

SkinCeuticals Triple Lipid Restore 2:4:2

$155.00

Add to Cart

Alastin Ultra Nourishing Moisturizer

$88.00

Add to Cart

Body creams to treat sandpaper like rough bumpy skin on the arms. legs, or body include:

La Roche-Posay Lipikar AP+M Triple Repair Moisturizing Cream

$9.99

Add to Cart

Bioderma Atoderm Intensive Balm

$20.99

Add to Cart

Bioderma Atoderm Creme Ultra-Nourishing Moisturizing Cream

$17.99

Add to Cart

Zerafite Ultra Rich Body Cream Barrier Repair Moisturizer

$40.00

Add to Cart

La Roche-Posay Lipikar Eczema Soothing Relief Cream

$15.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

La Roche-Posay Lipikar AP+M Triple Repair Moisturizing Cream

$9.99

Add to Cart

Bioderma Atoderm Intensive Balm

$20.99

Add to Cart

Bioderma Atoderm Creme Ultra-Nourishing Moisturizing Cream

$17.99

Add to Cart

Zerafite Ultra Rich Body Cream Barrier Repair Moisturizer

$40.00

Add to Cart

La Roche-Posay Lipikar Eczema Soothing Relief Cream

$15.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

La Roche-Posay Lipikar AP+M Triple Repair Moisturizing Cream

$9.99

Add to Cart

Bioderma Atoderm Intensive Balm

$20.99

Add to Cart

Bioderma Atoderm Creme Ultra-Nourishing Moisturizing Cream

$17.99

Add to Cart

Zerafite Ultra Rich Body Cream Barrier Repair Moisturizer

$40.00

Add to Cart

La Roche-Posay Lipikar Eczema Soothing Relief Cream

$15.99

Add to Cart

Derma Made Ceramide Barrier Cream

$35.00

Add to Cart

Body oils to smooth rough bumpy skin:

VMV HYPOALLERGENICS Oil’s Well Nurturing Do-It-Oil

$40.00

Out of Stock

Nuxe Prodigieux Huile de Douche Shower Oil

$18.00

Out of Stock

In Summary

There are many causes of dry, bumpy, or rough skin. To effectively treat these common skin concerns, you must first know your Baumann Skin Type so that you will know which moisturizing ingredients are best to treat the skin bumps.

Remember that rough, bumpy skin can be caused or worsened by environmental factors such as sweating in tight clothing, using the wrong shaving techniques, and dehydration caused by sun exposure. Because of this, it is important to combine the proper treatment products with healthy lifestyle habits to maintain soft, smooth, healthy skin.

DQH Can I use salicylic acid first and then vitamin C? It’s easy to create a skincare routine, but knowing how to use it is another thing entirely. In most cases, if you’re not getting the desired skin results, it could be due to the layering of conflicting ingredients. So, is it possible that salicylic acid and vitamin C are such ingredients? Or are these active ingredients the duo that’s been missing from your skincare routine? If you want answers, stick around because today we are going to explain the benefits of salicylic acid and vitamin C and how they can be used in your daily life. What are the benefits of salicylic acid for skin? Salicylic acid is one of the most commonly used beta hydroxy acids and is favored by many people with oily, acne-prone skin. This acid is derived from willow bark, and unlike its water-soluble relatives (called alpha-hydroxy acids), salicylic acid is oil-soluble, which means it can penetrate deeper into the lower layers of the skin. Once it reaches the lower layers, it can help unclog pores of excess sebum, dirt, bacteria, debris, and impurities. This results in clearer skin tones and greater definition. Not only does salicylic acid benefit the underlying layers, but the outer surface of the skin benefits as well. When applied to the skin, salicylic acid removes the buildup of dead skin cells. This is accomplished by breaking the bonds that hold dead cells to the surface. Over time, this can cause the complexion to look dull and prone to acne, blackheads, and other blemishes. If you’d like to learn more about salicylic acid and how it can improve your skin, check out this dedicated blog post from a beauty insider. What are the benefits of vitamin C for skin? Vitamin C is considered one of the most powerful antioxidants, which means it is very effective at fighting free radicals and preventing them from causing further skin damage. Examples of free radicals include pollution, central heating, UV rays and harsh climate. They attack proteins, fats and cell membranes as soon as they come into contact with the skin, causing signs of premature aging such as fine lines and wrinkles as well as hyperpigmentation, flaky patches of skin and loss of elasticity. Many people usually prefer to use vitamin C in their morning routine as this ingredient gives the complexion a radiant glow. You’ll also find that vitamin C can target areas of hyperpigmentation, plumping the skin and reducing the appearance of fine lines and wrinkles. The thing about vitamin C is that there are a lot of outdated studies going back to the 1950s that describe vitamin C as an unstable skin component. Thanks to improvements in modern technology, this is no longer the case as all products now contain a stable form of vitamin C. Visit The Beauty Insider to learn more about vitamin C. So please check out our blog post. Can I use salicylic acid first and then vitamin C? Yes, you absolutely can. In fact, it’s thought that using salicylic acid before using vitamin C ensures it penetrates faster and works faster. This is an efficient way to utilize two power sources, and the reason has to do with pH. For example, the skin’s natural pH is about 4.7, making it slightly acidic. Salicylic acid and vitamin C are also both acidic, and you’ll find that vitamin C is absorbed quickly into the skin. Therefore, using salicylic acid beforehand can increase the acidity of the skin and allow vitamin C to penetrate into the skin faster. While this is considered an effective way to combine two powerful ingredients, you need to be aware of your skin type and how it reacts to certain active ingredients. Even people with perfect, normal skin can experience skin sensitivity and irritation. Therefore, always consult a doctor or dermatologist before using any new products on your skin. It’s also important to follow skin application rules. In this case, you need to use the product correctly to ensure you get the best results for your skin. If you’re not sure what I mean, the basic rule for skin is to start with the thinnest consistency and work your way up to the thickest consistency. This prevents a barrier from forming on the surface, preventing other active ingredients from penetrating the skin. Can I use salicylic acid at night and vitamin C in the morning? Yes, absolutely, this is considered the most effective way to get returns without any adverse side effects. This is because there is enough time between applications to ensure that the skin’s pH levels return to balance. You’ll also find that Vitamin C is rich in antioxidants and is perfect for use in the morning to ensure your skin is protected and looking its healthiest. Due to the small size of salicylic acid molecules, it is an acid that is able to reach the deepest parts of the skin. While this is effective at keeping skin clear, it also increases the risk of irritation and photosensitivity. Therefore, many people prefer to use powerful BHAs in their evening routine without exposure to UV rays, pollution, or harsh weather. Warning: If you avoid using sunscreen every day, none of these ingredients will do what your skin needs. The combination of chemical peels and powerful ingredients increases the risk of further damage to the skin’s surface. Use SPF 50 every day to keep your skin protected and your lipid barrier healthy, even on cloudy days, keeping your skin in top condition.
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