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Sounds like your dermatologist is a moron. Antibiotics only kill bacterial cells. They don't kill foreign bodies like hairs. He needs to go back to medical school. :D

I agree that the bumps are ingrown. Making sure that those hairs are properly shaved off helps for sure. Good point.

I've had the same problem with bumps. Lathering properly seems to help and showering right before a shave is the best way to get the beard soft. The other thing that helps me is using a balm then...