Removal of keratoses – in brief
| What is being removed | Seborrhoeic keratoses, after examination |
|---|---|
| Methods | CO2 laser or radiowaves |
| Anaesthesia | Local, in terms of scope and method of intervention |
| Duration | It depends on the number, size and position of the lesions |
| Dermoscopy | When the dermatologist considers it necessary |
| Skin mark | Possible skin discolouration or scarring |
| Price | In the current dermatology price list |
What are seborrhoeic keratoses?
Seborrhoeic keratoses, also known as age spots or senile warts, most commonly appear in middle age and later. They can occur on the face, neck, chest, back and other parts of the body. Sometimes there are only a few of them, and sometimes they are numerous.
They often look as if they have been “stuck on” to the skin. Their surface may be waxy, rough or scaly, and the colour ranges from skin-coloured to dark brown.
They are not infectious and are not the same as viral warts. If they do not bother you and an examination has confirmed what kind of change it is, they do not have to be removed.
Soft, hanging growths on a stalk, particularly on the neck and in skin folds, can be fibromas. You can read more about them on the page removal of papillomas and fibromas.
When does it make sense to remove keratosis?
Keratoses are most commonly removed when:
- bother patients because of their appearance;
- catch on clothing or jewellery;
- they are often irritated when shaving or getting dressed;
- they itch or become injured.
If a lesion grows, changes appearance or bleeds without injury, it should be examined before removal. A dermatologist performs [this] if necessary dermoscopic examination. When the finding is not clear enough, it can recommend skin biopsy and sample analysis.
Are seborrhoeic and actinic keratoses the same?
No. Seborrhoeic keratoses are benign growths, whereas actinic keratoses develop on skin damaged by prolonged sun exposure. They usually appear as persistent rough or scaly patches, particularly on the face, ears, scalp and backs of the hands.
Actinic keratoses require evaluation by a dermatologist, appropriate treatment and monitoring. The method of their treatment differs from the removal of seborrhoeic keratoses described on this page.
How are keratoses removed?
At Imedic Polyclinic we use a CO2 laser and radiowaves. The method is chosen after an examination. Important factors for the decision are the appearance and thickness of the lesion, the region being treated and any potential need to preserve a sample for analysis.
Methods of removing keratoses
CO2 laser removal of keratoses
With laser tissue vaporisation, no sample remains for histopathological analysis. If analysis is required, the sample is taken prior to such treatment or an alternative removal method is chosen.
Removal of keratoses by radio waves
Radiowaves use high-frequency energy to remove the lesion. The procedure is usually performed under local anaesthesia, and for superficial removal, stitches are most commonly not required.
If a pathohistological analysis is required, the doctor plans the method of taking the sample in advance. The possibility of analysis depends on the removal technique and tissue preservation.
Can multiple keratoses be removed?
Multiple lesions can be removed during a single visit. In the case of a larger number of keratoses, the procedure may be divided into several appointments, depending on the area being treated and the expected healing time.
Examination and preparation for removal
The first step is dermatologist appointment. You can also come for an examination if you are not sure whether the lesion is a keratosis, a mole, a wart or a fibroma.
Tell the doctor what medications you are taking, whether you have allergies to local anaesthetics, and whether you have previously developed prominent scars.
Do not stop your prescribed therapy on your own, including medicines that affect blood clotting. Instructions for preparation will be provided according to the planned procedure.
Skin recovery and care
After removal, a surface wound remains, and a scab may form during the healing process. Do not pick it off or rub the treated area.
Healing time depends on the depth and extent of the procedure, as well as the region. Therefore, the same timeframe does not apply to every lesion and every part of the body.
The doctor will explain:
- how to clean and care for the treated area;
- is a bandage needed;
- when you can use make-up and everyday cosmetics;
- how to protect your skin from the sun.
Daily commitments can often be resumed shortly after the procedure, while protecting the treated area from friction and injury.
Will there be a scar left after removal?
At the site of the removed keratosis, the skin may be pink, lighter or darker than the surrounding area. The colour difference may become less noticeable over time, but sometimes it remains permanent. A scar is also possible.
The appearance of the skin after healing depends on the lesion itself, the method of removal and individual propensity for scarring.
Can keratoses recur?
Most removed seborrhoeic keratoses do not return, but new ones may appear elsewhere. If you notice a growth appearing again on the treated area, show it to a dermatologist.
Cost of keratosis removal
The price depends on the number and size of the changes, the chosen method and the scope of the procedure. Following an examination, you will receive a removal proposal and cost information.
View current prices at dermatology price list. According to the current price list, a dermatological examination is not charged separately if the lesion is being removed; the exception is treatment with liquid nitrogen.
Frequently asked questions about keratosis removal
Does the removal of keratoses hurt?
Local anaesthesia reduces pain during the procedure. Its application may sting briefly, and once the effect wears off, sensitivity of the treated area is possible. If you feel pain during the removal, tell the doctor.
What is better — a CO2 laser or radiowaves?
No single method is best for every keratosis. The dermatologist chooses the removal method based on the findings and whether a sample is required for analysis.
Can I remove keratosis at home?
Do not cut, pluck or treat it with wart preparations without an examination. Such procedures can damage the skin, and the lesion you consider to be a keratosis may be something else.
Can keratoses be removed in summer?
I can under the right circumstances, but it is important that you are able to protect the treated area from the sun. If you are planning sunbathing or a trip to the seaside, mention this when booking so that you can choose a suitable appointment.
Can a photograph replace an examination?
It cannot, but it can help for initial information. You can send a photograph via Viber or WhatsApp to 064 237 0707, for a rough price estimate. The type of lesion and the method of removal are determined during an examination.
Book the removal of keratoses in Belgrade
The Imedic Polyclinic is located at Kneza Miloša 23 street, 2nd floor, Belgrade. Opening hours: Monday–Sunday, 9:00–21:00.
Appointments are made by phone: 064 237 0707. If you contact us from abroad, we are also available via Viber and WhatsApp on the same number.
Author: Dr Ivica Jeremić
Doctor of Medical Sciences (Molecular Medicine and Immunology), subspecialist in rheumatology, dermatology resident.
Updated:
Expert sources
DermNet: Seborrhoeic keratoses
American Academy of Dermatology: Seborrhoeic keratoses – Diagnosis and treatment
