Laser wart removal is the most effective method of removing growths on the soles of the feet, hands, and fingers. The coagulation takes place under local anesthesia, so the method can be used for sensitive areas - on the eyelids, lips, neck, in the armpits, on the beard, on the external genitals. This method is much less painful than chemical and cryodestruction.
The laser quickly removes the wart, disinfects the wound at the same time, rarely causes scars, its effectiveness is higher than other known methods. However, laser warts removal has contraindications and potential consequences. Therefore, before using the method, you should weigh all the pros and cons.
What is the methodology based on?
A laser beam is a highly focused beam of light that creates a high temperature in the tissue in the affected area, causing evaporation of fluid and necrosis of the neoplasm. Essentially, this is the laser burning of warts.
The effect of the laser can vary depending on the type. There are three types of devices that are used in cosmetics:
- Conventional CO2 laser with constant radiation. It is used for genital warts, vulgar warts, molluscum contagiosum and other skin changes. Constant exposure to the jet removes the wart quickly, but the risk of scarring or deep wounds is quite high.
- Pulsed laser. Has less focus and eliminates skin burns. Pulse removal is used for flat papillomas on the face.
- Erbium laser. The safest technology that won't cause burns. Elimination is 12 times more efficient than CO2.
Each technology has its own specialization. The feelings after the procedure and the result depend not only on the type of laser, but also on the size, location of the neoplasm and, of course, the quality of the specialist's work. Therefore, laser warts removal should only be performed in specialized clinics that are licensed.
Indications and contraindications
Various manipulations can be carried out with a laser:
- Removal of plantar warts with a laser - such neoplasms develop on the skin of the feet and are keratinized solid layers with a stick in the middle;
- Removal of common or vulgar warts;
- Removal of flat warts - nodules from 1 mm to 1 cm that protrude slightly above the surface of the skin, but do not differ in color.
The technology has no localization restrictions. With the help of a laser, you can remove warts on the face, legs, arms, armpits, genitals, i. e. almost anywhere where a physical or cosmetic defect is noticeable. Laser therapy for palmar formations is particularly effective - both individually and multiple times. Often times, having the warts burned out with a laser will prevent them from coming back.
In order to avoid pigment spots, infection of the wound tissue, the formation of a keloid scar, in the first month it is not recommended to take a hot bath, sit in a steam room, visit a pool or open water, or act on the skin with aggressive cosmetics.
Laser removal of warts is a surgical procedure with its own spectrum of contraindications. The laser method cannot be used in the following cases:
- acute infectious diseases, colds, flu, SARS;
- chronic pathologies at the stage of exacerbation;
- Mental illness;
- Herpes outbreaks, shingles;
- Skin irritation in the areas next to the removed wart, photodermatitis;
- high temperature;
- serious diseases of the cardiovascular system;
- Pulmonary insufficiency;
- High blood pressure;
- severe kidney or liver impairment.
Malignant neoplasms are not subject to laser removal. The procedure is contraindicated in patients with cancer, systemic metabolic disorders. Removal of warts by laser destruction is also not recommended during pregnancy and breastfeeding.
Is it possible to remove warts in children this way?
In answering this question, experts note that it is possible to remove warts with a laser in a child at any age, as soon as the defect causes significant discomfort. And when a child needs surgery, it is better to resort to the laser procedure, as it is the least traumatic.
Most often, such defects are observed in children after 5 years. Sometimes they form on the soles of the feet and cause physical discomfort as they rub and cause pain when you walk. The heel wart in children often goes away on its own within 1-1. 5 years and does not require treatment. However, if the formation grows and begins to bleed, it must be removed. Such a wart may take longer to heal, but it also works well for laser removal.
Warts are less common on the face and hands, where they look like flesh-colored or yellowish plaques. They can be invisible, but if there are a lot of warts it can lead to mental health problems. If a laser has now appeared in the arsenal of dermatologists-cosmetologists, one cannot expect the child to "grow out of" the problem, but sign up for the removal of the defect.
In children, laser wart removal is performed under local anesthesia and does not cause pain. The manipulation usually takes a few minutes and healing takes several days. The removal of genital warts with a laser usually has no consequences.
How to remove warts with a laser
To avoid complications, it is recommended to reduce the skin's exposure to light and avoid contact with chemicals before removing the wart with a laser. A week before the procedure, you need to refrain from sunbathing and the solarium. If laser cauterization of warts is performed in the summer, it is recommended to use a cream with a high SPF index.
Before the procedure, you should undergo a physical exam and clarify the presence of any contraindications. Laser cauterization of a wart involves the complete removal of its body, it is not possible to take material for histological examination. Therefore, an examination for good quality must be taken beforehand. Before the moxibustion procedure, a specialist examines the neoplasm, selects the intensity of laser exposure and clarifies the type of anesthesia.
The procedure itself is precise and delicate. The concentrated luminous flux creates a high temperature on the surface of the pathological formation and its tissue evaporates layer by layer from top to bottom. The surgeon does not touch the adjacent tissue by proceeding carefully. The laser beam also burns the vessels that nourish the wart, preventing bleeding from the wound. By completely burning off the organic matter, the laser beam disinfects the wound.
The duration of the procedure depends on the size of the formation, and also on the location. This can take anywhere from 1-2 minutes to half an hour. The laser removal of plantar warts takes the longest - the beam has to vaporize the growth body including the roots in order to prevent the virus from spreading again. It only takes laser manipulation to remove a wart on the foot and it is the most effective treatment today.
The final step is wound treatment. After the laser removal, a bloodless burn remains, which, depending on the level of care and degree of rest, disappears 1-2 weeks after the procedure. The doctor will then explain what to do after the wart is laser removed and how to care for the wound until it is fully recovered.
Advantages and disadvantages of the laser method
Laser treatment for warts is the most modern, effective and fastest way to get rid of unwanted growths. The procedure has several advantages:
- Sterility of the wound and practically no risk of infection;
- no bleeding after treatment;
- no damage to the surrounding tissue;
- the least risk of scarring, scars, skin discoloration;
- a short period of exposure to the device - you can burn out papilloma on the face in 3-5 minutes, on the sole the treatment lasts up to half an hour;
- only one session is required to remove a wart;
- the laser is suitable for growths of all types and locations;
- a low risk of relapse as the human papillomavirus is destroyed along with the affected tissues;
- no age limit.
The main disadvantage of the process is its cost. It should also be borne in mind that after the removal of particularly large warts, traces remain. In rare cases, scars with small formations are also possible - they appear due to low regenerative properties of tissues. If the rules of postoperative care are violated, there is a risk of inflammation and suppuration of the wound. The laser removal of the spikes on the sole requires a long rest period. Large lesions also take longer to heal.
Local anesthesia alone can cause side effects in the form of dizziness, changes in pressure, drowsiness, and general tiredness. If you have had negative reactions to the anesthesia, you should warn your doctor or consider other methods.
Is it Painful to Remove a Wart with a Laser?
If you are concerned about whether it will hurt to remove warts with a laser in children and adults, it will help in vain. The manipulations are carried out under local anesthesia, the patient does not feel what is happening. However, psychological complaints can occur in young children. Whether the child will cry in the laser surgeon's chair depends on the preset. Remember, removal is not recommended during illness.
The method is considered to be the most painless - laser removal of warts in children is more acceptable than cryodestruction, electrocoagulation, and, moreover, chemical destruction. The body of the wart is completely removed, and the skin heals faster after the manipulation than other methods.
Laser removal of a plantar wart causes slightly more postoperative discomfort, as the barb area is usually larger than other areas and the sole area is more stressed.
But during the operation, the growths are removed without any discomfort. Parents don't need to worry - laser cauterization of warts doesn't hurt, although healing is sometimes uncomfortable.
Consequences and possible complications
Laser wart removal has its advantages and disadvantages. Some patients complain that the papilloma was poorly removed or healed painfully. This can happen due to insufficient qualification of the surgeon and due to the actions or disposition of the patient himself.
The growths are removed in one session. The main complications and consequences of laser wart removal are scars and scars. They arise from:
- Predisposition of the skin to the formation of keloids;
- Injury and infection of the wound;
- Violations of the rules of care during the rehabilitation period.
A scar is inevitable on large wounds that are deepened under the papillary layer of the skin. At the same time, the skin color changes.
If the scar is in hidden parts of the body that are invisible to outsiders, it does not need to be removed. If there is a risk of a noticeable cosmetic defect, the patient is recommended drugs that prevent the formation of rough scars. Large keloid scars can then be removed by cryodestruction, microwave therapy, or electrocoagulation. Separate recommendations for handling the wound are also given.
Possible complications are burns and redness, as well as swelling if you are sensitive to light. Subject to the rules during the rehabilitation period, such consequences do not occur. If the burn occurs and does not go away, you should see a dermatologist.
Subfebrile temperature can be maintained for several days after the operation, this is a natural reaction of the body. However, if the patient scratches the wound and introduces infection, inflammation may develop at the site of the removed papilloma. If it does not go away for more than 10 days, you should contact the surgeon who performed the surgery. The doctor will prescribe antiseptics and antibiotics to treat the wound.
In the case of poor pain tolerance or dehiscence of the wound edges, the sensations after the operation can cause particular discomfort. If the wound is infected and inflamed, the pain will get worse. In this case, you need to consult a doctor - you may need to rinse with antiseptics, sew or take pain relievers. It is important not to self-medicate, but to go to a specialist if there are signs of discomfort.
Laser Removed Wart - How Long Does the Wound Heal?
You will receive the first instructions for wound care after laser wart removal in the clinic. The healing takes place in several stages:
- First, a scab forms on the wound - a dry crust under which tissues heal.
- Usually, if you perform normal wound care after removing the wart with a laser and do not comb it, the scab will fall off after 5-10 days depending on the wound area, the patient's age, and the skin's ability to regenerate.
- One month after removal, the skin texture and color are evened out and can no longer be distinguished from the surrounding tissue.
Existing diseases, for example diabetes mellitus, blood clotting disorders, hormonal disorders, can extend the healing time. These factors are contraindications to the procedure. The rehabilitation appointments are delayed in the case of suppressed immunity, in the absence of wound care, alcohol and smoking, which slows down the regeneration processes. In these cases, it is not possible to say exactly how much the wound has healed after the wart was removed by laser.
The surgeon will give detailed instructions on how and how to treat the wound after laser wart removal. Caring for this wound requires protection from mechanical damage. If it is a plantar wart, it is better to sit at home and go barefoot for the first few days, keeping the surgical site outdoors. If you have to walk, wear comfortable shoes.
A wound of any location must not be wetted for at least 3 days after the operation, or better - when the crust has disappeared. Potassium permanganate is usually used for daily processing. After the crust has fallen off, the track is lubricated with an anti-scarring preparation.
Once inside the body, the human papillomavirus that causes warts to grow does not leave and is activated when the immune system is suppressed. There is no 100% guarantee that the warts will not come back after removal. But you can minimize the risk.
Immediately after surgery, buying means treating areas of skin with a laser after removing a wart - antiseptics that do not contain alcohol or harsh chemicals. The surgical site should not be made up or masked until the wound has healed completely.
The risk of recurrence depends on the individual characteristics of your body. With skin diseases, low immunity, multiple neoplasms, the risk is increased. If during the rehabilitation period the wound surface is completely smooth, the likelihood of the wart recurring is minimal.
The cost of the procedure
The cost of removing a wart with a laser is higher than other methods, such as the use of liquid nitrogen, a radio wave, or an electrocoagulator. On the other hand, this procedure allows you to eliminate the defect in one session. Which is better - removal of warts with laser or nitrogen, the patient and the attending physician decide based on possibilities and contraindications.
The price range depends on the clinic's policies, the equipment used, the surgeon's qualifications, and the location of the neoplasm. The price for a preliminary consultation is also worthwhile.