Warts

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive Patient Education Library covering an array of dermatologic topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

Acne

Acne is a common skin condition affecting our teenage and adult patients. Early treatment of acne is important to prevent the development or worsening of acne scars.

Acne treatment options include prescription-strength medications, including topical retinoids, antibiotics or isotretinoin. Your dermatologist will recommend an acne treatment plan based on several factors, including the severity of acne (mild, moderate or severe), its location, presence of acne scars, and your response to previous acne medications.

Actinic Keratoses

Actinic keratoses (also referred to as "AKs") are dry, scaly patches that form on sun exposed areas of the skin, such as the scalp, face, and forearms. Actinic keratoses are considered precancerous because they have the potential to become a type of skin cancer called squamous cell carcinoma. Your dermatologist will be diligent in diagnosing, treating, and monitoring actinic keratoses. Treatment options include procedures, such as cryotherapy (freezing), and topical medications (5-FU, imiquimod).

Atopic Dermatitis

Atopic dermatitis, also called "eczema" is a common skin disorder that causes dry, itching and inflamed skin. The rash of atopic dermatitis comes and goes in cycles. A variety of triggers, such as allergies or infections may lead to a "flare", or worsening of the rash.

During a flare, treatment options include topical corticosteroids, calcineurin inhibitors (Protopic), antihistamines, and antibiotics. Your dermatologist will recommend a treatment based on the location of the dermatitis, severity of symptoms, the presence of possible skin infection, and your response to past treatments. Atopic dermatitis can often be kept under control with appropriate skin care, including the regular use of moisturizers.

Botulinum Toxin (Botox, Dysport)

Botulinum toxin is a non-invasive treatment for the treatment of fine lines, wrinkles and other signs of aging skin.

Chemical Peels

Chemical peels are acidic solutions used to rejuvenate the surface of your skin. The solution acts causes the outermost layer of skin to be "peeled" away and reveal the underlying, more youthful appearing skin below.

Dermal Fillers

There are a variety of dermal fillers available to plump lips, sculpts cheeks and fills in wrinkles and folds. Available options include Juvederm and Restylane. Your dermatologist will choose a dermal filler that best meets your specific aesthetic needs. Dermal fillers may be used in combination with other aesthetic procedures.

Hair Loss (Balding)

Hair loss is a common complaint among our patients, both men and women. Although is it normal to shed hairs each day, excessive hair loss can lead to a thinning hair line, and areas of baldness. There are several hair loss treatments that may help promote hair growth or hide hair loss.

Laser Resurfacing

Laser resurfacing uses laser light to gently produce a controlled injury of the skin that encourages new skin cell growth. In short, old skin cells are removed to make way for new skin cells. This offers an effective and non-surgical way to treat wrinkles, scars and blemishes. New laser systems are extremely accurate and targeted, providing enhanced results and improved safety.

Latisse

Latisse (bimatoprost ophthalmic solution) is a prescription treatment approved by the FDA for the growth of eyelashes. It is applied to the base of the upper eyelashes once-a-day on an ongoing basis. Eyelashes grow longer, thicker and darker after 4 weeks of use, with full results after 16 weeks.

Psoriasis

Psoriasis is a chronic skin condition that causes inflamed areas of thickened skin. There are several types of psoriasis with plaque psoriasis being the most common.

Although there is no cure for psoriasis, there are several effective psoriasis treatments that that can help bring psoriasis under control. Psoriasis medications include those applied to the skin (topical corticosteroids, vitamin D derivatives, and topical retinoids) and those taken by mouth (cyclosporine and methotrexate). In addition, phototherapy (PUVA) and new biologic medications provide additional treatment options for moderate to severe psoriasis that fails to respond to other treatments.

Your dermatologist will a recommended a treatment based on the type of psoriasis, its location, severity, and your response to previous treatments.

Rosacea

Rosacea is a common skin disorder that causes redness and swelling of the face, usually among those 30 to 50 years old. There are four subtypes of rosacea that describe the changes to the skin. Rosacea subtype 1 describes the flushing and facial redness that may appear. Rosacea subtype 2 (papulaopustular rosacea) describes the bumps and pimples that may develop. People with rosacea have more than one rosacea subtype at the same time.

Early rosacea treatment is important to prevent rosacea symptoms from worsening. Options include topical medications (azelaic acid, metronidazole) and oral medications (low-dose doxycycline). Laser or light therapies may also be used to control the redness or skin thickening. Your dermatologist will recommend a treatment plan based on the subtype of rosacea present and its severity. It may be helpful to use a rosacea diary to track your symptoms and identify your personal triggers. Avoiding these triggers is a key step to keeping rosacea under control.

Skin Cancer

Skin Cancer is the most commonly diagnosed cancer. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the two major forms of "non-melanoma" skin cancer. Skin cancer treatment options, include medications (imiquimod, 5-FU), excision, and Mohs Surgery. We strongly recommend the regular use of sunscreens and sun avoidance measures to reduce your risk of developing skin cancer.

Regular skin self-exams are also important for monitoring changes to your skin. Contact us if you find a skin lesion that you find concerning.

Unwanted Facial Hair

Unwanted hair is a common concern among our patients. Laser hair removal provides an effective and safe treatment option for many, though repeat treatments are necessary.

Seborrheic Dermatitis

Seborrheic dermatitis is a very common condition that causes waxy, yellowish, scaly patches to form on oily areas of the skin such as the scalp, eyelids, ears and in the folds around the nose.

Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. They may disappear without any treatment. However, in most cases eliminating warts takes time.

The location of a wart often characterizes its type:

Common warts can appear anywhere on the body, although they most often appear on the back of fingers, toes and knees. These skin-colored, dome-shaped lesions usually grow where the skin has been broken, such as a scratch or bug bite. They can range in size from a pinhead to 10mm and may appear singly or in multiples.

Filiform warts look like a long, narrow, flesh-colored stalk that appears singly or in multiples around the eyelids, face, neck or lips. They are sometimes called facial warts. They may cause itching or bleeding, but are easy to treat with over-the-counter medications.

Flat (plane) warts appear on the face and forehead. They are flesh-colored or white, with a slightly raised, flat surface and they usually appear in multiples. Flat warts are more common among children and teens than adults.

Genital warts appear around the genital and pubic areas. It is also possible to get genital warts inside the vagina and anal canal or in the mouth (known as oral warts). The lesions start small and soft but can become quite large. They often grow in clusters. They are both sexually transmitted and highly contagious. In fact, it is recommended you generally avoid sex with anyone who has a visible genital wart. Genital warts should always be treated by a physician.

Plantar warts appear on the soles of the feet and can be painful since they are on weight-bearing surfaces. They have a rough, cauliflower-like appearance and may have a small black speck in them. They often appear in multiples and may combine into a larger wart called a mosaic wart. Plantar warts can spread rapidly.

Subungual and periungual warts appear as rough growths around the fingernails and/or toenails. They start as nearly undetectable, pin-sized lesions and grow to pea-sized with rough, irregular bumps with uneven borders. Subungual and periungual warts can impede healthy nail growth. Because of their location, they are difficult to treat and generally require medical attention.

Most warts respond to over-the-counter treatments, including:

  • Cryotherapy, which freezes off the wart using liquid nitrogen or nitrous oxide.
  • Electrosurgery, which sends an electric current through the wart to kill the tissue.
  • Laser surgery, which essentially heat up the wart until the tissue dies and the wart eventually falls off.
  • Nonprescription freezing products (dimethyl ether), aerosol sprays that freeze the warts and cause them to die off.
  • Salicylic acid preparations, which dissolve the protein (keratin) that makes up the wart and the thick layer of skin that covers it. It comes in gels, pads, drops and plasters and takes 4 to 6 weeks to eradicate the warts.

If self-treatments don't work after a period of about 4 to 12 weeks, contact our dermatologist. We'll assess your warts and recommend the best option.

Always contact the dermatologist if a wart is causing pain, changes in color or appearance and for all genital warts.