Laser removal of warts is the most effective method for removing growths on the soles of the feet, hands and fingers. Coagulation takes place under local anesthesia, so the method is quite applicable 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, at the same time disinfects the wound, rarely causes scarring, its effectiveness is higher than other known methods. However, laser removal of warts has contraindications and possible consequences. Therefore, before using the method, you should evaluate all the pros and cons.
What is the methodology based on
A laser beam is a powerful focused beam of light that generates a high temperature in the tissues in the affected area, causes evaporation of liquid and necrosis of the neoplasm. In essence, this is laser burning of warts.
Depending on the type, the effect of the laser may vary. There are three types of equipment used in cosmetology:
- Conventional CO2 laser with constant radiation. It is used on genital warts, vulgar warts, molluscum contagiosum and other skin changes. Constant exposure to the beam quickly removes the wart, but the risk of scarring or deep wounds is quite high.
- Pulsed laser. Has less focusing and eliminates skin burns. Removal by a pulse-type device is used on flat papillomas located on the face.
- Erbium laser. The safest technology that does not lead to burns. Elimination is 12 times more efficient than CO2.
Each technology has its own specialization. Feelings after the procedure and the result will depend not only on the type of laser, but also on the size, location of the neoplasm and, of course, on the quality of the specialist's work. Therefore, laser removal of warts should be performed only in specialized clinics that are licensed.
Indications and contraindications
Various manipulations can be performed using a laser:
- removal of plantar warts with a laser - such neoplasms develop on the skin of the feet and are horny solid layers with a rod in the center;
- removal of common or vulgar warts;
- removal of flat warts - nodules from 1 mm to 1 cm, which rise slightly above the surface of the skin, but do not differ in color from it.
The technology has no localization restrictions. Using a laser, you can remove warts on the face, legs, arms, armpits, genitals, that is, almost everywhere where a physical or cosmetic defect is noticeable. Especially effective is laser therapy of palmar formations - both single and multiple. When the warts are burned out with a laser, recurrence is often avoided.
To avoid pigmentation, 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 bodies of 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 is not applicable in the following cases:
- acute infectious disease, colds, flu, SARS;
- chronic pathologies in the stage of exacerbation;
- mental illness;
- herpetic eruptions, shingles;
- skin irritation in the areas adjacent to the removed wart, photodermatitis;
- high temperature;
- severe diseases of the cardiovascular system;
- pulmonary insufficiency;
- high blood pressure;
- severe renal or hepatic 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 in this way?
Answering this question, experts note that it is possible to remove warts from a child with a laser at any age, as soon as the defect begins to cause significant inconvenience. And if there is a need to operate on a child, then it is better to resort to the laser procedure, as 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 when walking and cause pain. The heel wart in children often goes away on its own within 1-1. 5 years and does not require treatment. But if the formation grows and begins to bleed, it must be removed. Such a wart may require a longer healing period, but it also lends itself well to laser removal.
Less commonly, warts appear on the face and hands, where they look like flesh-colored or yellowish plaques. They may be invisible, but if there are a lot of warts, then this can lead to psychological problems. Now, when a laser has appeared in the arsenal of dermatologists-cosmetologists, one can not expect that the child will "outgrow" the problem, but sign up for the removal of the defect.
For children, laser wart removal is performed under local anesthesia and does not cause pain. The manipulation usually lasts a few minutes, and healing takes several days. Removal of genital warts with a laser, as a rule, goes without consequences.
How to remove warts with a laser
To prevent complications, before removing the wart with a laser, it is recommended to reduce the light load on the skin and avoid contact with chemicals. A week before the procedure, you need to give up sunbathing, solarium. If laser cauterization of warts is carried out in the summer, then it is recommended to use a cream with a high SPF index.
Before the procedure, you should undergo a physical examination and clarify the presence of contraindications. Laser cauterization of a wart involves the complete removal of its body; it will not be possible to take material for histological examination. Therefore, an examination for good quality must be passed in advance. Before the moxibustion procedure, a specialist examines the neoplasm, selects the intensity of laser exposure, and clarifies the nature of anesthesia.
The procedure itself is precise and delicate. The concentrated flux of light particles generates a high temperature on the surface of the pathological formation and its tissues evaporate layer by layer from top to bottom. Acting carefully, the surgeon does not touch the adjacent tissues. The laser beam also cauterizes the vessels that feed the wart, so bleeding from the wound is excluded. Completely burning 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 be from 1-2 minutes to half an hour. The laser removal of plantar warts takes the longest time - the beam must evaporate the growth body, including the roots, in order to prevent the virus from re-spreading. It takes just one laser manipulation to remove a wart on the foot and is the most effective treatment today.
The final stage is wound treatment. After laser removal, a bloodless burnt trace remains, which disappears 1-2 weeks after the procedure, depending on the care and the degree of rest. The doctor will then explain what to do after laser removal of the wart and how to care for the wound until complete recovery.
Advantages and disadvantages of the laser method
Laser treatment of warts is the most modern, effective and fast way to get rid of unwanted growths. The procedure has several advantages:
- sterility of the wound and almost zero risk of infection;
- no bleeding after treatment;
- no damage to surrounding tissues;
- the lowest risk of scarring, scars, discoloration of the skin;
- 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 will take up to half an hour;
- only one session is needed to remove a wart;
- the laser is suitable for growths of any type and localization;
- a slight risk of relapse, since the human papillomavirus is destroyed along with the affected tissues;
- no age restrictions.
The main disadvantage of the procedure is its cost. It should also be borne in mind that after the removal of especially large warts, traces remain. In rare cases, scars are also possible with small formations - they appear as a result of low regenerative properties of tissues. If the rules of postoperative care are violated, there is a risk of inflammation and suppuration of the wound. Laser removal of the spikes on the sole requires a long rest period. Large lesions also take longer to heal.
By itself, local anesthesia can cause side reactions in the form of dizziness, changes in pressure, drowsiness, and general fatigue. If you have had negative reactions to anesthesia, you should warn your doctor or consider other methods.
Is it painful to remove a wart with a laser
If you are worried about whether it hurts to remove warts with a laser for children and adults, it is in vain. The manipulations are carried out under local anesthesia, the patient does not feel what is happening. But when it comes to young children, they may experience psychological discomfort. Whether the child will cry in the chair of the laser surgeon depends on the preliminary attitude. Remember that removal is not recommended during illness.
The method is recognized as 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 removed completely, and the skin heals faster after manipulation than with other methods.
Removing a plantar wart with a laser causes slightly more postoperative discomfort, since the area of the barb is usually larger than in other areas, and the sole area is subjected to more stress.
But during the operation, the growths are removed without discomfort. Parents do not have to worry - laser cauterization of warts is not painful, although healing is sometimes unpleasant.
Consequences and possible complications
Laser wart removal has its pros and cons. Some patients complain that the papilloma was removed badly or it painfully heals. This can happen due to insufficient qualifications of the surgeon, and because of the actions or predisposition of the patient himself.
The growths are removed in one session. The main complications and consequences of laser removal of warts are scars and scars. They arise due to:
- 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 with large wounds deepened under the papillary layer of the skin. At the same time, the color of the skin changes.
If the scar is located on hidden areas of the body that are invisible to outsiders, it does not need to be removed. When 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 subsequently be removed by cryodestruction, microwave therapy, electrocoagulation. Also, separate recommendations are given on how and how to handle the wound.
Potential complications include burns and redness, and in the presence of sensitivity to light, the appearance of puffiness. Subject to the rules during the rehabilitation period, such consequences do not arise. If the burn appears and does not go away, you should consult a dermatologist.
After the operation, a subfebrile temperature can be kept for several days, this is a natural reaction of the body. But when the patient combs the wound and introduces an infection, inflammation may appear 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 operation. The doctor will prescribe antiseptics and antibiotics to treat the wound.
With poor pain tolerance or dehiscence of the wound edges, the sensations after surgery can cause particular discomfort. If the wound is infected and inflamed, the pain gets worse. In this case, you need to see a doctor - you may need to rinse with antiseptics, suture or take painkillers. It is important not to self-medicate, but to go to a specialist for any signs of discomfort.
Laser removed wart - how long does the wound heal?
You will receive the first instructions on how to care for a wound after laser wart removal at the clinic. Healing takes place in several stages:
- First, a scab forms on the wound - a dry crust, under which tissues heal.
- Normally, if you provide normal wound care after removing the wart with a laser and do not comb it, the crust falls off after 5-10 days, depending on the area of the wound, the patient's age and the ability of the skin to regenerate.
- A month after the removal, the relief and color of the skin is evened out and becomes indistinguishable from the surrounding tissues.
Existing diseases, for example, diabetes mellitus, blood clotting disorders, hormonal disorders, can prolong the healing period. These factors are contraindications to the procedure. The terms of rehabilitation are delayed with suppressed immunity, in the absence of proper wound care, with the use of alcohol and smoking, which slows down the regenerative processes. It is impossible to say exactly how much the wound heals after laser removal of the wart in these cases.
The surgeon gives detailed instructions on how and how to treat the wound after laser removal of the wart. Caring for this wound requires protection from mechanical damage. If it is a plantar wart, then it is better to sit at home and walk barefoot in the first days, keeping the intervention site in the open air. If you need to walk, use comfortable shoes.
A wound of any localization must not be wetted for at least 3 days after the operation, or better - when the crust has disappeared. For daily processing, potassium permanganate is usually used. After the crust has fallen off, the trail is lubricated with a preparation from the formation of scars.
Once in the body, the human papillomavirus, which causes the growth of warts, does not leave it and is activated when the immune system is suppressed. There is no 100% guarantee that after removal the warts will not reappear. But you can minimize the risk.
Immediately after the operation, purchase means than to treat skin areas after removing a wart with a laser - antiseptics, which do not include alcohol or aggressive chemicals. Until the wound is completely healed, make-up or tape should not be applied to the site of intervention.
The risk of recurrence depends on the individual characteristics of your body. In the presence of skin diseases, low immunity, multiple neoplasms, the risk is increased. If during the rehabilitation period the surface of the wound has completely smoothed out, the likelihood of a recurrence of the wart is minimal.
The cost of the procedure
The cost of removing a wart with a laser is higher than with other methods, such as using liquid nitrogen, a radio wave, or an electrocoagulator. But on the other hand, this procedure allows you to get rid of the defect in one session. What is better - removal of warts with a laser or nitrogen, the patient and the attending physician decide on the basis of possibilities and contraindications.
The range of prices varies depending on the policy of the clinic, the equipment used, the qualifications of the surgeon, and the location of the neoplasm. It is also worth considering the price of a preliminary consultation.