LASER REMOVAL OF SEBORRHEIC KERATOSIS
The removal of seborrheic keratosis using a laser, under microscopic assistance, prevents skin depressions.
What is seborrheic keratosis?
These are the most frequent benign tumors in older adults. They are present in almost all adults in sizes that increase with age; they are usually observed from youth as small tumors or spots on the skin of the trunk that, over time, coalesce or grow in a very circumscribed manner. They resemble warts.
They affect the face, neck, and trunk most frequently. They spare the palms and soles.
They originate in the outermost layer of the skin as clusters of keratin that do not shed. Their name does not explain what they are; they are called “seborrheic” due to their waxy appearance.
Un sitio de frecuente de presentación es el cuello, en donde, suele presentarse con otra variedad de lesiones como los fibromas y pequeños hemangiomas de diversos tamaños
A frequent site of presentation is the neck, where it usually presents with another variety of lesions such as fibromas and small hemangiomas of various sizes.
Lesions of different sizes, some with a flattened appearance are observed in the background and “plaque” lesions in the foreground.
How is seborrheic keratosis distinguished?
They have an oval shape, an unctuous appearance with a brittle surface, and are well-circumscribed. They might resemble a “brown-colored wart.”
Los párpados , el cuello y el tronco son los sitios más frecuentes de presentación
The eyelids, neck and trunk are the most frequent sites of presentation.
Unctuous and brittle appearance of seborrheic keratosis.
How common is seborrheic keratosis?
Practically everyone has these lesions by the time they reach 65 years of age.
Resultado del tratamiento láser de queratosis seborreícas
On the back they can be numerous with an arboriform distribution
The laser shortens treatment times in cases of a high number of lesions.
When is it preferable to remove seborrheic keratosis with laser?
Always!
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Result one month after being treated on the neck.
Do scars remain after treating seborrheic keratosis with laser?
Smaller lesions do not leave scars; larger ones may leave surfaces with pigment loss.
It is necessary to evaluate the perilesional areas very well and seek to perform coagulation that respects healthy tissue as much as possible.
Efecto inmediato del láser de CO2 sobre las lesiones, nótose como la inflamación es mucho menor.
Immediate effect of the CO2 laser on the lesions, note how the inflammation is much less.
Immediate effect of the CO2 laser on the lesions, note how the inflammation is much less.
Efecto del láser
Laser effect
Laser effect.
Cicatrización completa al día 14 posterior al tratamiento
Complete healing on day 14 after treatment
Complete healing on day 14 after treatment.
What are the benefits of using a laser on the face?
On the face, more lesions can be treated in each session. Another very useful application is on the face when they are very small and numerous.
Cicatrización temprana posterior a la eliminación de verruga vulgar
Early healing after removal of verruca vulgaris
Early healing after removal of verruca vulgaris.
Multiple facial seborrheic keratoses treated with laser.
Multiple facial seborrheic keratoses treated with laser.
Presence of abundant amount of lesions on brown skin. Treated with Erbium-YAG laser.
Can seborrheic keratosis be removed from the eyelids?
On the eyelids and also in very sensitive areas such as the auricles, the use of laser has greater tolerance and better healing.
Lesión queratósica del borde libre del párpado tratada con láser
Keratotic lesion of the free edge of the eyelid treated with laser
Erbium-YAG laser removal of eyelid keratosis.
Although the patient usually requests only the vaporization of the largest lesions, it is better to vaporize all lesions and continue reactivating the skin to prevent new ones from appearing.
