Removal of keratoses with radio waves - what are keratoses and how to get rid of them?
What are seborrheic keratoses and how to remove them? Specialist doctors at the Diva polyclinic recommend the ER:Yag laser or the radio-wave method as optimal techniques because both are effective and comfortable, with long-term results, and only one procedure is enough to remove the change from the skin.

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A free examination by a specialist in dermatology or cosmetic surgery should be scheduled if you notice any changes in the keratosis such as wetting, ulceration or infection.

Based on the examination, our doctor assesses whether it is necessary:

  • removal of keratosis by radio wave technique,
  • by laser method or
  • possibly with a classic surgical method.

Of course, it is possible to schedule the removal of keratoses for aesthetic reasons as well.

Free consultations for the removal of keratoses at the Diva Polyclinic

You can schedule a FREE consultation for the removal of keratosis in Belgrade with the doctors of the polyclinic Diva Dr. Bogdanović in one of our polyclinics or specialist dermatology offices:

What is seborrheic keratosis?

Keratoses or seborrheic keratoses are relatively common yellowish-brown changes on the skin, rough to the touch.
They appear in middle and old age. Most often around the age of 50.
These are benign warty outgrowths of the epidermis that represent mutations in the genetic material. That is, excessive enlargement of cells in the surface layer of the skin.

How can keratoses be removed?

Considering that the removal of keratoses is not possible with drugs, creams or ointments, it is necessary to consult a specialist doctor in order to remove them.
The reasons for removing keratoses are different, from aesthetic to practical, when, for example, the growth is located in an “inconvenient” place on the skin that is exposed to constant irritation.
There are several ways to remove keratoses:

Which method for removing keratoses gives excellent results?

Adequate methods for removing keratoses in clinical practice have proven to be:

  • radio wave technology,
  • laser removal of keratoses,
  • surgical intervention, in larger ones.

Why is the removal of keratoses with radio waves the first choice of specialist doctors at the Diva Polyclinic?

When removing keratoses with radio waves

  • no seams,
  • the procedure takes a short time,
  • and the scars are almost imperceptible.


That is why this is a frequent method of choice for both patients and specialist doctors.

Why remove keratoses with radio waves?

The radio wave method is optimal for removing keratoses, as it has a low number of recurrences.
Considering that the radio waves minimally damage the tissue and immediately close the wound, after the procedure the skin heals quickly, easily and better. This is the reason why scars are almost or completely invisible.

How long does the removal of keratoses with the radio wave method take and how is it performed?

In the Diva Polyclinic, the removal of keratoses with this method begins with the application of a local anesthetic in the form of a cream. After it starts working, the procedure takes a short time, about half a minute per change.

Removal of keratoses with radio waves is:

  • very comfortable,
  • efficient,
  • painless (anesthesia in the form of a cream is used),
  • WITHOUT blood,
  • WITHOUT seams,
  • and lasts a short time – from 20 to 40 seconds per change.
A comfortable procedure for removing keratoses

Recovery and care after removal of keratoses using the radio wave method

After the procedure, no special care is needed for the place where the keratosis was before removal. It is important to keep the region where it was located clean, and the specialist doctor will instruct you on whether it is necessary and how and how much to use one of the creams that you receive after the procedure at the Diva Polyclinic.

Why is laser removal of keratoses the optimal technique in selected cases at the Diva Polyclinic?

Removal of seborrheic keratoses by ablative Erbium Yag laser is effective with treatment with

  • short recovery time within 7 to 10 days,
  • good cosmetic results
  • and minimal recurrence rate.

That is why this method is recommended by the specialist doctor at the Diva Polyclinic.

Which laser is used to remove seborrheic keratosis at DIVA Polyclinic?

In the DIVA polyclinic, keratoses are removed with a new generation fractionated Er:Yag laser.

The fractionated Er:Yag laser is a balanced technique in the removal of keratoses with a very short recovery period, and it has combined the comfort of non-ablative and the effect of surgical lasers.

Treatment with this laser is

  • safe,
  • a minimally invasive procedure that uses the laser beam fractionation technique to make microscopic wounds deep in the skin,
  • which allows the surface layer of the skin to be quickly renewed,

and the treated zones in the deeper layers of the dermis lead to the production of completely new collagen fibers with exceptional results in the removal of keratoses while simultaneously tightening the treated skin.

This laser laser ablates the part of the skin where keratosis is located, layer by layer.

What are the advantages of laser keratoses removal?

  • The healing process is from 7 to 10 days,
  • There are no side effects,
  • There are no permanent side effects – such as scarring.

How long does laser keratoses removal take?

The procedure itself takes about half an hour.

Laser removal of keratoses experience:

According to a clinical study conducted at the Diva polyclinic, as many as 96.3% of patients are completely satisfied with the aesthetic results of laser keratoses removal.

Removal of keratoses - advice from a specialist doctor

The sooner the patient consults a doctor specializing in the removal of keratoses, the bigger and wider they are avoided.

And what types of keratoses are there?

1. Seborrheic keratosis

Seborrheic keratoses were previously also known under the colloquial name sunny, that is, senile or senile keratosis. However, since they can also occur in younger people, these names are not completely adequate.

2. Solar lentigo:

Flat pigment spots noticeable in places exposed to the sun.

3. Lichenoid keratosis:

An inflammatory phase that precedes the involution of some seborrheic keratoses and solar lentigines.

4. Stucco keratosis:

Gray, white or yellow papules on the lower extremities.

5. Dermatosis papulosa nigra:

Small, pedunculated and highly pigmented seborrheic keratoses on the head and neck of people with darker skin.

6. Inverted follicular keratosis

This type of keratosis is a small, painless growth, up to 1 cm in diameter, grayish in color and with swirl-shaped keratinization.

Where do keratoses most often appear?

They are usually multiple and distributed in the seborrheic areas of the face, chest, back, but also on the skin of the abdomen and large folds. The most common complaints reported by patients are itching in the area affected by keratoses. At the same time, redness and moisture may appear in the place where seborrheic keratoses are located. It is especially unpleasant when they are in a place where they are exposed to frequent irritation.
The only places on the skin where keratoses do not appear are the palms and soles, as well as the mucous membrane.

How common is keratosis?

Seborrheic keratoses are extremely common. It is estimated that more than 90% of people over the age of 60 have one or more of them. They occur in both men and women, and usually start to appear in their 30s or 40s.

The radio wave method is optimal for removing keratoses, because it has a lower number of recurrences compared to other techniques.

What is the cause of seborrheic keratosis?

The exact cause of seborrheic keratosis is still unknown. This type of growth tends to run in the same family, so there is probably a hereditary factor involved. If you’ve ever had one seborrheic keratosis, you’re at risk of developing others. Seborrheic keratosis is not contagious or cancerous. Seborrheic keratoses are considered degenerative in nature. As time passes, seborrheic keratoses become more numerous. So far, it has been concluded that:
  • Eruptive seborrheic keratoses may accompany sunburn or dermatitis.
  • Friction of the skin can be the reason why they appear in the folds of the body.
  • A viral cause (eg human papillomavirus) is unlikely.
  • Stable and clonal mutations or activation of FRFR3, PIK3CA, RAS, AKT1 and EGFR genes have been found in seborrheic keratoses.
  • Seborrheic keratosis can arise from solar lentigium.
  • FRFR3 mutations also occur in solar lentigines.
  • Epidermal growth factor receptor inhibitors (used to treat cancer) often lead to an increase in verrucular (warty) keratoses.

How to recognize keratoses?

Seborrheic keratosis gradually develops and grows. Signs and symptoms can vary:

  • In the beginning, these are round or oval plate changes, yellowish or brownish in color, smooth to the touch.
  • These changes, from softer and pale yellowish, change over time to hard, raised and darkly colored warty changes.
  • Usually, their size ranges from a few millimeters to a few centimeters. Then the keratoses acquire a rough, grainy surface, with a cracked appearance of the skin, and a greasy keratin mass can appear on them – scrum, which is easily removed.
  • Melanin can be present in all layers of the epithelium, which is why patients often think that it is a mole that should not be touched. That is why they appear in the phase when multiple changes are widespread and harder, which certainly makes it difficult to remove keratosis and achieve a better aesthetic result.
  • They can appear as clustered keratoses (ranging from one to multiple growths).
  • Very small keratotic growths can also appear around the eyes or other regions of the face, which are also called dermatosis papulose nigra and are common on skin with a darker complexion.
  • A symptom of keratosis can be itching in the places where they start to break out, as well as redness and wetness.

Is seborrheic keratosis dangerous?

Seborrheic keratoses are harmless and not contagious. They do not need treatment, but patients decide to remove them for practical reasons (if they are in an inconvenient place and there is irritation with clothing) or for aesthetics, which is the most common reason for removing keratoses.

When should you visit a specialist doctor?

Consult a doctor if the appearance of keratosis bothers you (aesthetic reasons), if it irritates or bleeds when it comes into contact with clothing. Also, see your doctor if you notice any suspicious skin changes, such as sores or growths that grow quickly, bleed, and don’t heal. These can be signs of other, more serious problems.

When to decide to remove keratoses?

It is preferable to remove keratoses while they are smaller. This is because they tend to spread and form keratotic plaques (plaques) that can reach sizes of 20 to 30 mm in diameter.

It is important to note that the spontaneous resolution of keratoses does not occur, but they constantly increase and multiply.

Who gets seborrheic keratoses?

Keratoses are often present in people whose skin is often exposed to the sun.
It should be emphasized that people who have a larger number of keratoses are not more likely to develop melanoma than those who do not have them.
However, a large number of keratoses, several tens or hundreds, in one place, can mask moles on that part of the skin, so it is more difficult to notice if there are changes in them. That is why it is very important to perform a dermoscopic examination regularly.
Although seborrheic keratoses occur in people of both sexes, they are somewhat more common in women of the older population, although young people are also prone to these skin changes.

Anyone can get keratosis, but they most often occur in:

  • People who are 50 and older.

They usually begin to appear in middle age, and rarely in younger people. About 30% of people have at least one by the age of 40, and about 75% by the age of 70.

  • People with a hereditary factor.

About half of all cases of multiple seborrheic keratoses run in families, suggesting that the tendency to develop many of them may be hereditary.

  • People with lighter skin.

Classic seborrheic keratosis, as described here, occurs less often in people with darker skin. However, a variant of seborrheic keratosis called dermatosis papulosa nigra is very common in people with darker skin.

How is seborrheic keratosis diagnosed?

A specialist doctor can already determine that it is keratosis through a clinical examination.

Then, a dermoscopic examination confirms the diagnosis.

This is especially important to do before removing the skin change.

In the Diva polyclinic, specialist doctors use the modern computerized Mole Max dermoscopic device, which allows them to quickly and painlessly determine what kind of change has occurred on the skin, and to monitor over time whether further mutation has occurred.

In the case of transitional forms, which are rare, it is necessary to perform a pathohistological analysis (PH analysis).

In this way, the diagnosis is confirmed, that is, it can be precisely determined what kind of skin change is involved. A specialist doctor will inform you about this in a timely manner.

Removal of keratoses with radio waves

What does the removal of keratoses with different techniques look like?

Removal of keratoses by radio wave method

When removing keratoses with radio waves, there are no stitches, the procedure takes a short time, and the scars are imperceptible. That is why this is a frequent method of choice for both patients and specialist doctors.

Laser keratoses removal

The laser beam is directed at the skin and passed several times, and the procedure can last up to 30 minutes. In this way, the change is removed layer by layer.

Removal of seborrheic keratosis using the classic surgical method

If, due to its size, the keratosis needs to be removed using the classic surgical method, the specialist doctor will inform you about this after the examination.

During this method, the keratosis is removed under local anesthesia.

And how long the recovery will take depends on the depth and width of the excision.

Removal of keratoses with liquid nitrogen

For a very long time, until 25 years ago, the removal of keratoses with liquid nitrogen was the most common method.

However, because more effective methods exist and because, when working with liquid nitrogen, it takes several treatments to remove the change, this technique is less and less used.

The use of liquid nitrogen to remove keratoses has given results, but the process is very slow and with frequent recurrences.

Removal of keratoses by the classic surgical method

Removal of keratoses with liquid nitrogen

For a very long time, until 25 years ago, the removal of keratoses with liquid nitrogen was the most common method. However, because more effective methods exist and because, when working with liquid nitrogen, it takes several treatments to remove the change, this technique is less and less used.

The use of liquid nitrogen to remove keratoses has given results, but the process is very slow and with frequent recurrences.

Removal of seborrheic keratosis by electrocoagulation

Before the advent of the radio wave technique, this was a frequently used method for removing keratoses. However, it is now being superseded by laser and radio wave techniques that are significantly more effective and provide a shorter recovery period.

In the case of this method, keratoses are removed using an apparatus with alternating electric current. This procedure is impossible to perform in patients who have an implanted “pace-maker”.

Electrocoagulation leads to such scarring that the area of the skin where the keratosis was located looks worse than before removal.

Removal of seborrheic keratosis by curettage

Removal of keratoses by curettage is one of the previously used methods. In this method, when a sharp curette is applied to remove keratoses, it is quickly thrown out of use due to visible scars. It was often the case that the skin, where the keratosis was located, looked worse after the procedure than before its removal.

Keratosis removal price

The price for removing keratoses using the radio wave method is from 30 to 80 euros per change in dinar equivalent value, which depends on the number of keratoses that are removed, without PH analysis, while the price with PH analysis is 100 euros per change in dinar equivalent value. If 5 or more keratoses are removed, we grant a discount at Diva Polyclinic. For prices for removing other skin changes, see our PRICE LIST.

NOTE:

Whether radio waves are an adequate method for removing keratoses will be assessed by a specialist doctor during a free consultation.

The results of the procedure may vary from patient to patient, and this is influenced by factors such as skin type, i.e. whether it is prone to scar tissue formation.

You can read the entire disclaimer HERE.

Appointment for a free mole examination or mole removal procedure in Belgrade

At the polyclinic Diva Dr. Bogdanović Belgrade, with our doctors specializing in dermatology and aesthetic surgery, you can schedule a FREE consultation for examination and removal of moles in one of our polyclinics or specialist dermatology offices:

• DIVA polyclinic Dr. Bogdanović - Kosovska 34 - Stari Grad Belgrade
• DIVA Estetic Slavija, Vračar – Njegoševa 19a, Belgrade,
• DIVA Dermal Novi Belgrade, Bulevar Zorana Đinđić 125d, Belgrade

to one of the phone numbers 063 338 334 or 011 3242 841 or to the email info@divaclinic.com

You can schedule an examination or procedure

· every working day from 9 a.m. to 8 p.m
· and on Saturdays from 9 a.m. to 3 p.m.

Price for specialist dermatological skin examination and dermoscopic examination of moles

If a specialist dermatological examination of the skin is required due to dermatological changes on the skin, then the price is RSD 6,000.

If you want to schedule only a dermoscopic mole examination, the price is RSD 6,000.

Author of the text:
dr spec. Svetlana Bogdanović, estetski hirurg

· Osnivač poliklinike Diva
· Predavač i edukator za hijaluronske filere od 2010. godine.
· Više od 25 godina iskustva u radiotalasnoj hirurgiji.
· Više od 20 godina iskustva u antiaging i laserskoj medicini.

Doktorka Svetlana Bogdanović završila je Medicinski fakultet u Beogradu sa samo 23 godine i prvu specijalizaciju sa 29 godina kada je proglašena za najmlađeg hirurga u zemlji.

Od 1997. godine radi kao edukovani specijalista radiotalasne hirurgije koju je PRVA počela da radi u našoj zemlji i regionu.

About DIVA POLYCLINIC

Polyclinic “Diva” has been performing radio wave removal of moles, warts, sebaceous cysts, condylomas and other skin lesions, laser rejuvenation of the face and neck, laser hair removal, acne treatment and acne scar removal, pigmentation and capillary removal, and stretch mark treatment for 30 years. Our patients also have access to all current anti-aging procedures: hyaluronic fillers, mesothreads, COG lifting threads, PRP, mesotherapy, mole diagnostics and dermatology services.

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