Laser Wart Removal
Laser removal of age warts
Why do warts recur so often, and what can be done?
They are viruses, they recur because they get inside cells that do not see them as bad and allow them to encode a rather disorganized acceleration process. They can be in apparently healthy tissues. The fact that they have very good boundaries is an indication that the body is defending itself against them to some extent, but it is also a fact that they will not leave the cells they infiltrated unless the group of affected cells no longer serves as a host for new colonizations.
That is why all home and medical remedies involve destroying as much affected tissue as possible as an initial step; however, the body identifies the viruses and does not let them colonize more cells. All home and non-home remedies involve inflammation of the site where the warts are lodged.
Some flourish in patients undergoing chemotherapy, which, upon finishing it and recovering the body’s defenses, disappears. This is why the only way to remove them is to perform checks before the lesions appear again and repeat the procedure at the slightest suspicion of recurrence until, with all the inflammation produced, the body learns to close the door to the viruses.

Treatment sequence on a toe.
How are facial warts removed?
Tissue preservation is mandatory for this type of lesion, which by definition is superficial and numerous. The laser evaporates the lesion layer by layer to avoid damaging the healthy skin of the face.

Erbium-YAG laser evaporation result of multiple flat warts of the face.
How are warts on the fingers/toes removed?
It is only possible to eliminate them when all affected tissue is removed or when the body learns to control them. Laser evaporation is the best technique, because involvement of the matrix is a frequent complication and it is temporary as long as it is not total damage; it recovers.

The heat wave generated affected the matrix, which is reflected in the deformed growth of the nail. Fortunately, the matrix recovered its function.
Do scars remain after removing a wart?
There shouldn’t be any because in early stages it is superficial and remains so in areas like the face. Scars happen when the lesion is extensive or deep. With laser in a very large lesion, it is almost impossible not to cause scars so that they do not continue to appear.

Result of evaporation of a periungual wart with Erbium-YAG laser.
What type of laser is used to remove warts?
Practically all have been used. They are selected according to the appearance of the lesion. Personally, I prefer the Fotona® Erbio-YAG laser, which vaporizes and allows me to see the lateral and deep planes without carbonizing the skin. When the surface can bleed a lot, it is preferable to use a vascular laser.

This case was treated with a fine-tip vascular laser and hair loss in the area was prevented.
Can multiple warts on the face be treated with laser?
They are frequent on the hands and face. To remove warts on the face, the use of lasers that vaporize them is preferred because they can be very recurrent and scarring must be avoided.

Evaporation of multiple warts vulgaris on the face with Erbium-YAG laser.
How are foot warts treated with laser?
Many can be vaporized if they are superficial. The deeper ones must be excised and the skin closed with sutures to shorten the healing time.

The laser facilitates deep dissection (CO2).
Is anesthesia needed to remove warts with laser?
The pain generated by the laser is a consequence of the heat it produces. Lasers such as Erbio-YAG are well tolerated, as are pulsed-shot lasers. When the lesions are deep or extensive, prior infiltration with lidocaine is necessary.

Warts in the nasal opening (nostrils) are occasionally multiple and difficult to identify.
Can the whole finger be treated if it has a wart?
Yes, although it requires intensive care. In severe cases where the lesion covers a large part of the finger, the laser allows for progressive removal of the affected tissue, managing to preserve functionality and restore the skin of the treated area over time.

Evolution of treatment in an extensive periungual lesion.
