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Elimination of Warts with Laser

The laser improves the results of wart removal.

Why do warts recur so much, what can be done?

They are viruses, they repeat because they get inside the cells, which do not see them as bad and allow them to encode a rather disordered acceleration process. 

They can be in apparently healthy tissues. 

The fact that they have very good limits is an indication that the body defends itself against them in some way, but it is also a fact that they will not leave the cells that infiltrated unless the group of affected cells, do not continue to serve as a host for new colonizations. 

This is why all home and medical remedies involve destroying as much of the affected tissue as possible as an initial step, however, the body identifies the viruses and does not allow them to colonize more cells.

All home and non-home remedies involve inflammation of the site where the warts are located.

Some flourish in patients with chemotherapy who, when it ends and the body’s defenses recover, disappear. 

This is why the only way to remove them is to carry out checks before the lesions appear again and repeat the procedure at the slightest suspicion of reappearance until, with all the inflammation produced, the body learns to close the door to viruses. . 

La remoción debe incluir un pequeño margen lateral y un plano de profundidad hasta la dermis
Removal should include a small lateral margin and a plane deep to the dermis

How do you remove warts from the face?

Tissue preservation is mandatory in this type of lesions, which are by definition superficial and numerous.

Resultado de evaporación con láser Erbio-YAG de múltiples verrugas planas de la cara
Erbium-YAG laser evaporation result of multiple flat warts of the face

How do you remove warts on fingers?

It is only possible to eliminate them when all the affected tissue is removed or when the body learns to control them (and that is why there are so many good experiences with many natural remedies). Laser evaporation is the best technique, because the involvement of the matrix is ​​a frequent complication and is temporary as long as it is not complete damage, it recovers.

El aspecto de carbonización de los disparos es un efecto típico del láser de CO2 , la onda de calor generado afectó la matriz que se refleja en el crecimiento disforme de la uña. Afortunadamente la matriz recuperó su función y a la altura del mes 7 no presentaba alteraciones
The carbonization aspect of the shots is a typical effect of the CO2 laser, the heat wave generated affected the matrix that is reflected in the disform growth of the nail. Fortunately, the womb recovered its function and at month 7 there were no changes.

Are there scars after removing a wart?

They should not remain because in the early stages it is superficial and remains that way in areas such as the face. Scars occur when the injury is extensive or deep.

With laser on a very large lesion, it is almost impossible not to cause scars so that they do not continue to appear. 

Resultado de la evaporación de una verruiga periungueal con láser Erbio-YAG
Result of evaporation of a periungual wart with Erbium-YAG laser

Que tipo de láser se utiliza para eliminar verrugas?

Virtually all of them have been used. They are selected according to the appearance of the lesion. Personally, I prefer the Fotona ® Erbium-YAG laser, which vaporizes and allows me to see the lateral and deep planes without charring the skin. When the surface can bleed a lot, it is preferable to use a vascular laser.

Hemangioma tratado con láser
This case was treated with a fine-tip vascular laser and hair loss in the area was prevented.

Can multiple "petties" on the face be treated with laser?

They are common on the hands and face. To remove warts on the face, the use of lasers that evaporate them is preferred because they can be very recurrent and scars should be avoided.

Evaporación de verrugas vulgaris múltiples en la cara con láser Erbio-YAG
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 deepest ones should be excised and the skin closed with sutures to shorten healing time.

El láser facilita la disección profunda ( CO2). Se observa en la imagen de la pieza quirúrgica un tejido en el centro de aspecto de cebolla que desplaza la dermis completamente , hasta la dermis profunda a un milímetro de la grasa plantar. Esta imbricación del tejido epidérmico desplazando el dérmico se da en las verrugas plantares
The laser facilitates deep dissection (CO2). In the image of the surgical piece, an onion-like tissue in the center is observed that completely displaces the dermis, to the deep dermis one millimeter from the plantar fat. This imbrication of the epidermal tissue, displacing the dermal tissue, occurs in plantar warts.

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 Erbium-YAG are well tolerated. Pulsed shot lasers too. When the lesions are deep or extensive, prior infiltration with lidocaine is necessary.

las verrugas en la apertura nasal ( narinas) son ocasionalmente múltiples y difíciles de identificar. El guante en la foto no nos deja demostrar que posiblemente no fue detectada en la primera intervención
warts in the nasal opening (nostrils) are occasionally multiple and difficult to identify. The glove in the photo does not allow us to demonstrate that it was possibly not detected in the first intervention

Can the entire finger be treated if it has a wart?

If possible.

Seguimiento posterior a vaporización de verruga periungueal extensa
Follow-up after vaporization of extensive periungual wart
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