Skin changes such as warts, verrucas, fibromas, milia, cherry angiomas, xanthelasma, or seborrheic keratoses often do not pose a health risk but significantly affect the aesthetics of the skin and psychological comfort. They become particularly problematic when they appear on the face, neck, décolleté, or other visible areas of the body.
At the Ambasada Urody Clinic & Spa in Warsaw, the removal of skin changes is conducted in a controlled, safe manner tailored to the type of lesion. Each case is preceded by an assessment by a specialist, and if necessary, a dermatoscopic examination. Thanks to modern technologies, in most cases, it is possible to remove the lesion without scarring and without a long recovery period.
TYPES OF SKIN CHANGES
Skin lesions can vary in appearance, origin, and growth dynamics. Although most of them are benign, they often pose a significant aesthetic problem, and some require prior diagnostics. Below we present the most frequently removed skin lesions.
Milia
- small, white or yellowish bumps resembling blackheads, usually the size of poppy seeds
- mainly located on the face: eyelids, cheeks, temples, less often around the mouth and on the chest
- can appear individually or in clusters
- often confused with sebaceous cysts, but require a different removal method
Sebaceous Cysts (Epidermoid Cysts)
- subcutaneous lesions formed by the blockage of a sebaceous gland
- can appear in various areas of the body
- usually grow slowly but can reach large sizes
- for larger or inflamed lesions, surgical treatment qualification is necessary
Fibromas
- benign skin lesions formed from connective tissue
- usually cause no pain or discomfort
- often removed for aesthetic reasons or due to irritation in areas of friction
Hard Fibromas
- usually solitary, subcutaneous nodules
- mainly located on the lower limbs
- are hard, movable relative to the base, with a skin-colored, brownish, or red hue
- cause no pain and grow very slowly
Soft Fibromas
- soft, nodular skin growths
- often occur in multiples
- common locations include the neck, eyelids, armpits, groin, and torso
- may tear, bleed, and cause local inflammation
Cherry Angiomas (Ruby Spots, De Morgan Spots)
- small, red vascular lesions
- appear as dots or small bumps
- usually appear after the age of 30
- their number increases with age
- are benign but often removed for aesthetic reasons
Viral Warts
- skin lesions caused by human papillomavirus (HPV) infection
- most commonly appear on the hands, feet, and face
- have a high tendency to spread
- plantar warts may cause pain and discomfort when walking
Seborrheic Keratosis
- nodular, rough growths ranging in color from light brown to dark brown
- can appear anywhere on the body, most commonly on the neck and back
- more common after the age of 35
- if not removed, they may gradually enlarge
Xanthelasma (Xanthomas)
- yellowish, soft skin bumps or plaques
- most commonly located on the upper and lower eyelids
- formed by lipid deposits in the skin
- may be associated with elevated cholesterol levels
- are benign lesions, do not become malignant, but represent a clear aesthetic concern
HOW DOES THE PROCEDURE OF REMOVING SKIN LESIONS LOOK LIKE?
Before the procedure, we assess and consult whether the changes that have occurred qualify for the treatment. In the case of mild changes that do not require further diagnostic testing such as histopathological examination, and are only aesthetic defects, such as fibroids or glandulars, it is possible to remove them using minimally invasive methods (plasma, laser, electrocoagulation, etc.). Subsequently, the most appropriate technology is selected, and the area undergoing the procedure is disinfected and anesthetized. The procedure lasts from a few to several tens of minutes, depending on the extent of the skin changes. The procedure is a one-time occurrence, and the skin changes disappear completely, leaving no traces or scars. Only in the case of larger changes, it may be necessary to repeat the procedure.
DERMATOSCOPY - A KEY ELEMENT OF SAFETY
Not every skin lesion should be removed without prior diagnosis. Dermatoscopy allows for the assessment of the lesion's structure in magnification and differentiates between benign and potentially dangerous changes.
- enables early detection of cancerous changes
- allows differentiation, among others, between pigmented nevi and warts
- in case of suspicion of a malignant lesion, surgical removal and histopathological examination are absolutely recommended
This approach ensures not only an aesthetic effect but, most importantly, full medical safety.
METHODS OF SKIN LESION REMOVAL
The choice of method for removing a skin lesion should not be random. The best technology is one that is tailored to the type of lesion, its size, location, and the desired aesthetic outcome. Below we describe the methods used at Ambasada Urody Clinic & Spa in a way that helps the client understand the differences and make an informed decision. The final choice is always confirmed during consultation.
CO₂ Laser – when precision and aesthetic outcome matter
This method is chosen when we care about the greatest accuracy and minimal risk of scarring.
- removes the lesion layer by layer, without damaging the surrounding skin
- allows very precise control of the depth of action
- ideal for lesions on the face, neck, and other visible areas
- especially recommended for fibromas, seborrheic keratosis, xanthelasmas
- healing is quick, and the aesthetic result is very good
Best for individuals who seek a maximally aesthetic effect and work in delicate areas.
Medical Plasma – ideal for small lesions and sensitive areas
Plasma works by the sublimation of tissue, meaning its evaporation without affecting deeper layers of the skin.
- very precise and gentle method
- does not cause bleeding
- works great on eyelids and face
- short healing time
- excellent for milia, small fibromas, minor surface lesions
Best for individuals with small lesions, especially where the skin is thin and sensitive.
Electrocoagulation – effective method for removing warts and vascular lesions
Electrocoagulation involves the controlled action of high-frequency current, which destroys the skin lesion and simultaneously closes small blood vessels, making the procedure precise, quick, and safe.
- effectively removes viral warts (verrucae), including single and multiple lesions
- effective for cherry angiomas and other small vascular lesions
- effective for soft fibromas and small skin outgrowths
- allows for simultaneous removal of the lesion and bleeding control
- procedure is short and usually one-time
Electrocoagulation allows for very precise treatment of the lesion, which is important, especially for warts that tend to recur or spread if not completely removed.
Best for individuals with viral warts (verrucae) on hands, feet, and other body areas, for patients with cherry angiomas, and lesions requiring a quick procedure.
Radiofrequency – control, safety, and good tolerance
Radiofrequency is a modern form of electrocoagulation, offering even greater control and comfort.
- precise action on tissue
- lower risk of irritation
- good procedure tolerance
- effective for fibromas and benign skin outgrowths
Best for individuals seeking effectiveness with high procedure comfort.
Dermatological Cryotherapy – effective method for viral warts
Cryotherapy involves freezing the lesion with very low temperatures.
- quick procedure
- particularly effective for viral warts and verrucae
- often used on hands and feet
- in some cases requires repetition
Best for individuals with viral warts, especially on feet and hands.
CONTRAINDICATIONS TO REMOVING SKIN LESIONS
To ensure the procedure is completely safe and yields the expected aesthetic outcome, it is necessary to exclude certain contraindications. Some of these are temporary, while others require prior diagnostics or a change in the approach method. Each case is assessed individually during the qualification process.
- suspected cancerous lesion or lack of prior dermatoscopic evaluation in the case of pigmented lesions
- active skin infections in the treatment area (bacterial, viral, fungal), including herpes
- inflammatory skin conditions, skin damage, fresh abrasions, or wounds at the planned treatment site
- uncontrolled diabetes or other metabolic diseases affecting the healing process
- blood coagulation disorders and the use of anticoagulant medications (require individual assessment)
- active phase autoimmune skin diseases
- tendency to form hypertrophic scars and keloids
- pregnancy and breastfeeding period (relative contraindication – decision depends on the type of lesion and method)
- recent tan or planned intense sun exposure
- certain cancers undergoing treatment or recently completed oncological therapy
In case of doubts regarding the nature of the lesion or overall health condition, the procedure may be postponed, and the patient referred for additional diagnostics. This approach is a medical standard and ensures safety and a predictable final outcome.