best facial wart removal clinic Singapore

Wart Removal

Are your warts growing or spreading?

Early treatment of warts can prevent progression and spread to other areas.

viral warts diagram
Warts are caused by the human papilloma virus infecting the skin

Table of Contents

What are Viral Warts?

Warts are caused by the human papilloma virus (HPV) and affect most of us at some point of our lives. There are over a hundred types of human papilloma viruses, and some high-risk HPV viruses are associated with cancer development. Most notably, there are vaccines now available to protect young girls from cervical cancer, as studies have shown that HPV 16 and 18 account for about 70% of cervical cancers. 

The wart viruses are incredibly resilient creatures, and can survive in extremely dry conditions, freezing temperatures and in the external environment for long periods of time. Due to the infective nature of warts, it is not surprising to learn that they can spread from one site of the body to another. This means that if you are picking on your wart,  you are likely to transfer the virus to other parts of your skin.

Wart removal treatment therefore is recommended to get rid of the virus and to prevent further spread.

OUR APPROACH

Wart Removal In Singapore

Viral warts are common skin infections that can affect all ages and any area of the skin. Being a viral infection, it can spread if left untreated. Early intervention will help eliminate the wart viral load and prevent further spread. With over 15 years of clinical experience, Dr.Ng will personalise a treatment plan to ensure the most effective, safe and long term improvement in the appearance of your warts.

What Do Warts Look Like?

Warts take on a different appearance depending on the site where it infects. Warts typically have a rough surface, and can look flat or have tiny projections sticking out from the skin. In certain areas such as the soles and around the fingernails, the wart virus tends to grow deeply, causing pain and the surrounding skin to be thickened in texture. Warts on the bottom of your feet are called plantar warts. Certain jobs increases your risk of getting warts, for example, meat handlers have a higher risk of warts on their hands that are affectionately termed Butcher’s Warts. Warts are also more common and more difficult to treat if you have a weakened immune system such as diabetes, cancer and HIV.

Although warts are common, they are unsightly and can cause discomfort. It is therefore understandable that many would seek wart removal treatments for this common condition.

How Do I Get Warts?

Warts can enter in the skin when there is a breach in the skin barrier. For example, a wound, a scratch, nail biting or even picking on your acne can potentially create a portal of entry for the wart viruses.

As a result, it spread directly from an infected person to another, or to even the same person (auto-inoculated warts). Moreover, warts are also found in contaminated surfaces such as gyms and swimming pools. 

Not surprisingly, warts are more common with individuals with hyperhidrosis of the feet, and individuals who are in certain professions such as butchers and fishmongers.

Warts are abnormal growths on the skin caused by the human papilloma virus (HPV). Affecting about 10-12% of the population, warts can occur in any age group. Wart removal treatment depend on the site, size and type of wart.

What Are The Different Types of Warts?

facial flat warts
Flat warts
filiform warts
Filiform warts
plantar warts
Plantar Warts
common warts on skin
Common warts

Warts take on distinct appearances depending on the site of infection.

  1. Flat warts are commonly found on the face or neck. They are usually multiple and often of varying size.
  2. Filiform warts have finger-like projections. These are often found on facial areas and co-exist with flat warts.
  3. Plantar warts are common warts found on the sole of the feet. They may cause pain when you walk or stand.
  4. Common warts have a cauliflower like appearance. They are founds mostly on the fingers, elbows and knees.

How Are Warts Diagnosed?

Most warts can be diagnosed based of their clinical appearance. It may mimic some dermatological conditions such as:

  • Seborhoeic keratosis
  • Squamous cell carcinoma (a type of skin cancer)
  • Corns and Callus

In rare and unusual cases, a skin biopsy may be needed for confirm the diagnosis.

Can warts go away on their own?

You might be surprised to know that warts will eventually clear spontaneously as your immune system decides to act on it, although it may take years. About 60% of warts may clear on it own within 2 years. However, we do understand that many patients may experience pain from the warts, or the warts may be spreading motivating many to seek professional help to find a solution to treat their warts.

There are various home remedies that may help with the warts with varying degrees of success. Although these alternative treatments are unsubstantiated, they remain popular and widespread. One rather painless and inexpensive method involves applying duct tape over the wart for a couple of days before removing it. There are also reports of people treating their warts by immersing the affected area under hot water several times a week. Some individuals have used raw garlic and Tea tree oil in an attempt to treat their warts at home. Interestingly, there are reports of some individuals resorting to hypnotherapy to address their warty problem.

Why do i need to treat wart?

Warts can appear cosmetically unsightly and cause embarrassment. Clearing warts will lead to healthier skin free from viral infection.

Being a viral infection, warts can spread to surrounding areas, distant areas and even to other people. Early treatment helps to prevent transmission and recurrences.

Warts on pressure sensitive areas such as the feet can cause pain and discomfort. Removing warts can help alleviate symptoms.

Warts on visible areas such as the face can lead to loss of self-esteem, anxiety and embarrassment. Removing warts can help regain confidence and avoid an impact on your quality of life.

Depending on their location, warts can limit a person’s ability to participate in certain activities, such as sports or hobbies. Removing warts can restore full engagement in these activities.

Small and early warts are easier to treat and less costly, while numerous and extensive warts would require multiple treatments which will add to your cost of treatment.

Viral Wart Treatments

Over-the-Counter Treatments
  1. Salicylic Acid: Available in various forms such as liquids, gels, and patches. When applied directly to the wart, it helps peel away the infected skin.
  2. Cryotherapy Kits: These use a freezing agent, often dimethyl ether and propane (DMEP), to freeze and destroy wart tissue.
Prescription Treatments
  1. Topical Medications: These can include stronger concentrations of salicylic acid, imiquimod (which stimulates the immune system), and Verrumal creams.
  2. Cantharidin: Applied by a healthcare provider, this causes a blister to form under the wart, lifting it off the skin.

Wart Removal Treatments

  1. Electrosurgery is a procedure using alternating electric current to generate heat to burn the warty tissue. This procedure is painful and likely to cause scarring.
  2. CO2 (Carbon Dioxide) laser surgery for wart removal is a destructive treatment option that is usually reserved for stubborn warts. It is able to target skin lesions with a high degree of precision and low reflection and scattering of the laser beam. The CO2 laser selectively vaporizes the warty tissue while minimising bleeding. The procedure is carried out under local anaesthesia, and wound aftercare is essential post treatment. Although lasers are a sophisticated treatment for warts, the recurrence rate remains significant.
  3. Cryotherapy: Liquid nitrogen is used to freeze the warts. Multiple treatments may be required. 
  4. Excision: Surgical removal of warts, especially larger and stubborn ones. However, this is associated with more scarring.
Procedure
Electrosurgery
Cryotherapy
Laser
Excision
Mechanism
Electric current
Liquid nitrogen
Vaporization
Surgical removal
Limitations
Scarring
Hypopigmentation, Blistering
Specialized equipment
Longer healing time
Pain level
Minimal to Moderate
Moderate to High
Minimal
Minimal
Recovery
7-10 days
7-10 days
7-10 days
10-14 days
Scarring
++
++
+
+++
Case Example: Facial Wart Removal
filiform facial wart removal Singapore
Filiform Facial Warts
face wart laser removal Singapore
Flat Facial Warts
best facial wart removal clinic Singapore
Laser wart removal

Facial warts are common in the general population. The 2 most common types encountered are the flat and filiform facial warts. Facial warts grow and spread slowly in most cases, but rapid spread can occur in cases of low immunity states. Facial wart removal presents unique challenges. Topical salicylic acid treatments cannot be used on facial skin because it is far too harsh, and has a high risk of post-inflammatory hyper pigmentation. Cryotherapy on the on hand, is very painful on facial skin and may cause blisters, swelling and hyperpigmentation.

Facial laser wart removal is effective at precisely removing the warts with little downtime, no bleeding and gives excellent cosmetic results.

Frequently Asked Questions About Wart Removal

The affected area is numbed either with a topical or local anaesthetic. The laser wart removal procedure is virtually painless.

Depending on the size of the wart, most individuals recover within 7-10 days.

As with most procedures, there is a small risk of bleeding, infection, hyperpigmentation, hypopigmentation, scarring and recurrence. With careful planning and selection, the risks are minimal.

Electrosurgery is associated with a higher risk of scarring. Laser surgery is more precise and healing is excellent in most individuals. Also, the smaller the wart, the less obvious the scar will be.

 Warts are known to recur regardless of the treatment modality. Multiple treatments may be necessary for recurrent warts.

You should wait for the scabs to dry before resuming exercise and physical activities. It takes the scabs 2-3 days to form and subsequently 7 days to fall off.

Dr Moses Ng dermatologist

Wart removal surgery

Viral warts are very common infections in the general population. When people seek treatments, it is usually when the warts are causing pain, discomfort, irritation or may be cosmetically unacceptable. Whatever you reasons, you should know that there are many treatment options available, whether topical, cryotherapy or by wart removal surgery. Wart removal must take into consideration the risk and benefits to the patient, the costs involved and amount of downtime that is acceptable to the individual.

schedule a consultation for wart removal in singapore

Are you suffering from stubborn warts and have tried over-the-counter treatments that do not work? Contact us today to schedule a consultation, so that Dr. Ng can develop a personalized treatment approach for resolving your skin concerns and helping you to achieve long-term improvements in the appearance of your skin.

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Or give us a call at +65 6769 6007 | WhatsApp us +65 9855 3022

References:
  1.  Sterling JC, Gibbs S, Haque Hussain SS, Mohd Mustapa MF, Handfield-Jones SE. British Association of Dermatologists’ guidelines for the management of cutaneous warts 2014. Br J Dermatol. 2014 Oct. 171(4):696-712.
  2. Oganesyan A, Sivesind T, Dellavalle R. From the Cochrane library: topical treatments for cutaneous warts. JMIR dermatology. 2021 Dec 14;4(2):e33900.
  3. Sloan K, Haberman H, Lynde CW. Carbon dioxide laser-treatment of resistant verrucae vulgaris: retrospective analysis. J Cutan Med Surg. 1998 Jan. 2(3):142-5.