The SM-Cosmetology doctor spoke about methods for removing papillomas on the face

Warts are classified as benign neoplasms.

They can appear on various parts of the skin and mucous membranes.

If a wart appears on the lip, it represents a cosmetic defect and can also cause discomfort to its owner, worsening the quality of life.

Forming on the lip, the tumor affects speech and interferes with eating.

A wart can cause pain, especially if it is localized on the mucous membrane inside the lip.

If measures are not taken to eliminate it, the growth may become injured, which will lead to a secondary infection.

Types of warts

A wart is a growth that rises above the surface of the skin or mucous membrane.

Its dimensions, as a rule, are no more than 1 centimeter in diameter.

The tumor can appear on any part of the body, including the face.

On the face, most often a wart forms on the lip, above or below the lip, on the buccal surface of the oral mucosa.

A warty growth can appear on both the upper and lower lips.

The following types of neoplasms are distinguished:

• Common (vulgar) warts. These are growths that have a dense structure, soft to the touch, flesh-colored or yellowish in color. New growths form on the red border of the lips. They are not painful, but tend to itch. Vulgar warts appear on the lips not only in adults, but also in children.

• Flat- shaped growths may appear on the outside of the lips or on the oral mucosa. Their surface is smooth, oval or round in shape. The color of the growth resembles the color of the skin and almost does not rise above it. The location is also the red border of the lips. Flat warts do not hurt, but they are very itchy.

• Hanging neoplasms are located on a thin stalk. At the beginning of development they resemble a bump. They have a brown, pinkish tint or close to the color of the skin.

• Filiform (acrochords). These are small growths that appear after 35 years, but can occur earlier.

• Genital warts . The localization of such growths is the mucous membrane. The new growths are elongated and arranged in groups, resembling a cockscomb or cauliflower inflorescences. The growths are prone to injury, which causes inflammation and bleeding.

The wart forms gradually and almost imperceptibly.

• At the beginning of development, a small compaction forms, which gradually increases.
• A white dot forms on the surface of the mucous membrane of the lip or in the mouth, which gradually turns into genital warts.

To date, approximately one hundred types of papillomavirus have been discovered.

Some types of growths have a benign course, while others are capable of malignancy.

They can provoke the development of cancer.

In addition to the types of growths listed above, there are also senile warts (keratoma, keratosis).

The difference between keratosis is that its appearance is not associated with papillomavirus, and keratoma does not provoke the formation of cancer.

In their development, senile warts go through several stages:

1. ✓ brown spots appear, but the wart has not yet formed
2. ✓ formation of papules and nodules
3. ✓ appearance of keratoma - when you try to scrape off the scales, bleeding appears
4. ✓ transition to the cutaneous horn, which is characterized by excessive growth and keratinization of the neoplasm

According to some experts, keratosis and senile warts belong to different diseases.

Intraductal papilloma (ductal papilloma).

Removal of papilloma on the nipple

Ductal papilloma (intraductal papilloma) occurs near the nipple; removal of papilloma on the nipple is possible using electrocoagulation under local anesthesia. Signs of intraductal papilloma (or nipple papilloma) are the appearance of blood-stained or transparent discharge from one nipple. Ductal papilloma is often a precancerous condition. Treatment of papillomas on the nipple and intraductal papilloma is carried out by a mammologist-oncologist.

On the picture:

papillomas on the face

The human papillomavirus (HPV) is widespread throughout the world. HPV causes warts, papillomas, and genital warts. Different types of human papillomavirus (there are more than 100 of them) cause different diseases.

Genital warts are small skin-colored formations, their size ranges from 1 mm to several centimeters. Genital warts can form on the genitals, near the anus, on the face, even in the mouth, on the body, abdomen, in the groin area, and in the armpits. This is a viral disease. The causative agent of genital warts is the human papillomavirus (HPV).

In men, the glans penis and frenulum of the foreskin are most often affected. In women, damage by the human papillomavirus appears on the labia, clitoris, vagina, and cervix.

Genital warts can be localized around the anus.

From single ones, genital warts can grow into rashes that can spread, taking on the appearance of cauliflower. “High-risk” HPV types (16, 18, 31, 33 and 35) cause cervical dysplasia and can become malignant.

The difference between a wart and keratoses and cancer

Keratosis may be similar in appearance to melanoma (a type of skin cancer).

Melanoma can begin as a warty growth or as a seborrheic keratosis.

A dermatologist can distinguish them from cancer.

To exclude an oncological process, a biopsy is performed.

The peculiarity of seborrheic keratosis is that the formation is waxy, flat, and there is no pain when touched or at rest.

With cancer, a growth similar to a keratosis may change shape or color.

In this case, you will need to consult a specialist.

Complex conditions are a consequence of untreated papillomas

• Local epithelial hyperplasia . Consequence of infection with papillomavirus types 13, 32. The affected area looks like a rash of papillary neoplasms on the tongue and along the edges of the lips. Papillomas can merge with each other, forming a clearly visible area.
• Precancerous conditions and cancer -
  many forms of the human papillomavirus cause the development of neoplasms prone to malignant degeneration. It is in this regard that early diagnosis and detection of papillomavirus makes it possible to detect and remove oncological tumors of the cervix and other organs in the early stages of their development.

Causes of warts

The appearance of warts is caused by infection with papillomavirus or HPV.

Since the skin on the lips is quite thin, it is therefore easily permeable to viruses.

It should be noted that signs of infection with the human papillomavirus do not always occur.

The better the immune system, the less likely it is that symptoms of the disease will appear.

And yet, most of the world's population is infected with HPV.

The incubation period for the development of the disease can be several months or years.

As soon as the immune system fails, the first signs of infection appear.

Activation of the virus is accompanied by the formation of warts.

As a rule, growths appear on the area of ​​the skin or mucous membrane where the pathogen entered the body.

Infection can occur both through sexual contact and through household contact.

Can the virus be transmitted by kissing on the lips?

The most common cases of infection are:

• intrauterine infection of the fetus if a pregnant woman is infected with papillomavirus
• shaking hands or kissing an infected person (if there are wounds or abrasions, the risk of infection increases)
• the use of personal items of an infected person (toothbrush, dishes, lipstick) is unlikely, since the pathogen is not stable in the environment
• sex accompanied by oral sex
• visiting common areas (swimming pool, sauna, shower)

People at risk are those who:

• patients with diabetes mellitus or other pathology of the endocrine system
• suffer from obesity and metabolic disorders
• taking antibiotics for a long time
• have chronic diseases
• suffer from increased sweating, especially on the feet, as this is where plantar warts often form

A malfunction of the immune system can occur for the following reasons:

• If there is a deficiency of essential substances in the body
• After suffering stress or physical exhaustion
• In case of hormone imbalance: during puberty, during pregnancy, with the onset of menopause, during treatment with hormonal drugs
• In case of chronic lack of sleep and overwork
• Due to a recent infectious disease
• If a person abuses smoking and alcoholic beverages

Symptoms of the disease

Small tumors usually do not manifest themselves in any way. Medium and large papillomas cause discomfort. They interfere with normal air circulation, causing difficulty breathing. In the presence of such neoplasms, a person’s voice undergoes changes: it becomes nasal, hoarse, and speech is impaired. There are problems with swallowing food. The patient has a sensation of a foreign body in the throat. Large formations lead to a severe cough, and blood clots are observed in the sputum. In especially severe cases, the patient is diagnosed with airway obstruction and asthma attacks.

If the place of origin of neoplasms is the pharynx, they can most often be observed on the palatine tonsils and palatine arches. The most dangerous growths are in the larynx, since they are located next to the respiratory tract.

As we can see, the presence of such neoplasms causes severe discomfort to the patient, so if signs of the disease appear, you should contact an ENT doctor to diagnose the disease and have the papilloma professionally removed.

* - discount is provided for complex treatment of the disease

Diagnosis of warts

The main diagnostic method is to examine the patient's face for the presence of warts on the lips and oral mucosa.

To confirm or refute the presence of HPV, it is enough to take tests:

1. ✓ Blood tests for antibodies
2. ✓ To conduct a histological examination (biopsy), a small part of the tumor is taken for analysis
3. ✓ The PCR technique allows you to detect the genetic material of a pathogen with one hundred percent probability

Before getting rid of the growth, you should visit an oncologist.

A specialist will use dermatoscopy to determine the condition of the wart to rule out signs of malignancy.

Which doctor treats papillomas and where is the best place to remove papillomas on the body in St. Petersburg?

Many patients are interested in which doctor treats papillomas. This is done by specialists - dermatologists, gynecologists, urologists and oncologists. It all depends on the location of the tumor.

Specialists at the Diana Clinic in St. Petersburg conduct an initial examination and confirm the diagnosis. Then the papillomas are removed with a laser and radio knife, using the latest devices. By contacting our medical center, the patient receives a detailed consultation and can undergo all tests, including oncology. Removal of papillomas is carried out without pain or complications.

Clinical manifestations of warts on the lip

A wart on the lip does not appear the next day after the papilloma virus enters the body.

The incubation period can last from six months to several years.

This often occurs when the immune system malfunctions.

Having penetrated the skin or mucous membrane, the virus integrates its genetic material into human cells and thus begins to multiply.

As a result, characteristic neoplasms appear at the site of virus introduction.

The pathogen provokes warty growths, disrupting the processes of keratinization of the skin.

Oncogenic strains of papillomavirus change the genetic apparatus of cells in such a way that a malignant formation is formed.

Variety of papillomas: 7 main types

Scientists know more than 100 types of HPV, but the most common are 10 types of papillomas:

• Plantar papillomas
  . Causes papilloma on the leg - papillomavirus types 1, 2, 4. Plantar papillomas look like growths on the soles of the feet. Plantar warts can be single or multiple. Over time, it becomes painful for a person affected by the disease to walk. Plantar papilloma is often confused with a callus and is not sought medical attention, while the infection affects new areas of the skin.
• Vulgar papillomas
  . These are oval, keratinized lumps with a yellowish tint, usually appearing on the hands of adults. In children, such tumors can be found on the knees.
• Flat papillomas
  . The result of activation of HPV types 3, 10. The growths look like flat, smooth bumps.
• Lewandowski-Lutz papillomas . The second name is epidermodysplasia verruciformis. The infection results in the formation of many mottled, multi-colored warts on the arms and legs.
• Filiform papillomas. Formed in older people. Warts look like yellowish bumps. Placed on the eyelids, groins, armpits, and neck. Threaded papilloma injured by clothing or as a result of scratching requires urgent treatment, otherwise inflammation and complications cannot be avoided.
• Juvenile papillomas . Associated with infection with papillomavirus types 6, 11. Formed in the larynx. As a result, breathing becomes difficult and speech deteriorates. The virus spreads during childbirth, transmitted to the newborn from the mother.
• Genital warts . The occurrence of genital warts is the main manifestation of infection, the source of which was the human papillomavirus. Visually, genital warts look like ordinary warts, can be small in size (up to a centimeter), have a flesh-colored or pinkish color, a slightly bumpy or completely smooth surface. The most common place for the formation of genital warts is the external genitalia. In men, these formations appear on the scrotum and penis. In women - on the labia majora and minora, on the cervix, near the clitoris, in the vagina. If condylomas are irritated, itching and bleeding may occur during sexual intercourse. Such papillomas transform into cancerous tumors.

Is it necessary to remove a wart on the lip?

Removal of the tumor is carried out if there are indications for this.

The growths sometimes disappear spontaneously.

Therefore, if the wart is small and does not cause much concern, then there is no need for removal.

The decision to excise the growth must be made by a specialist.

If a wart causes discomfort in the form of itching, burning, pain, grows, becomes inflamed, or changes in appearance.

If it has increased in size, changed shape and color, or is bleeding, then it must be removed by resorting to excision by one of the methods.

Removing a tumor at home is not safe.

As a result of incorrect actions:

• It may not be possible to remove the wart completely, which will cause its reappearance
• the risk of injury to healthy tissues that surround the growth increases
• scars and cicatrices may form

Which laser device is used to remove papillomas?

The following types of lasers are used in dermatovenerology:

Lasers with constant radiation (conventional)

This type of laser is used to remove warts, papillomas, and genital warts. It has powerful, highly focused constant radiation, which quickly leads to the evaporation of pathological papilloma cells.

The main disadvantage is the scars left behind. Therefore, this type is not suitable for facial surgery. If the papilloma or wart was large, then the mark after removal will be rather large.

Pulsed lasers, or fractional lasers, or resurfacing lasers

They can be used to remove unwanted formations in the facial area, such as small papillomas, flat warts, senile keratomas and age spots, as well as for skin peeling.

The laser acts in a pulsed manner, so there is no burn on the skin. This device only removes the surface layer. After the procedure there are no traces or scars left.

Wart treatment

Treatment of any growth on the lips begins with a medical examination and determining whether the growth is malignant.

Next, the doctor selects a method of therapy.

In case of a malignant form, the patient is referred to an oncologist, who will decide how to treat the patient.

Treatment of the disease is complex.

Treatment consists of the main stages: removal of the growth and drug therapy.

Removal of the tumor can be done in one of the following ways:

1. ✓ Using pharmaceutical products
2. ✓ In a medical institution where modern excision techniques will be used
3. ✓ Folk remedies. The use of alternative medicine methods must be agreed with a doctor

How to get rid of papillomas on the face: professional techniques

Treatment of all skin tumors begins with a patient interview. It is important for the doctor to find out when the growth appeared, whether it bothers you, and whether its size and shape have changed. This is followed by a visual examination and dermatoscopy - the study of papilloma through the already mentioned dermatoscope. After this, the doctor issues a conclusion about what type of tumor we are dealing with and prescribes the optimal method for its removal.

“To treat papillomas, cytostatics, cryo-laser, diathermocoagulation and electrical destruction are used,” says Anna Torosyan. — Some medicinal formulations that contain, for example, celandine or castor oil, can be effective in the treatment of papillomas, but the use of these drugs without consultation with a specialist is unacceptable, since self-medication can lead to aggravation of the problem. Convex papillomas require immediate removal, especially if they are located on the face. This is due to the high probability of injury to the formation, which can trigger the onset of the inflammatory process and the spread of pathology to nearby areas of the skin.” In some cases, trauma can stimulate the development of cancer.

“Today, the safest and most reliable method of removing papillomas is radio wave,” says Maria Istomina. “Here they use a special device designed specifically for radio wave surgery - a unique non-contact technique for cutting soft tissue using high-frequency radio waves. This occurs due to the heat that tissues emit when high-frequency waves penetrate them. When working with papillomas, this device uses a very thin electrode. A radio wave with a frequency of about 4 MHz is concentrated in it. The papilloma tissue evaporates under its action, the skin does not heat up, and the patient feels practically nothing. The method is universal, since the device regulates the power and wave shape to remove tumors on any area of ​​the skin. The device burns out the papilloma without pain or discomfort for the patient, and completely - only a small crust remains. The radiosurgery technique completely eliminates painful contractions of muscles or nerve endings, so it is one of the most painless techniques in modern medicine.”

There is also a method of cryodestruction - freezing the tumor with liquid nitrogen. It does not damage the skin, does not cause bleeding, and the procedure itself is quick and painless. Cryodestruction is most often used by specialists to remove papillomas on the face of children.

Histology for removed papilloma is not necessary. The need for this analysis depends on what diagnosis the doctor made when studying the tumor. If during dermatoscopy the doctor has no doubt that he is faced with a benign papilloma, histology can be dispensed with.

Pharmacy products for removing warts

You can buy medications at the pharmacy that will help you deal with warts at home.

Among them:

• Super clean . The product is an alkaline solution that has a chemical effect on the growth, causing cauterization.
• Cryopharma, Wartner . These agents cause cryodestruction of the wart; as a result of cold exposure, the neoplasm is frozen.
• Solcoderm . A drug containing acids that have a cauterizing and mummifying effect on pathological tissues.
• Immunomodulators – Viferon, Oxolinic ointment will help increase immunity and the body’s fight against the virus.
• Antiviral agents – Isoprinosine, Interferon.

The use of cauterizing agents on the lips and face is extremely undesirable; application of these agents to the oral mucosa is especially dangerous.

What are the stages of laser removal of papillomas?

Preparations for the laser removal procedure for papillomas must be taken with full responsibility. You should not sunbathe or go to a solarium at least two weeks before surgery. It is also better not to use household chemicals, go on a hypoallergenic diet and lead a healthy lifestyle. All this will help the skin cope with the procedure and survive the recovery process.

If papillomas are detected anywhere in the body, you must contact a specialist to find out the cause of the infection. Immunodeficiency is quite often the first sign of the appearance of tumors on the skin. Treatment begins after a conversation with a dermatologist and cosmetologist.

Since papillomas cells consist of 75 percent water, the laser action is based on the evaporation of liquid and the destruction of pathological cells. The fabric is cut off layer by layer until the growth is completely removed. Healthy areas near the tumor are not affected and remain unharmed.

Laser removal lasts no more than five minutes and occurs in the outpatient room. Let us consider in order what stages are performed during the procedure.

Stage 1.

The doctor
treats the skin with an antiseptic
.

Stage 2.

The doctor
administers pain relief
by injecting the patient with a syringe or applying a cream containing an anesthetic such as novocaine or lidocaine to the skin.

Stage 3.

The
pain relief will take effect
in three to five minutes. We must wait for this time.

Stage 4.

Everyone in the room wears
safety glasses
to prevent the laser beam from burning the retina.

Stage 5.

The doctor takes a laser and
treats the papilloma
around the entire perimeter. The burn remaining after removal is treated with fucorcin or any other antiseptic. It is better to apply a dry gauze pad and a bandage.

During the entire procedure, the patient has no pain at all

. The recovery period for healing of the skin or mucous membrane takes from six to eight days.

Wart removal in the clinic

The clinic uses modern hardware techniques to excise growths:

1. Laser therapy . The method allows you to quickly and without blood remove the growth. There is no discomfort during the procedure, as pain relief is performed. During one session, you can get rid of several tumors in a very short time. The method is suitable not only for adults, but also for children. The likelihood of relapse is minimized. Skin defects in the form of scars after laser use are very rare.

1. Radio wave therapy . The technique is considered the safest. When excising a wart using a radio wave, there is no contact with the skin. It is not always possible to completely remove the growth. The procedure leaves no traces of impact.
2. Electrocoagulation . The procedure requires anesthesia. Using an electrode to which a high-frequency electric current is applied, the wart is burned out, followed by cutting off the growth with a special metal loop. Scarring may appear after removal.
3. Cryodestruction . Liquid nitrogen is used and the wart is treated until it turns white. As a result of exposure to low temperatures, the growth tissues die. There is no need for anesthesia for the manipulation. The disadvantage of the technique is the lack of control over the depth of nitrogen exposure. For this reason, frequent relapses occur.
4. Surgical. Removal is done using a scalpel. The disadvantage of the procedure is the formation of a scar, so this technique is used only for certain indications (in case of malignancy of the process and large size of the wart).

Treatment of papillomas, condylomas (HPV)

• performed on the body by a dermatologist-cosmetologist,
• on the male genitals - urologist,
• for women - a gynecologist,
• in the area of ​​the anus and perineum - a proctologist.

There is now a treatment that is highly likely to eliminate HPV infection. Modern treatment for genital warts can not only remove or reduce the symptoms of the disease, it eliminates the HPV infection and prevents further transmission of the virus in many cases. However, after any treatment method, relapses are possible.

• Laser removal of genital warts is performed under local anesthesia.
• Electrocoagulation, removal of genital warts using high temperature, is carried out under local anesthesia.
• Interferon blockades (genital warts are injected with an interferon drug).
• Radio wave removal of condylomas. Today, the most effective method for removing genital warts. There is no trace left of condylomas.

How much does laser removal of papillomas cost?

Price

laser wart removal costs from 500 to 2500 rubles.
The procedure
for removing papillomas is carried out both in private medical institutions and in public hospitals. The price will vary depending on the location of the operation, the qualifications of the specialists and the general performance of the clinic. The price for laser removal of papillomas may increase subject to additional tests that must be taken from the patient before the procedure.

Read material on the topic: Laser facial skin rejuvenation: useful tips and recommendations

Does the laser method of removing papillomas have consequences?

Any external intervention in the human body will have negative consequences.

. Laser removal of papillomas is no exception, despite the fact that this procedure is quite useful. The consequences may be the following:

1. In the place where the papilloma was located, a scar may appear

   . This occurs in people whose tissue repair processes are slow.

2. With improper care inflammation may begin

   . After removing the tumor, it is necessary to observe measures to prevent wound suppuration, which is an important part of the entire procedure.

3. For a short period after surgery possible weeping wounds on the face

   . They should not be touched, much less covered with foundation or any other cosmetics.

During the procedure, the tumor is cut off with a thin laser beam. The process may take several minutes. It all depends on the size and location of papilloma formation. Complete disappearance does not occur immediately after surgery. It will take some more time for all traces to become invisible. This takes a week or even two weeks.

Side effects

in most cases, they appear after the use of local anesthesia, and not due to the operation itself. Patients may experience the following symptoms:

• Dizziness, sudden changes in pressure;
• Drowsiness, fatigue, lack of appetite;
• Peeling of the skin at the site of wart removal.

Complications may occur in some cases after laser removal of papillomas.

.

1. In case of photodermatosis, a person may develop pigment spots after the procedure.
2. In the presence of any allergic reactions, hyperemia or swelling may occur.
3. For thyroid disease – keloid scar.
4. For sensitive skin – slight burn redness with scab formation.

Indications for removal

The only way to treat already “formed” papillomas is to remove them. Indications for removal of tumors primarily include:

1. Aesthetic problems. Papillomas are skin growths that are perceived as an aesthetic defect, especially when they are localized in open areas of the face and body.
2. Papillomas can be constantly injured, cling to clothes, combs, etc. and due to this, quickly spread throughout the skin, soreness, inflammation, cracks and even bleeding may appear in the area of ​​​​the tumors.
3. Considering that some types of papillomaviruses have a high risk of oncogenicity, large papillomas (more than 6-10 mm) may be prone to degeneration, so timely removal of such tumors will prevent a serious illness in the patient.

Why do vaginal papillomas occur?

The main cause of papilloma in the vagina is the papilloma virus. It enters the body through unprotected sexual contact with a carrier. However, there are a number of factors that increase the likelihood of infection. These include sexually transmitted diseases (for example, gonorrhea and chlamydia).

Also, the reasons that contribute to the development of papillomas are:

• frequent change of sexual partners;
• disruption of the normal vaginal microflora (dysbiosis);
• low immunity;
• inflammation of the ovaries;
• severe stressful situations;
• pregnancy;
• deviations from the endocrine system;
• lack of vitamins in the body.

If several of the reasons described above are present, the risk of infection increases significantly. The incubation period is no more than 3 months, but under the influence of unfavorable circumstances for the immune system, this time can be reduced to 14-20 days.