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Expert Seborrheic Keratosis Removal in NYC by Dr. Debra Jaliman

 

Bothered by rough or waxy spots on your face or body? You may be dealing with seborrheic keratoses—harmless but often annoying skin growths that many people choose to remove for a smoother, more refreshed appearance. At our Upper East Side dermatology office in NYC, Dr. Debra Jaliman brings over 25 years of experience in treating these growths with a gentle, precise scalpel technique that typically leaves no marks or scarring. The procedure is quick, performed right in our office with just a bit of local numbing, and most patients heal with ease. If you're ready to feel more confident in your skin, give us a call today at   to schedule your consultation.

There are several treatment options for seborrheic keratosis. These include cryotherapy, which uses liquid nitrogen to freeze the growths, curettage, a method that scrapes away the lesions, and a careful scalpel technique. It's best to speak with a board-certified dermatologist like Dr. Debra Jaliman to find the treatment that suits your specific needs.

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What is seborrheic keratosis?

A common, benign (non-cancerous) skin growth that appears as a waxy, wart-like, or "stuck-on" brown, black, or tan patch.

Is seborrheic keratosis cancerous?

No, it's completely benign and not a form of skin cancer.

Who gets seborrheic keratosis?

Mostly adults over 50; it's more common with age and sometimes runs in families.

What causes seborrheic keratosis?

The exact cause is unknown, but genetics and sun exposure may play a role.

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Symptoms & Diagnosis

What does a seborrheic keratosis look like?

It appears as a round or oval, slightly raised growth with a rough, scaly, or waxy surface—often described as looking like it's "stuck on."

Where do they usually appear?

Common on the chest, back, scalp, face, or neck.

Can it itch or bleed?

Yes, especially if irritated, scratched, or rubbed by clothing.

How is it diagnosed?

Usually by visual inspection, a biopsy may be done if there’s any doubt about whether it is a skin cancer.

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Treatment Options

Non-Surgical Treatment Options

Non-surgical methods are increasingly popular among patients dealing with seborrheic keratosis due to their short recovery times.  These options can be effective, whether for cosmetic reasons or simply to alleviate discomfort.

Each method comes with unique benefits and is applied based on individual patient needs. Cryotherapy provides immediate visible outcomes—often allowing patients to return to their daily routines almost instantly.

Liquid Nitrogen Freezing Method

Dermatologists often opt for the liquid nitrogen freezing technique, known as cryotherapy, to treat seborrheic keratosis. This method is popular due to its effectiveness and ease of use. In essence, cryotherapy entails applying liquid nitrogen directly to the skin growths, which causes the skin cells to freeze quickly and ultimately peel off.

Cryotherapy, utilizing liquid nitrogen to freeze off the keratosis, swiftly eliminates the growth without the need for surgery.

Procedure Overview

Choosing this treatment option means you'll experience a simple and effective process. The dermatologist will start by cleaning the surface of the seborrheic keratosis, then gently apply liquid nitrogen. You will feel a brief cold sensation when the nitrogen touches your skin, but it usually subsides quickly. This procedure is very fast, often taking just a few seconds for each growth, making cryotherapy a great option for those with multiple keratoses. Don't forget to prepare for your appointment! Although the procedure is quick, a pre-treatment consultation can offer helpful information about what to expect and alleviate any worries.

According to the American Academy of Dermatology, cryotherapy boasts an impressive 90% success rate in effectively treating small seborrheic keratosis. This promising statistic highlights why many patients find this method advantageous and reassuring.

Patients undergoing cryotherapy might experience mild discomfort during treatment—imagine a brief sting followed by numbness—but any sensations should dissipate immediately. While no significant downtime is expected, it’s wise to follow post-care instructions provided by your dermatologist to minimize any potential irritation or redness afterward.

This method stands out not only for its success but also for minimizing recovery time, allowing individuals to return to their daily routines almost immediately.

Choosing cryotherapy for seborrheic keratosis treatment combines cutting-edge technology with rapid results. With numerous effective procedures available, there's more to explore regarding safe approaches suitable for your needs.

A closer examination of other techniques will reveal further options that may align perfectly with your treatment goals

Laser therapy (best for flat growths)

Laser treatment is a precise, non-invasive option for removing seborrheic keratoses with minimal discomfort and excellent cosmetic results. Laser technology can be used to target and eliminate these benign skin growths without cutting or burning.

The laser works by delivering focused energy to the pigment and cells in the seborrheic keratosis, breaking them down so the lesion gradually fades or sloughs off. This treatment is especially effective for flat, pigmented lesions and for patients with lighter skin tones.

Laser removal is quick, often requiring no anesthesia or only a topical numbing cream. There’s little to no downtime, and most patients can return to normal activities immediately. A mild redness or scab may form, but healing typically occurs within one to two weeks.

For patients in New York City seeking a cosmetic solution for seborrheic keratosis, laser treatment offers a modern, scar-minimizing approach with precise results.

Surgical Treatment Options

Precise scalpel technique

At our practice, we offer expert removal of seborrheic keratoses, using a precise scalpel technique. After local anesthesia is injected, the keratosis is removed with a scalpel. This meticulous method is especially well-suited for the face. Healing typically occurs within a week and there's very little risk of scarring. Most patients are surprised at how easy the treatment is and how much better their skin looks and feels afterward.

Curettage and Scraping

This procedure involves using a specialized instrument called a curette, which resembles a small scooping tool. Following the application of local anesthesia—ensuring that discomfort is kept at a minimum—the dermatologist gently scrapes away the seborrheic keratosis from the skin.

The moment the procedure begins, patients often realize that fears of pain are unfounded; the anesthesia effectively numbs the area, allowing for a seamless experience.

"While the idea of scraping sounds daunting, the local anesthesia made it painless, and the results were impressive," shares Sarah, reflecting on her own experience.

What makes curettage particularly beneficial is its precision. Because it allows dermatologists to visualize the affected area closely while removing the growths, they can ensure that all unwanted tissue is cleaned away thoroughly. This meticulous detail contributes significantly to minimized scarring and aids in achieving smooth skin post-treatment. Furthermore, since seborrheic keratosis can vary in size and shape, individual treatment plans allow for tailored care based on each patient's specific condition.

Electrosurgery (burning off with electric current)

Electrosurgery is a common and effective treatment for seborrheic keratosis removal. At Dr. Debra Jaliman’s Upper East Side dermatology office in New York City, this in-office procedure uses a focused electrical current to safely burn off the growth. The technique precisely targets the lesion without damaging surrounding healthy skin.

For many patients, electrosurgery is combined with curettage (a gentle scraping technique) to fully remove the seborrheic keratosis and reduce the chance of recurrence. The procedure is quick and performed under local anesthesia. Most patients experience minimal discomfort and return to normal activities the same day.

Electrosurgery is ideal for treating flat or slightly raised seborrheic keratoses and typically results in excellent cosmetic outcomes. A small scab may form after treatment and usually heals within 7 to 14 days.

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Recovery and Aftercare

Immediate aftercare is typically straightforward following curettage. Patients may notice some redness or slight crusting at the treated site, similar to having scraped skin—this is completely normal and generally fades within days. It’s essential to keep the area clean and avoid excessive sun exposure while it heals. Dermatologists often recommend applying a healing ointment to protect the skin during recovery.

Patients returning for follow-up visits will often see rapid improvements as their skin begins to heal. In many cases, no further treatments are necessary unless there are additional growths or concerns about recurrence.

Curettage is effective and provides tangible results with minimal discomfort, making it a popular choice for many seeking treatment for seborrheic keratosis. Consulting with a skilled dermatologist to discuss options, benefits, and potential risks involved ensures you make an informed decision best suited to your needs.

For those interested in exploring innovative methods beyond scraping, advanced technology offers exciting alternatives that may enhance treatment outcomes.

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Treatment Benefits and Drawbacks

Cryotherapy is a popular choice because it’s both quick and cost-effective. In just a few minutes, a healthcare professional can apply nitrogen to freeze off the growths, leading to swift results and minimal discomfort. However, this method does come with a cautionary note. While most patients appreciate the speed, those treating areas that are more visible, like their face, might not be keen on the risk of temporary discoloration that can occur afterward. This makes it less than ideal for individuals seeking to maintain a consistent skin tone.

On the other hand, curettage offers another layer of effectiveness. The small instrument used in this procedure allows for precise scraping of the seborrheic keratosis. Many find satisfaction in knowing that this thorough approach helps ensure complete removal of the growth. However, patients should be aware that there may be a trade-off; there is a very small possibility of scarring post-procedure. Consequently, if you're opting for curettage, it’s important to weigh your desire for assured removal against your preferences for cosmetic appearance.

Understanding these treatment options lays the groundwork for meaningful conversations with your dermatologist about the best choice for your unique situation and skin type. With this knowledge, you can proceed confidently with finding the right specialist for your needs.

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Selecting Your Dermatologist

Choosing a skilled and experienced dermatologist like Dr. Debra Jaliman is essential for effectively treating seborrheic keratosis or any skin issue. It's important to seek a professional who comprehends the details of your condition and tailors their care to your specific requirements. Make sure your dermatologist is board-certified and possesses the necessary expertise to address seborrheic keratoses.

Credentials and Experience

A few important factors to consider when making your choice include:

  • Board Certification: Verify that the dermatologist has completed rigorous training and certification in dermatology, ensuring they are well-versed in skin issues.
  • Experience: Consider the dermatologist's years of experience in treating seborrheic keratosis. Their expertise is crucial, as they have likely dealt with a range of cases and treatment methods.
  • Reviews: Browse online feedback or seek suggestions from friends. The experiences of former patients can offer valuable insights into their care methods, professionalism, and outcomes.
  • Trust your gut feelings: If something seems off during your initial visit or if their way of communicating doesn't sit well with you, feel free to look for another professional. Your health and comfort are the top priority; it's essential to find a dermatologist who connects with you personally to help you maintain your confidence during the treatment. By thoughtfully evaluating these factors before choosing your dermatologist, you set yourself up for effective care that addresses your unique skin issues. Seeking a specialist for seborrheic keratosis treatment is a significant step towards healthier skin. Keep in mind that the right dermatologist will be there to guide you to outstanding results.

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FAQ's

Does a seborrheic keratosis need to be removed?

No, it is noncancerous. If it’s irritated by rubbing or clothing, unsightly, or for cosmetic reasons, it can easily be removed.

Does a seborrheic keratosis go away on its own?

No, it usually doesn't.

Is removal painful?

Minimal discomfort. Local anesthesia is used. It is injected into the skin with a tiny needle.

Will it leave a scar?

There is usually no scar if done by a skilled dermatologist. Scarring is possible but usually minimal, especially with proper technique and aftercare.

How long does it take to heal after removal?

The healing time varies from 1 to 2 weeks.

How is seborrheic keratosis removed?

There are surgical and non-surgical options discussed above.

Skincare & Prevention

Can seborrheic keratosis be prevented?

There’s no guaranteed way to prevent them, but sun protection may help limit their number.

Do any creams or treatments work to shrink or remove them?

No over-the-counter treatments are proven effective for full removal, though some prescription options (like hydrogen peroxide 40% solution) may be used under medical supervision.

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Misconceptions & Concerns

Is seborrheic keratosis the same as a wart or mole?

No—warts are caused by a virus, and moles are pigmented skin growths; seborrheic keratosis is distinct and non-infectious.

Can it turn into skin cancer?

No, but some skin cancers can look similar, which is why diagnosis by a doctor is important.

Should I worry if it suddenly changes or bleeds?

Yes—any change in shape, color, or behavior should be checked by a dermatologist to rule out malignancy.

Can I remove seborrheic keratosis at home?

It’s not recommended—DIY removal can cause infection, scarring, or confusion with more serious lesions.

Can they grow back after removal?

The same lesion won't return, but new ones may form elsewhere.

Is a seborrheic keratosis contageous?

These growths are not contagious like warts.

Is seborrheic keratosis treatment covered by insurance?

If the removal is done for cosmetic reasons, it is not covered by insurance.

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Ready to remove that rough or raised spot?

Schedule your consultation with Dr. Debra Jaliman today. Call our NYC clinic at   to have your seborrheic keratosis safely and expertly removed with minimal downtime.

Call us today to schedule a consultation with our expert Dr. Debra Jaliman and achieve outstanding results

Location & Directions

Debra Jaliman, MD Cosmetic Dermatologist and Botox NYC

931 5th Ave, New York, NY 10021

Opening Hours

Monday & Wednesday: 9:00 am - 7:00 pm

Tuesday, Thursday & Friday: 9:00 am - 3:00 pm

Saturday & Sunday: Closed

Our office is HIPAA compliant.

We ask that you reschedule your appointment if you have COVID.

  • American Academy of Dermatology
  • American Board of Dermatology
  • Mount Sinai
  • American Society for Dermatologic Surgery