What is the best way to remove seborrheic keratosis from Asian skin? (Photo)

Question

I’ve been to several dermatologists and got a different response each time about how to treat my SK. I was given curettage as an option a few years back. Others have said IPL while others say they’d never use IPL on Asian skin because the risk of making the spot darker. I saw a doctor today to try Eskata but was turned away because my spot is not raised. The spot is flat, textured, and about the size of an eraser end.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michele S. Green, MD · Answer

It is difficult to tell from the photo if this is just a solar lentigo from the sun or a Seb Ker.  I treat a lot of patients from Asia and special care must be used to avoid hyperpigmentation.  If it is a Seb Ker than light electrodessication can be used to treat this lesion. Please consult a board certified dermatologist to treat this cosmetic lesion.  Best, Dr. Green

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question and photo. You are correct in that it is extremely difficult to treat seborrheic keratosis on your type of skin. With great care, light cautery may be effective while minimizing risks for post inflammatory hyperpigmentation or scarring. I recommend a consultation by a board certified dermatologist for evaluation of the lesion and discussion of appropriate treatment. Best of luck.

What is the best way to remove seborrheic keratosis from Asian skin? (Photo)

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What is the best way to remove seborrheic keratosis from Asian skin? (Photo)

Answers (3)

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Everything you need to know about IPL

Our mission is to create a world where every investment in modern beauty is Worth It.