45 yr old female - raised brown spots all over my back, can they be removed? (photo)
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Doctor Answers 6
A simple treatemnt for brown spots on the skin
The simplest way to treat these is by shaving them off flush with the skin and then using light electrocautery. The wound heals in a few days with antibiotic ointment used as a bandage. The skin will be red for a few months but this typically fades and the final healing results in no scarring.
Seborrheic Keratoses Treatment
From your picture, it would appear that you have multiple seborrheic keratoses which are benign skin lesions that tend to appear over time with age. These can be cosmetically displeasing to patients and can be removed via multiple modalities including liquid nitrogen, electro-dessication, shaving them at the base, and lasers. It would be best to consult with a board certified dermatologist and get a full skin exam before proceeding with any treatments to ensure you would not unknowingly be treating any other skin lesions such as moles or skin cancers. In rare cases, seborrheic keratoses can appear suddenly secondary to an underlying malignancy, so it would be best to see your primary care physician to get age appropriate malignancy screenings yearly. Good luck!
Thank you very much for sharing your photos. The Ellman machine is widely avaliable in the USA.
We have been using it since 2004 and these lesions never scar.
I am sure you will be thrilled....
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Hyfrecation of seborrheic keratosis
Melarase PM, Hyfrecation, and fractional lasers can help improve the age spots and seb k on your back.
Multiple seborrheic keratosis are a common concern
Multiple seborrheic keratosis are a common concern, especially when they are widespread. People will try various treatments to try to manage them like exfoliants, chemical peels, Liquid Nitrogen freezing and laser treatments. Unfortunately the Fraxel laser you had done (which I assume is a CO2) cannot be easily done on the torso due to the size of the area plus the body doesn't heal as well as the face with such a procedure. What I would recommend is gradually treating them with gentle freezing or removal with an electric needle. I wouldn't recommend doing them all at once but slowly making a dent in them over multiple visits. Once the larger lesions are removed, then peels or laser may be more of an option.