45 yr old female - raised brown spots all over my back, can they be removed? (photo)

Would like to have these brown spots removed from my back. I believe they are called sebhorric keratosis? As you can see, they are taking over. My mother had them, so assuming they are genetic. Lucky me! I had some removed via Fraxel 2 resurfacing from my face and was pleased with the results. Is it possible to do the same for my back, and how many treatments would it take? Also wondering aproximate cost. Thank you!

Doctor Answers 7

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.

A simple treatemnt for brown spots on the skin

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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.

Cosmetic removal of seborrheic Keratosis

These can easily be treated by shaving or freezing them off. A rough cost estimate would be about $250 for 15 spots. I would not suggest doing more than 30 at a time as the recovery could be uncomfortable. 

Matthew C Camp M.D.

Board Certified Plastic Surgeon

Member of the American Society of Plastic Surgeons

Cosmetic removal of seborrheic Keratosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

These can easily be treated by shaving or freezing them off. A rough cost estimate would be about $250 for 15 spots. I would not suggest doing more than 30 at a time as the recovery could be uncomfortable. 

Matthew C Camp M.D.

Board Certified Plastic Surgeon

Member of the American Society of Plastic Surgeons

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!

Pauline Scott, MD, MBA
Katy Dermatologist
5.0 out of 5 stars 9 reviews

Seborrheic Keratoses Treatment

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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!

Pauline Scott, MD, MBA
Katy Dermatologist

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Seborrhoeic K's

Hi 

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....

Seborrhoeic K's

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi 

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....

Hyfrecation of seborrheic keratosis

Melarase PM, Hyfrecation, and fractional lasers can help improve the age spots and seb k on your back.

Best, 

Dr. Karamanoukian

Los Angeles

Hyfrecation of seborrheic keratosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Melarase PM, Hyfrecation, and fractional lasers can help improve the age spots and seb k on your back.

Best, 

Dr. Karamanoukian

Los Angeles

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.

Multiple seborrheic keratosis are a common concern

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Sebhorric Keratosis Solutions--Lasers, liquid nitrogen, electro-dissection

These can be removed with lasers, liquid nitrogen, or electro-desiccation. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

Sebhorric Keratosis Solutions--Lasers, liquid nitrogen, electro-dissection

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

These can be removed with lasers, liquid nitrogen, or electro-desiccation. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.