Methods of Treatment
Warts & Verrucas
Dr Hussein has developed considerable expertise in the treatment of these lesions as he uses a wide array of laser surgical and conventional skin surgical techniques. He treats well over a hundred of these lesions every year. His access to state-of-the-art equipment such as NdYAG and CO2 lasers allows him to perform treatments that are not available to most dematologists and doctors. His expertise in cutaneous laser surgery and skin surgery allow him to offer the most effective solutions for the treatment of these stubborn lesions. Success rates of treatment with Dr Hussein are in the order of 70%-80% with the first treatment depending on lesion type. This is well above the average of most doctors using conventional techniques.
Pulsed Dye Laser
Pulsed Dye laser is a very useful technique for treatment for warts that are located on areas other than the soles of feet and around the nails. Caution should be exercised if it is to be used on the face due to too much collateral damage to normal tissue. It has a high rate of failure on areas such as the feet and around the nails due to insufficient depth of penetration of this type of laser. Dr Hussein uses this method for non-facial and non-feet/nail lesions. This method is a little sore but local anaesthetic is rarely used as it is used only for superficial lesions.
This is the most effective tool for the treatment of small (less than 1cm diameter) veruccae on the soles of the feet. These lesions are thick and as such a deeper penetrating laser is required. The treatment is performed in two stages. This treatment must be performed under local anaesthetic as the laser penetrates deeply through the full thickness of the lesion. Once treated the lesion will be left for one week. The dead tissue containing the wart will be removed a week later. Contrary to most patient’s expectations the removal of this dead tissue is usually pain free.
This is Dr Hussein’s method of choice for more complex mosaic warts. It is also his method of choice for warts around the nails. Multiple veruccae on the soles of the feet can also be treated with this method. The advantage of this laser is that it allows for precise destruction of diseased tissue under direct vision. It is also bleed free as the laser cauterises as it removes tissue. As a result, the treatment can be ceased as soon as normal tissue is encountered. This allows for no more wounding than is necessary and faster healing time as a result. This treatment if required will usually be carried out at the sk:n Epsom branch as that is where the special laser for this treatment (Lumenis Ultrapulse CO2) is located.
Cautery & curettage
This is a simple method that is an easy solution for treatment of superficial small lesions on and off the face. It involves a small amount of local anaesthetic to numb the area to be treated. The lesion is then destroyed with an electrosurgical tool and then scraped off the normal underlying skin. It is a much less suitable method for warts around the nail and on the soles of the foot.
In certain cases Dr Hussein may decide to perform a surgical excision of warts and verrucae under local anaesthetic. Given the multiple other methods available it is rarely necessary. Sometimes a patient will feel that excisional surgery is the only way to remove the wart completely and without recurrence. This is an incorrect assumption as recurrence is possible even in excisional surgery.