Actinic Keratosis Treatment Photo:
Cryosurgery
Liquid nitrogen "freezes" surface skin, which
subsequently flakes off to be replaced by new skin. Skin redness for a
time is the chief side effect. Cryosurgery is one of the most commonly
used treatments, especially by dermatologists.
Shave Excision
Shave excision usually removes the actinic keratosis with
the most precision. A specimen can also be sent to a pathologist to
confirm the diagnosis (since it is not destroyed like in cryosurgery).
Skin redness for a time is the chief side effect. Shave excision is one of
the most commonly used treatments, especially by plastic surgeons. The
cosmetic result is usually better than that achieved by other methods of
removal.
Surgical excisional biopsy
Actinic keratoses are surgically removed with an
excisional biposy and the tissue examined under a microscope when there is
suspected transformation into invasive squamous cell carcinoma.
Topical and systemic retinoids
Retinoids (vitamin A derivatives) are potent agents
that can normalize abnormal growth and differentiation in keratinocytes.
They must be prescribed by a doctor after full dermatologic and medical
examination, and their use must be monitored regularly. Retinoids have a
number of side effects, but skin irritation is the most common.
Topical chemotherapy
A topical anti-cancer agent (e.g., 5-fluoruracil)
is applied to the skin to remove actinic keratoses lesions. A localized
red spot may remain for some time at the site of chemotherapy application.
Chemical peel
In a chemical peeling treatment, a chemical
solution is applied to the skin causing the skin to blister and peel off over a
period of days. As the treated skin blisters and peels, new skin forms to
replace it. Your plastic surgeon will select a chemical solution to
accomplish a mild, medium or deep peel. The principal side effect is
redness and swelling of skin for a period of time after the treatment.
Dermabrasion
Skin is abraded away with a rapidly rotating brush,
down to the depth necessary to remove sun-damaged skin. New skin grows to
replace the removed, damaged skin. Redness of skin and some discomfort are
the chief side effects, usually resolving within 10 days. Your plastic
surgeon can relieve the side effects with medications.
Laser skin resurfacing
A series of treatments with the carbon dioxide or
erbium laser removes surface skin to a desired depth. Post-treatment skin
redness is the principal side effect. A week or two of healing is needed.
Electrosurgical skin
resurfacing
A pulse of electromagnetic energy at radio
frequency removes surface skin. Mild to moderate post-treatment swelling
is the chief side effect.
Actinic Keratosis Picture Treatment should be fully and openly discussed with
your plastic surgeon. After actinic keratoses are removed, the new skin
must be protected from new solar damage by a regimen of skin care that includes
sun protection and regular use of moisturizers.
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