Is My Plantar Wart Fully Healed After Scab Falls Off?

After the scab of the wart falls off, the surface..?

Hello Doctor: My plantar wart has finally fallen off after multiple cryotherapy sessions.
It appears that the surface pattern has grown back when examined under strong light, but there are still some slight red spots on the surface.
Does this mean it is completely healed, or should I continue cryotherapy until the red spots are gone? I have attached a picture (the lesion is marked with a red circle, the rest is pixelated) http://m.imgur.com/z1yb29Q Thank you for your response!

Kelly, 20~29 year old female. Ask Date: 2016/08/17

Dr. Wu Yuxin reply Dermatology

Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication," and therefore, online diagnosis is not permissible.
If there are any concerns, you should discuss them with your primary physician.

Reply Date: 2016/08/17

More Info

When dealing with plantar warts, it's important to understand the healing process and what signs indicate that the wart has fully healed. After undergoing cryotherapy (freezing treatment), it's common for the wart to develop a scab, which eventually falls off. The appearance of the skin underneath the scab is a crucial indicator of healing.

In your case, since the scab has fallen off and you observe that the surface appears to have some texture and is showing signs of new skin growth, this is generally a positive sign. However, the presence of slight redness can indicate that the area is still healing. Redness can be a normal part of the healing process, as the skin may still be sensitive and inflamed after the wart has been treated.

Here are a few key points to consider regarding the healing of plantar warts:
1. Healing Timeline: After the scab falls off, it can take several weeks for the skin to fully heal. The new skin may initially appear red or pink, which is normal. This redness typically fades as the skin continues to heal.

2. Signs of Complete Healing: A plantar wart is considered fully healed when the skin returns to its normal color and texture, and there are no signs of irritation, pain, or tenderness in the area. If the redness persists but there is no pain or other symptoms, it may just be a sign of ongoing healing.

3. Continued Treatment: If the wart was particularly stubborn or if you notice any signs of regrowth or if the area becomes painful, it may be advisable to consult with a healthcare professional. They can assess whether further treatment, such as additional cryotherapy or other methods, is necessary.

4. Aftercare: After the wart has been treated, it's important to keep the area clean and dry. Avoid picking at the area or exposing it to excessive moisture, as this can lead to irritation or infection.

5. Monitoring for Recurrence: Even after a wart appears to be healed, it's wise to monitor the area for any signs of recurrence. If you notice any new growths or changes in the skin, seek medical advice.

In summary, while the falling off of the scab and the appearance of new skin are good signs, the presence of slight redness suggests that the area is still in the healing phase. It is generally not necessary to continue freezing treatment unless there are signs of regrowth or if the area becomes painful. If you have concerns about the healing process or if the redness does not improve over time, it would be best to consult with a dermatologist or healthcare provider for further evaluation and guidance.

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