Does Cryotherapy on the Scalp Damage Hair Follicles? - Dermatology

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Will cryotherapy damage the hair follicles on the scalp?


A wart has developed on the scalp, and the doctor used cryotherapy with liquid nitrogen to freeze it off, allowing it to fall off on its own.
Will the cryotherapy damage the hair follicles? Is there a possibility that hair will not grow back in the area where the wart was located? Thank you!

Xiao Mao, 30~39 year old female. Ask Date: 2018/06/08

Dr. Wu Yuxin reply Dermatology


In principle, it should not happen.

Reply Date: 2018/06/08

More Info


Cryotherapy, or the use of liquid nitrogen to freeze and destroy abnormal tissue, is a common treatment for various skin lesions, including warts on the scalp. When it comes to the concern of whether cryotherapy can damage hair follicles, the answer is nuanced and depends on several factors.

First, it's important to understand that hair follicles are quite resilient structures. They are designed to withstand various environmental stresses, including temperature fluctuations. However, the extent of damage to hair follicles during cryotherapy can vary based on the size and depth of the wart, the technique used, and the number of treatments administered.

In general, cryotherapy targets the wart itself, which is a benign growth caused by a viral infection (usually the human papillomavirus, or HPV). The goal is to freeze the wart until it dies and eventually falls off. If the wart is small and superficial, the risk of damaging the surrounding hair follicles is relatively low. However, if the wart is larger or if the cryotherapy is applied too aggressively, there is a potential risk of affecting nearby hair follicles, which could lead to temporary hair loss in that area.

Research indicates that while cryotherapy is effective for treating warts, it can sometimes result in localized hair loss. This is often temporary, and hair typically regrows once the skin heals and the hair follicles are not permanently damaged. The hair growth cycle can be influenced by several factors, including the health of the hair follicles, the extent of the treatment, and individual healing responses.

If you are concerned about the potential for hair loss following cryotherapy, it is advisable to discuss this with your dermatologist or healthcare provider. They can provide personalized advice based on the specifics of your case, including the size and location of the wart, as well as your overall scalp health.

In terms of alternative treatments, laser therapy is another option for wart removal. While laser treatments can also affect hair follicles, they tend to be more precise and can minimize damage to surrounding tissues. However, like cryotherapy, there is still a risk of hair loss, especially if the laser treatment is applied to a larger area or if the wart is located in a hair-dense region.

To summarize, while cryotherapy is an effective treatment for scalp warts, there is a potential risk of damaging hair follicles, particularly if the wart is large or if the treatment is aggressive. However, in most cases, any hair loss is likely to be temporary. If you have concerns about hair regrowth or the health of your scalp after treatment, it is best to consult with a dermatologist who can monitor your condition and suggest appropriate follow-up care.

Similar Q&A

Freezing Scalp Warts: Impact on Hair Follicles and Treatment Options

Hello, doctor. I have a scalp wart (approximately 1mm). If I choose to treat it with cryotherapy using liquid nitrogen, will the virus be killed, and could the surrounding hair follicles also potentially suffer frostbite and die due to multiple cryotherapy sessions, resulting in ...


Dr. Wu Yuxin reply Dermatology
The first choice for treating warts is cryotherapy. Whether it will damage the hair follicles depends on the size of the wart itself and is not directly related to the type of treatment used.

[Read More] Freezing Scalp Warts: Impact on Hair Follicles and Treatment Options


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Hello: From the description provided, it is unclear where the cryotherapy was applied. If it was not on the scalp, cryotherapy should not cause hair loss. I recommend returning for a follow-up and discussing this with a dermatologist. Thank you!

[Read More] Understanding Hair Loss After Cryotherapy: Is It Normal?


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