Cryotherapy: What to Expect After Skin Wart Removal - Dermatology

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Cryotherapy


I had two warts on my left hand eight years ago, and three days ago I underwent cryotherapy.
The blister has grown larger and is swollen and painful, so I punctured it.
Since then, it has been swelling up every fifteen minutes, and when I press on the blister (which has so much fluid that it can shoot out like a fountain, not exaggerating, I really shot out a stream of fluid).
Is this a normal phenomenon?

ABC, 10~19 year old female. Ask Date: 2020/08/31

Dr. Li Yufen reply Dermatology


Hello: After cryotherapy, it is possible to experience a reaction similar to frostbite, resulting in blisters.
Generally, draining the contents of the blisters will lead to improvement.
However, if the skin symptoms do not improve or worsen, you should return for a follow-up appointment with a dermatologist for further management and treatment.
Thank you!

Reply Date: 2020/08/31

More Info


Cryotherapy, or cryosurgery, is a common dermatological procedure used to treat various skin lesions, including warts. It involves freezing the affected tissue, which leads to cell death and subsequent removal of the wart. After undergoing cryotherapy, it is essential to understand what to expect during the recovery process, as well as how to manage any symptoms that may arise.

In your case, experiencing swelling and pain after the procedure is not uncommon. The formation of blisters is a typical response to cryotherapy, as the freezing process can cause damage to the skin and surrounding tissues. The blister acts as a protective barrier, allowing the underlying skin to heal. However, if the blister becomes excessively large, painful, or shows signs of infection (such as increased redness, warmth, or pus), it is crucial to seek medical attention.

It is generally advised not to puncture or pop blisters, as doing so can increase the risk of infection and delay the healing process. If you have already punctured the blister and it continues to refill with fluid, this may indicate that the area is still healing and that your body is responding to the trauma of the procedure. The fluid accumulation is a natural part of the healing process, but if it becomes bothersome or painful, you should consult your healthcare provider for further evaluation.

To manage the symptoms you are experiencing, consider the following recommendations:
1. Rest and Avoid Irritation: It is essential to avoid activities that may irritate the area, such as vigorous exercise or contact sports, until the blister has healed. This will help reduce swelling and pain.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. Always follow the recommended dosage on the package or consult your healthcare provider for guidance.

3. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh chemicals or scrubbing the area, as this can exacerbate irritation.

4. Protect the Blister: If the blister is intact, consider covering it with a sterile bandage to protect it from further injury. If the blister has burst, keep the area clean and covered to prevent infection.

5. Monitor for Signs of Infection: Keep an eye on the blister and surrounding skin for any signs of infection. If you notice increased redness, warmth, swelling, or pus, contact your healthcare provider promptly.

6. Follow-Up Care: It is advisable to have a follow-up appointment with your dermatologist to assess the healing process and determine if any further treatment is necessary.

In summary, while some swelling and blister formation after cryotherapy is normal, it is essential to monitor your symptoms closely. If you have concerns about the severity of your symptoms or if they worsen, do not hesitate to reach out to your healthcare provider for guidance. Proper care and monitoring will help ensure a smooth recovery and minimize the risk of complications.

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