Scalp Warts: Treatment and Recovery Insights - Dermatology

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Viral warts on the scalp?


Hello, doctor.
I had a viral wart on my scalp that was about 2 centimeters long.
After seeing a dermatologist, I was informed that this wart was generated from a mole.
I underwent cryotherapy nearly 10 times, and now it is no longer visible to the naked eye.
However, when I touch the area, I can still feel a slightly raised spot (though it's not very prominent), and it seems like hair is starting to grow in that area (which was previously bald).
I'm unsure whether this is a sign of improvement or if it hasn't fully healed.
Should I go back to the dermatologist, or should I just let it heal naturally?

Yan Yan, 20~29 year old female. Ask Date: 2022/12/24

Dr. Wu Yuxin reply Dermatology


It's best to have it checked again for safety.

Reply Date: 2022/12/24

More Info


Understanding scalp warts, particularly those caused by the human papillomavirus (HPV), can be a complex issue, especially when it comes to treatment and recovery. Based on your description, it seems that you have undergone multiple cryotherapy sessions to treat a wart on your scalp, which is a common and effective method for removing warts.
Cryotherapy involves freezing the wart with liquid nitrogen, causing the wart tissue to die and eventually fall off. It is not uncommon for the wart to take several treatments to fully resolve, especially if it was large or deeply rooted. The fact that you can no longer see the wart with the naked eye is a positive sign, indicating that the treatment may have been successful. However, the presence of a slightly raised area where the wart used to be, which is now growing hair, suggests that the skin is healing and regenerating.
In terms of whether you should seek further treatment or allow it to heal naturally, there are a few factors to consider:
1. Healing Process: After cryotherapy, it is normal for the skin to take some time to fully heal. The raised area may be a part of the healing process, and as long as it is not painful, itchy, or showing signs of infection (such as redness, swelling, or discharge), it may be best to allow it to heal naturally.

2. Follow-Up Care: It is always a good idea to have follow-up appointments with your dermatologist, especially if you have concerns about the healing process. They can assess the area and determine if any additional treatment is necessary. If the raised area does not resolve over time or if you notice any changes, such as increased size or discomfort, you should definitely return to your dermatologist.

3. Hair Growth: The fact that hair is starting to grow in that area is a good sign, as it indicates that the skin is recovering. However, if you notice any unusual changes in the hair growth pattern or texture, it would be worth discussing with your dermatologist.

4. Potential for Recurrence: Warts can recur, especially if they are caused by HPV. If you notice any new growths or changes in the area, it is important to seek medical advice promptly.
5. Self-Care: In the meantime, take care of your scalp by keeping it clean and avoiding any irritants. If you are using any hair products, ensure they are gentle and suitable for sensitive skin.

In conclusion, while it appears that your treatment has been effective, it is essential to monitor the area for any changes. If you have any doubts or concerns, do not hesitate to reach out to your dermatologist for a professional evaluation. They can provide you with the best advice tailored to your specific situation and ensure that your scalp remains healthy. Remember, healing can take time, and patience is key in the recovery process.

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