and Treating Skin Growths Around the Eyes - Dermatology

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Skin growths around the eyes, such as the ones you described, can be concerning and often require careful evaluation and treatment. These growths may include various types of lesions, such as warts (verrucae), seborrheic keratosis, or even benign tumors like papillomas. Given that you mentioned they sometimes increase in number and sometimes decrease, it is essential to understand the nature of these growths to determine the best course of action.


Understanding Skin Growths
1. Warts (Verrucae): These are caused by the human papillomavirus (HPV) and can appear anywhere on the body, including around the eyes. They are usually rough and can be skin-colored or slightly darker. Warts can be stubborn and may not respond to topical treatments, especially if they are deep-rooted.

2. Seborrheic Keratosis: This is a common benign skin growth that appears as a brown, black, or light tan lesion. They often have a waxy or scaly appearance and can vary in size. These growths are not caused by a virus and do not require treatment unless they become irritated or for cosmetic reasons.

3. Papillomas: These are benign tumors that can appear as small, soft, skin-colored bumps. They are often caused by viral infections and can be mistaken for warts.


Treatment Options
1. Topical Treatments: If the growths are indeed warts, over-the-counter treatments containing salicylic acid or other keratolytic agents may help. However, these treatments can take time and may not be effective for all types of warts.

2. Cryotherapy: This involves freezing the growths with liquid nitrogen, which can be effective for warts and some other benign lesions. This procedure is usually performed in a dermatologist's office.

3. Electrosurgery or Laser Therapy: These methods can be used to remove warts or other skin growths effectively. They are often quick procedures with minimal downtime.

4. Surgical Excision: For larger or more persistent growths, surgical removal may be necessary. This is typically done under local anesthesia.

5. Observation: If the growths are not causing any symptoms and are not changing in appearance, your dermatologist may recommend simply monitoring them.


When to Seek Medical Attention
- If the growths change in size, color, or shape.

- If they become painful, itchy, or bleed.

- If you have concerns about the nature of the growths, especially if they are new or have changed recently.


Conclusion
Given your situation, it is crucial to consult with a dermatologist or an ophthalmologist who can provide a thorough examination and accurate diagnosis. They may perform a biopsy if necessary to determine the exact nature of the growths. While some skin growths are benign and may not require treatment, others may need intervention, especially if they are persistent or bothersome.
In the meantime, avoid picking at or irritating the growths, as this can lead to infection or scarring. Maintaining a good skincare routine and protecting your skin from sun exposure can also help prevent further skin issues. Always follow the advice of your healthcare provider regarding treatment options tailored to your specific condition.