Cryotherapy for Molluscum: What to Expect After Treatment - Dermatology

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Cryotherapy for Molluscum Contagiosum


Hello Dr.
Lee, I would like to ask about the situation after cryotherapy.
The day after the treatment, I noticed that the scabbed area turned black, but it is located between the two warts rather than directly on the wart itself.
Is this normal? I couldn't find similar information online.
If I return for a follow-up and it turns out that the treatment affected the surrounding area, it wouldn't be possible to perform cryotherapy again immediately, correct? Thank you for your response!

77, 20~29 year old female. Ask Date: 2024/03/16

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to viral warts, you can refer to the article on Care Online at https://www.careonline.com.tw/2017/08/warts.html.
After cryotherapy with liquid nitrogen, viral warts may not necessarily show obvious scabbing.
If the skin condition does not improve or worsens, it is recommended to consult a nearby dermatologist for diagnosis and treatment at https://www.derma.org.tw/finddoctor/.
Thank you!

Reply Date: 2024/03/16

More Info


Cryotherapy is a common treatment for molluscum contagiosum, a viral skin infection characterized by small, raised, pearly lesions. This treatment involves freezing the lesions with liquid nitrogen, which causes the cells to die and eventually fall off. After undergoing cryotherapy, it is normal to have some questions and concerns about the healing process and what to expect.

In your case, noticing a black scab forming in the area between two molluscum lesions rather than directly on the lesions themselves can be concerning. However, it is not uncommon for the freezing process to affect the surrounding skin. The black scab you see is likely a result of the cryotherapy, which can cause localized skin irritation or necrosis (death of skin cells) in the treated area. This can happen if the cryotherapy was applied more broadly than intended, or if the surrounding skin was inadvertently affected during the procedure.

Typically, after cryotherapy, the treated lesions will blister and then form a scab as they heal. The scab will eventually fall off, revealing new skin underneath. If the scab is forming in an area that was not directly treated, it may indicate that the cryotherapy was slightly more extensive than necessary, but this is not usually a cause for alarm. The surrounding skin can react to the treatment, especially if it was exposed to the freezing temperatures.

Regarding your concern about whether you can undergo another cryotherapy session if the surrounding area was affected, the answer is generally no, at least not immediately. It is important to allow the skin to heal properly before applying any further treatment. Returning to your healthcare provider for a follow-up appointment is crucial. They will assess the healing process and determine if additional treatment is necessary or if the current approach is sufficient.
In the meantime, it is essential to keep the area clean and avoid picking at the scab, as this can lead to infection or scarring. If you notice any signs of infection, such as increased redness, swelling, warmth, or pus, you should contact your healthcare provider promptly.

In summary, while it is not uncommon to see a scab form in the surrounding area after cryotherapy for molluscum contagiosum, it is essential to monitor the healing process and consult with your healthcare provider for further evaluation. They can provide guidance on the next steps and whether additional treatments are needed. Remember, healing from cryotherapy can take time, and patience is key in allowing your skin to recover fully.

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