Flat Warts on the Face: Treatment and Care Tips - Dermatology

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Warts on the face


Hello, doctor.
I didn't realize that I had developed flat warts before.
Since I also have acne, I have squeezed my pimples with my hands.
Now, some areas have become infected with flat warts.
I am currently applying salicylic acid treatment on my face, but the treated areas are itchy and red.
How long will it take for this condition to improve? Can I still use sunscreen and primer on my face with the warts? I'm very worried that applying these products will cause the warts to spread.
I've been troubled by this for a long time.

zenmeban, 20~29 year old female. Ask Date: 2005/11/21

Dr. Zheng Lizhen reply Dermatology


Hello: Each person's immune system is different, so the time required may vary.
Even if you have flat warts, you can still apply sunscreen or barrier cream to avoid scratching and prevent spreading.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2005/11/21

More Info


Flat warts, also known as verrucae planae, are benign growths caused by the human papillomavirus (HPV). They often appear as small, smooth, raised bumps on the skin, and can be particularly common on the face, especially in children and young adults. Your concern about the appearance of flat warts on your face, especially after manipulating acne lesions, is valid, as the virus can spread through direct contact or by touching contaminated surfaces.


Treatment and Care Tips for Flat Warts
1. Topical Treatments: You mentioned using salicylic acid, which is a common treatment for warts. Salicylic acid works by exfoliating the outer layer of the skin and gradually removing the wart. It’s important to apply it consistently, usually once or twice daily, and to follow the instructions on the product. However, if you experience excessive redness, itching, or irritation, it may be best to reduce the frequency of application or consult a dermatologist.

2. Avoid Picking or Scratching: It’s crucial to avoid picking at the warts or the surrounding skin. This can lead to further irritation and may spread the virus to other areas of your skin, potentially causing more warts to develop.

3. Moisturizing: Keeping the affected area moisturized can help reduce irritation. However, be cautious with the products you choose. Opt for non-comedogenic moisturizers that won’t clog your pores or exacerbate acne.

4. Sun Protection: You can still use sunscreen and barrier creams on your face. It’s essential to protect your skin from UV damage, especially if you are using treatments like salicylic acid, which can make your skin more sensitive to sunlight. Choose a broad-spectrum sunscreen with an SPF of at least 30, and apply it generously to all exposed areas, including the warts. If you’re concerned about spreading the warts, you can use a separate applicator for the sunscreen on the affected areas.

5. Consult a Dermatologist: If the warts do not improve with over-the-counter treatments or if they continue to spread, it’s advisable to see a dermatologist. They can offer more potent treatments, such as cryotherapy (freezing the warts), laser therapy, or prescription topical treatments that may be more effective.

6. Timeframe for Healing: The duration for flat warts to resolve can vary significantly from person to person. With consistent treatment, some warts may begin to improve within a few weeks, while others may take several months to fully disappear. Patience and adherence to the treatment regimen are key.

7. Preventing Spread: To minimize the risk of spreading the virus, avoid sharing personal items like towels or razors, and wash your hands frequently. If you have any tools for skincare, ensure they are sanitized before use.

8. Lifestyle Considerations: Maintaining a healthy immune system can help your body fight off the virus. Ensure you are eating a balanced diet, getting enough sleep, and managing stress levels, as these factors can influence your immune response.

In summary, while flat warts can be bothersome, they are generally manageable with proper care and treatment. If you continue to experience discomfort or if the warts worsen, seeking professional medical advice is the best course of action.

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