Removing skin imperfections

Do you have skin imperfections that you would like to have removed? A skin-colored pimple, bump or bumps with pigment? For example skintags (fibromas) or seborrheic warts? These are innocent “growths” of the skin which we can easily treat with coagulation, PlexR curretage or with our PiQo4 Picolaser. These benign skin tumors are primarily located on adults in the neck, the armpits, on the corps or around the eyes. They usually don’t cause any pain or itchiness. Most people find them cosmetically distracting. After the treatment, a very superficial scab remains that generally heals quickly and without scarring.

Often one treatment will be enough!

Which indications can be treated?

Barley grains (milia)

Milia are very small, innocent white round bumps on the face, usually around the eyes. The cause is unclear. there may be a blockage of sebaceous glad ducts in the epidermis without an inflammatory reaction, such as with acne. Milia are removed by electrocoagulation or by puncturing them very lightly with a sterile needle and removing the contents. The skin heals quickly and without scars. This treatment is often reimbursed.

Skin tags (fibromas)

Fibromas are common skin tags, often located in the neck or under the armpits and sometimes in the groin or on the eyelid. Usually they are soft to the touch and slightly petiolate, sometimes pigmented. Other names are fibroma molle, fibroma pendulans, acrochordon or skin tag.

• Seborrheic warts (verruca seborrhoica)

These are common non-viral warts that have a cauliflower-like texture. The often feel velvety or are just a bit rougher. They come in many different varieties from licht brown to very dark brown. A seborrheic wart usually develops in adulthood and usually from the age of 50. Often there are several warts to be found in 1 person and the places where they often occur are the temples or the trunk.

Dermatosis papulosa nigra (age-related warts on dark skin)

These are small dark brown to black colored raised spots, which mainly occur in people with pigmented skin. The preferred spots for the spots are the face and the neck. The bumps do not hurt of itch and can be burned off with coagulation. After this treatment, a very superficial scab remains that generally heals quickly and without scarring.

Sebaceous gland hyperplasia

Sebaceous gland hyperplasia literally means a visible enlargement of the sebaceous glands in the skin. This completely harmless skin condition is quite commin in aging skin, where sun exposure undoubtedly plays an important role. That is why this skin condition is mainly located in the face. We see several small, yellow, somewhat lobed bumps. The bumps do not hurt or itch and can be burned off with coagulation. After this treatment, a very superficial scab remains that generally heals quickly and without scarring.

Syringomas (bumps around the eyes)

Syringomas are small, benign bumps that originate from the sweat glands. The majority of syringomas are found on the lower eyelids. We can also treat these well by means of coagulation.

• Xanthelasma (cholesterol accumulations around the eyes)

Xanthelasma are yellow, oval patches, usually located around the eyes. They are localized fat bumps that are sometimes seen in people with high cholesterol. Covering with consealer is often not sufficient and the spots are seen as cosmetically disturbing.

Dermal Nevi (benign moles)

These are thickened connective tissue bumps that can be slightly light brown in color. Sometimes a hair grows out. They are also often referred to as pimples or witch’s pimple and are often located on the face on the upper lip, chin or nose. We can easily remove these with the PlexRor the pigment laser. Sometimes a referral from your general practitioner or dermatologist is needed.

• Actinic keratoses (premalignant; on referral)

These are common rough, red irregulated spots on the skin caused by sun damage. Often there are small flakes on it. They mainly occur on the sun-exposed areas of the skin. We see them on the face, on the hands, the forearms, the décolleté and in men often on the bald head. GPs do not always remove these spots; it gives a very small chance of degenerating into skin cancer. Sometimes the spots cause complaints and, for example, they bleed or cause pain. We can remove the spots well with the PlexR method or TCA peeling. Often a small scar remains. The spots must be treated sufficiently deep.

How does a treatment to remove skin imperfections work?

With coagulation we use a device that burns away the excess skin in a very controlled manner. This can be done by holding a kind of loop agains the skin or by inserting a tiny needle into the skin and heating the skin there. Each indication requires a specific method to get the best result. The PlexR produces a kind of lightening, which causes the skin to evaporate locally into a gas. This causes a decrease in excess skin ands tightens the connective tissue. In curettage, the excess skin is scraped or cut with a sharp, sterile spoon or scissors. This is a very fast method to remove skin imperfections like fibroids and age warts and it is also the least sensitive.

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During the first intake we will determine whether your skin and the desired spots are suitable for this treatment and what the expected result may be. There are a few conditions that we will discuss with you:
- Your skin can not be tanned from the sun, sunbeds or a tanning lotion. A laser treatment on tanned skin can cause light or dark spots. After the treatment, it is therefore importent to protect the skin against sunlight for 6 weeks with a sunscreen with a minimum protection factor of 30. Preferably several times a day. This helps to prevent discoloration of the skin. This is of course less necessary when there is little sunlight during the day.
- All treatment methods are generally well tolerated. If you find the treatment sensitive you can anesthetize the skin beforehand with EMLA cream. You can get these on prescription from your doctor. You should apply the cream thickly 45 minutes before the treatment. For an optimal effect of the cream, you could cover it with cling film. You can also take a painkiller an hout before the treatment.

We ask that you do not wear any camouflage creams on the skin area to be treated on the day of the treatment. We will choose the right treatment method, tailored to your skin type. The treatment may be sensitive, it may feel warm.

After the treatment the skin is sometimes cooled to remove the heat from the skin. The skin may be red and locally swollen the same day. A very superficial scab remains on the treated skin, which generally heals quickly without scarring. It is important not to soak or scratch the scabs because of scarring and infection. Handle the skin gently as it is very fragile afterwards. Leave the skin alone as much as possible. Careful washing is allowed, but make sure that the skin is patted dry. Often the skin is somewhat pink in color for 2 to 3 months, this will disappear on its own. You can optionally use Alhydran; a cream that ensures good recovery of the skin. For the face we have make-up that camouflages the treated area with SPF30. It is important to protect the skin against sunlight for 6 weeks with a sunscreen with a minimum protection factor of 30. Preferably several times a day.

Several days after the treatment a superficial scab will occur, which generally heals within a few days. After the scab has healed, the skin bump will be flat. In time however it is possible that new bumps will appear on the skin, this cannot be avoided.

The number of required treatments depends on the type and the amount of skin imperfections. In many cases you'll need only 1 to 2 treatments. Often we can remove up to 25 spots within 1 treatment. The skin therapist will discuss this with you during the first intake.

For all treatment options there is a treatment frequency of 6 weeks. This again depends on the type and amount of skin imperfections.

In general, the removal of facial skin imperfections is reimbursed by your health insurer from the supplementary insurance. You can obtain information about this from your own health insurer. Huidkliniek Twente is affiliated with the "Nederlandse Vereniging van Huidtherapeuten" and all of our skin therapists are registered in the "Kwaliteitsregister Paramedici". You will always receive a quote in advance during the intake. Click here for more information about reimbursements.

You will find our prices at this page. These are the prices for one treatment.

If you have any other questions feel free to contact us!


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