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Have seborrheic keratosis on cheeks help! Thinking of CO2

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Have seborrheic keratosis on cheeks help! Thinking of CO2

Postby tcorder2 » Mon Jul 23, 2007 2:57 pm

I have been recently diganosed with seborrheic keratosis on my cheeks. It looks like tiny little white warts on the sides of my face. I consulted with my derm who said freezing them would be bad because it would cause all sorts of white dots on my cheeks. I then went to my PS who looked at my labs and suggested CO2. I was excited, set the surgery date for August 23, 2007 --already paid for it, and now I'm reading so many horror stories I'm not sure what to do. I've expressed these concerns to my PS (which who by the way is an excellent PS in Scottsdale...she did my nose last year) and she and her office have never seen some of the horror stories I have read on this forum. Is there anyone out there who did CO2 for seborrheic keratosis? Can anyone please give me some insight good or bad in regards to what they went through with this process. I'm looking at rescheduling around mid Sept (want to have fun on labor day!) This whole process has gotten me really scared now.. I'm 37 and with fair tanned skin, plenty of skin damage from living in AZ and running marathons... PLEASE HELP!! :roll:
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Postby DCNGA » Mon Jul 23, 2007 3:46 pm

Hmmm...not sure you want to do "spot" treatment of Co2, as it can leave (often expected side effect) hypopigmentation. A derm is more likely to give you the down and dirty on what spot treatments fo Co2 will or won't do to you if used for spot treatment.

HopefulinVermont and LizTaylor in the thread above your post have both had good results with their Co2. I know Hopeful went to the "mac-daddy of laser treatments" top docs in the country.

Just so you know, I had one of those on the side of my nose, close to the bridge towards my eye. I had mine scraped off, via a scalpel, no scar and no return of the bugger. It was not particularly small, either--about three times the size of the average freckle. It was on my nose though, where the skin is thicker than the cheek.

I have clogged oil glands all over my face that leave flat white spots on my face, but have some depth to them (I forget what they are called, need to look up the word for them). My derm also injects them with a numbing agent and scrapes them off as well. They are mostly on my forehead, but are also on the sides of my face and even my nose. Again, their removal does not cause a scar to form on me.

Good luck!

D
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Postby tcorder2 » Wed Aug 29, 2007 10:02 am

Just wanted to give an update as to what I ended up doing..First of all I wanted to express many thanks to the ladies who give advice on this forum...I'm so happy I found this site prior to making a decision. I had a deep tca peel on Aug 23rd and on day 6 my face is completly healed and my neck and chest still have a few days to go. ALL I CAN SAY to any of you out there is less is always best. My peel was awesome all my brown spots on my face are gone...even some small wrinkles that I had around my eyes look better. I was ready to dive into CO2 laser resurfacing and took advice from this board and tried the lesser approach and I couldn't be happier. If you have not tried the TCA peel first I would consider it before jumping towards the laser. Many thanks again to D, Liz, lekat and others that gave me insight...I wish u all happy healing :)
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Postby drdisaia » Wed Sep 05, 2007 10:40 am

TCA peels come in several strengths. A deep TCA is close to a full face C02. Just think about re-assessing things and possible doing it again in 6 months if the damaged skin returns.
Best Regards,

John Di Saia MD * Breast and Body Contouring
Orange County, Ca
Tummy Tuck http://psinteractive.net/abdex.htm
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Postby tcorder2 » Wed Sep 05, 2007 6:44 pm

Hi Dr. Saia
Thanks so much for responding...I did the TCA peel took about 2 weeks to heal completly and it didn't touch the white dots... PS says it's in the dermis...Do you think Retin A might work on them? The TCA peel was great all the sun damage is gone... Little bit scary my sodium level went really low after surgery and I gained 20 pounds in less then three days..I don't think I would have the guts for the CO2 ever...I count my blessings that my face came out as nice as it did. Your very kind to respond.. If you have any other ideas please throw them my way. I'm using 1.0 right now which is about as high as you can go I guess. I'm going to try that for another 6 months and see if my nerves come back :) Sincerely, Taya
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Postby DCNGA » Wed Sep 05, 2007 7:30 pm

Tcorder, this is from the Mayo Clinic website and what they say can be done. This (curettage) is what my derm did for the one on my nose and it worked like a charm-no scar, no hypopigmentation either:

"Lesions may be removed with little or no scarring by cryotherapy (but beware risk of hypopigmentation) or by curettage after local injection of lidocaine."

I did not think TCA would get rid of them, but it sure was worth a shot. Good news is it helped with the sun damage. Be sure to put on extra strength sunscreen from now on.

Take care.

D
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Seborrheic keratosis on cheeks help! Best option

Postby Graduatelady » Tue Apr 07, 2015 11:23 pm

I am hoping your condition has improved at this time. I know it's been 8 years since you have posted this, but some seborrheic Keratosis could last a lifetime. If you still have this problem, then you can put SR Lotion in the affected area. You will soon see the result without feeling itchy and stingy all through out the treatment process. I have used it and I would say, my first visit to srlotion.com did not end on my first. Now, I am working on my Keratosis continuously as I saw an improvement on the first week of using the product. Check out amazon reviews for this.
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