Wart Treatment (HPV / Verruca Vulgaris)
RF ablation 95 percent clearance, CO2 laser 85-95 percent, cryotherapy and electrocautery
Liquid-nitrogen cryotherapy at 2-4 week intervals for common warts, radiofrequency ablation (RFA) or electrocautery for filiform and palmoplantar warts, intralesional bleomycin 1 mg/mL or Candida antigen 0.3 mL for multiple-resistant lesions. Topical salicylic acid 16-20% for paediatric plantar warts. All under dermatologist supervision with chain-of-custody on disposable burr/electrode.
Cutaneous HPV warts recur in 30-40% of cases regardless of removal modality; the IADVL Cutaneous HPV Consensus 2019 calls for explicit pre-procedure counselling on this. Self-inoculation (touching a wart and then touching another body site) is the largest preventable cause of new wart appearance during a treatment course. At our Kollam clinic the modality is selected per the lesion type and count (cryotherapy for solitary common warts, RFA for filiform/facial, intralesional bleomycin or Candida antigen for multiple-resistant), and every patient gets recurrence-prevention counselling including no-share-towel + cover-the-wart + treat-quickly rules.
DermaVue Kollam is a dermatologist-owned dermatology clinic offering wart, skin tag and mole removal using radiofrequency ablation (95 percent success rate in comparative studies), CO2 laser, electrocautery and intralesional immunotherapy under board-certified MD DVL dermatologists. The clinic provides dermoscopy-guided lesion assessment with biopsy services for suspicious moles, following evidence-based protocols with aftercare adapted for Kollam tropical coastal climate. Dr. Arunima A (dermatosurgery) and Dr. Jayalekshmi J perform all procedures directly. The clinic is rated 4.9 stars across 370+ patient reviews and adheres to the IADVL safety standard of dermoscopy before any pigmented-lesion removal.
RF ablation 95 percent clearance, CO2 laser 85-95 percent, cryotherapy and electrocautery
MMR vaccine (62-73 percent clearance) or Candida antigen (63-82 percent) for multiple or recurrent warts
for stubborn recalcitrant warts unresponsive to standard destructive methods
10-70x digital imaging of every pigmented lesion before any procedure (mandatory protocol)
Asymmetry, Border, Colour, Diameter, Evolving screening for melanoma risk
mandatory for atypical pigmented lesions
single-session electrocautery on neck, underarms, groin and friction sites
dermatologist-level electrocautery for Dermatosis Papulosa Nigra on South Indian skin to prevent hypopigmentation
electrocautery or CO2 laser with pre-treatment dermoscopy
combination cryotherapy and bleomycin for deep weight-bearing-area lesions
Board-certified dermatologists walk through the clinical approach — watch before your first visit.
Dr Jayalekshmi J and Dr Arunima A both hold the MD DVL postgraduate qualification and own every file together. Continuity of care is the default, not a tagline.
Dermatology, Cosmetology, Medical Dermatology
Dermatology, Dermatosurgery, Lasers & Aesthetic Procedures
Direct line to the team WhatsApp +91 80868 60465 →
Consultation costs Rs.300 and includes dermoscopic lesion assessment. Removal procedures vary based on method, lesion size, and number of lesions. Single wart removal begins from Rs.500-1,000. Your dermatologist provides a specific estimate after evaluation, with no hidden charges.
Most patients experience minimal discomfort. Local anaesthesia numbs the treatment area before the procedure. During RF ablation or laser removal, patients typically feel mild warmth or pressure. Post-procedure discomfort is managed with standard over-the-counter pain relief if needed.
Recurrence is possible because HPV can persist in surrounding tissue even after the visible wart is destroyed. Radiofrequency ablation has the lowest recurrence rate (95 percent clearance) among destructive methods. For patients with recurrence history, immunotherapy addresses the underlying viral infection systemically.
Warts are caused by Human Papillomavirus (HPV), transmitted through direct skin contact or contaminated surfaces. They are contagious. Touching a wart and then touching another body part can spread the virus. People with weakened immunity or broken skin are more susceptible to infection.
Skin tags are benign and carry no cancer risk. They warrant removal when causing irritation from clothing or jewellery friction, or for cosmetic reasons. Multiple skin tags, particularly with a family history of diabetes, may signal insulin resistance worth discussing with your dermatologist at DermaVue Kollam.
Follow the ABCDE rule: Asymmetry, Border irregularity, Colour variation, Diameter over 6mm, and Evolving changes. Any mole that bleeds, itches, grows rapidly, or changes colour warrants immediate dermoscopic evaluation at DermaVue Kollam.
Evidence favours radiofrequency ablation (95 percent clearance) and CO2 laser (85-95 percent) over cryotherapy (58-70 percent). CO2 laser provides the best cosmetic outcome for facial and visible-area warts. Dr. Arunima A selects the optimal method based on wart location, size, and depth.
Small lesion sites heal within 7-14 days. Larger or deeper removals take 2-3 weeks. Kollam humidity (63-80 percent) can slow healing slightly compared to drier climates. Our post-procedure protocol includes specific moisture management and infection prevention steps for the coastal environment.
Yes. HPV spreads through autoinoculation, that is touching or scratching a wart then touching uninfected skin. Shaving over a wart is a common way patients unknowingly spread the virus to adjacent areas. Wart-related skin trauma can also trigger breakouts in affected zones. Professional removal at DermaVue Kollam reduces this self-spreading risk.
Intralesional immunotherapy involves injecting an immune-stimulating agent into a wart, activating your body immune response against HPV. It clears the treated wart and distant warts simultaneously. Recommended for patients with multiple warts (5+), recurrent warts, or warts resistant to previous treatment. Published data shows 62-82 percent complete clearance.
OTC salicylic acid achieves 40-60 percent clearance for mild, small warts and is a reasonable first attempt. If warts persist beyond 4-6 weeks of daily application, professional evaluation is recommended. For warts on the face, genitals, or in large numbers, start with a dermatologist rather than OTC products. A chemical peel treatment may also help with post-wart skin texture.
Yes. Our dermatologists routinely remove multiple lesions in a single session. For extensive wart disease (10+ lesions), a combination of immunotherapy plus selective RF ablation of the largest warts is the most effective and cost-efficient approach at DermaVue Kollam.
RF ablation is safe for facial warts, though CO2 laser is often preferred for visible facial areas due to its superior cosmetic outcome and minimal scarring risk. Dr. Arunima A selects the method that balances complete removal with the best possible aesthetic result for each patient.
₹300 consultation · same-day slots available · Kavanad clinic open Mon–Sat 10 AM – 7 PM, Sun closed.