Seborrheic Keratosis

Seborrheic keratoses can be unsettling when they first appear. They may look sudden, unfamiliar, or even concerning — especially if you’ve never had one before.

The good news is that seborrheic keratoses are very common and always benign. They have no risk of developing into skin cancer. While they don’t pose a medical risk, many people choose to have them evaluated or removed because of how they look or feel on the skin.

At a Glance

Condition Type

Benign skin growth (non-cancerous)

Common Areas

Head, neck, face, chest, back, shoulders

Goal

Smooth, clear skin through safe removal

Learn More

Seborrheic keratosis (SK) is a benign skin growth that develops on the outer layer of the skin. These growths are very common and can appear as light tan, brown, or black lesions.

How they look:

  • Generally raised, though they may be initially flat
  • Often have a waxy, warty, or rough appearance with scaling
  • Sometimes described as looking “pasted” or “stuck on” the skin
  • Can range in size from a few millimeters to over 2.5 centimeters

 

Common locations include:

  • Head and scalp
  • Face
  • Neck
  • Chest
  • Back
  • Shoulders

 

Seborrheic keratoses can develop on almost any area of the body except the palms of the hands and the soles of the feet. One person may have a single lesion, while others develop multiple over time.

Important: Seborrheic keratoses are always benign and have no risk of developing into skin cancer.

The exact cause of seborrheic keratosis isn’t fully understood, but several factors are known to play a role.

Contributing factors include:

Aging — They tend to become more common with age and are sometimes called “wisdom spots.”

Genetics — There appears to be a genetic component that runs in families. If your parents had seborrheic keratoses, you’re more likely to develop them.

Sun exposure — May play a role in development, though SKs can appear on sun-protected areas as well.

Cumulative skin changes — The skin naturally changes over time, and SKs are part of that process for many people.

Seborrheic keratoses are not caused by poor hygiene or anything you did wrong.

Even though they are harmless, any new or changing skin growth should be evaluated by a qualified provider to ensure an accurate diagnosis.

There is no medical reason to treat seborrheic keratoses unless they become problematic.

Treatment may be recommended if:

  • The growth is inflamed or irritated
  • It catches on clothing or jewelry
  • It’s in an area that gets nicked while shaving
  • It’s cosmetically bothersome

 

Many patients choose removal because:

  • They don’t like the way the growth looks
  • It’s in a visible or noticeable area
  • They want smoother, clearer skin

 

Wanting to remove a seborrheic keratosis for cosmetic reasons is completely valid and the most common reason patients seek treatment.

Seborrheic keratoses don’t cause harm, but they can still be bothersome.

Patients often mention concerns such as:

  • Visible texture or uneven skin surface
  • Dark or raised spots that stand out against surrounding skin
  • Irritation from clothing, jewelry, or shaving
  • Feeling self-conscious if the growth is in a noticeable area
  • Worry that others might think the growth looks abnormal

 

In some cases, seborrheic keratoses may appear alongside other benign skin concerns that affect overall skin texture.

These feelings are understandable, and removal is a straightforward option for those who want clearer skin.

A consultation at Lazaderm is focused on evaluation, education, and reassurance.

During your visit, your provider will:

  • Examine the skin growth carefully
  • Confirm whether it is a seborrheic keratosis (and not another type of lesion)
  • Review your medical history
  • Discuss whether treatment or monitoring is appropriate
  • Recommend the safest and most effective removal method if treatment is desired

 

If removal is recommended, the procedure and aftercare will be explained clearly. You’ll have time to ask questions before making any decisions.

Removal of seborrheic keratosis is typically straightforward, but results can vary depending on the lesion size, location, and treatment method used.

What to expect:

  • Treated lesions usually do not return in the same spot
  • New seborrheic keratoses can develop over time in other areas
  • Some temporary redness or discoloration may occur after treatment
  • Most patients heal well with proper aftercare

 

Your provider will help you understand what to expect and how to care for your skin afterward.

Treatment Options

Treatment is not medically required for seborrheic keratosis, but removal may be recommended if the growth becomes irritated, catches on clothing, or is cosmetically bothersome. A consultation allows your provider to confirm the diagnosis and discuss appropriate options.

Laser Removal (Preferred Method)

Laser treatment is Lornell E. Hansen II, MD’s preferred method for removing seborrheic keratoses.

Erbium Laser — This laser precisely removes the growth layer by layer with excellent control.

Why laser is often preferred:

  • More precise than other methods
  • Faster treatment time
  • Less risk of permanent skin changes
  • Minimal trauma to surrounding tissue
  • Excellent cosmetic results

 

Laser removal is particularly well-suited for seborrheic keratoses on visible areas like the face, neck, and chest.

Electrocautery / Radiofrequency Removal

Electrocautery uses controlled radiofrequency energy to remove seborrheic keratoses.

Ellman Surgitron Radiofrequency System — This method removes the growth with minimal trauma to the surrounding tissue.

Considerations:

  • Effective for various sizes and locations
  • Precise removal with good control
  • May be more time-consuming than laser treatment
  • Good option when laser isn’t available or appropriate

 

Your provider will recommend this approach when it’s the best fit for your specific situation.

Cryosurgery

Cryosurgery uses extreme cold (liquid nitrogen) to freeze and destroy the seborrheic keratosis.

Important considerations: This method is less controlled than laser or electrocautery. It can be easy to overtreat (causing permanent skin changes or scarring) or undertreat (allowing the lesion to return).

When it may be used:

  • For certain types of lesions
  • When other methods aren’t available
  • Based on provider assessment of the specific growth

 

Lornell E. Hansen II, MD generally prefers laser or radiofrequency methods for more precise, predictable results

Talk With a Provider Near You

If you have a skin growth you’re unsure about, a professional evaluation can provide clarity and peace of mind. At Lazaderm, consultations are designed to help you understand what you’re seeing and decide whether treatment is right for you.