Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Warts - Patients ask, Dr. Ringpfeil answers

Please feel free to use the blog below to share information about Warts or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.

34 Responses to Warts

Wander from Other says:

February 19, 2020 at 9:44 AM

Hello! Two years ago I discovered three small genital warts in my rectum outside the anus and it was confirmed at a Planned Parenthood clinic in Philadelphia. PP prescribed Imiquimod which I applied. I tried this treatment. They remained so I went through the same course of treatment again. The warts remain but have not grown or spread to my knowledge. They do not bleed or secrete anything. I want to remove them. Do you think it is possible or advisable?

Reply

Franziska Ringpfeil MD. says:

April 6, 2020 at 3:09 AM

Treatment for genital warts is generally recommended. If imiquimod fails after 16 weeks of application 3 times a week, treatment options are Canthacur, laser, or photodynamic therapy. Please schedule an in-office appointment as soon as COVID 19 crisis is over.

Reply

Bryan from South Jersey says:

March 8, 2019 at 8:44 AM

I have a wart on my little finger not responded to salicylic acid, cryosurgey and electrocautery treatments. Do you do pulsed dye laser treatment in your office? Do you accept medicare and AARP?

Reply

Franziska Ringpfeil MD. says:

April 2, 2019 at 9:15 PM

Yes, we perform pulsed dye laser treatment for warts and accept both of your insurances.

Reply

Steve from Other says:

July 25, 2018 at 5:52 PM

Are you accepting new patients and do you remove genital warts. Is it covered by insurance bc/bs ppo

Reply

Franziska Ringpfeil MD. says:

August 9, 2018 at 12:39 AM

Our office does accept new patients, we treat genital warts, and we participate with and submit to Blue Cross Blue Shield PPO. Please book a new patient visit online on our website http://www.ringpfeildermatology.com with any of our dermatologists or call the office at 610.525.5250.

Reply

Elaine from Philadelphia says:

March 7, 2018 at 7:06 AM

Hello-I currently have three warts in total, one on my left knee and right knee, and one on my index finger on my right hand. They are all relatively small, and I recently had cyrosurgery on all of them. The doctor told me I will probably need another appointment to get them completely removed. My question is—how much does cyrosurgery cost here? I would have to pay out of pocket because I have Amerigroup and live in Maryland, and go to college in Philadelphia. I’d like to get the procedure done with my first appointment as well, not just get a consultation. Is that possible? In addition, how much do electrocautery and laser ablasion cost? I desperately want these gone and have tried drugstore alternatives (gels and such) but to no avail.

Reply

Franziska Ringpfeil MD. says:

March 7, 2018 at 5:44 PM

Warts are caused by a virus and it is never trivial to lose them. A virus ‘hides” from our immune system and therefore can evade treatment. Each treatment has an efficacy of 37%. Combining at home and in-office treatments provides you the best chance to treat the warts. Cryosurgery, laser treatment (not laser ablation), or cantharidin application can be performed on all warts. On the knee, ablation by blade or laser, or cautery are also possible. The treatment can usually be carried out at time of first consultation. Current cost for cryosurgery or laser or cantharidin of 3 warts is $145.

Reply

WRM from Bala Cynnwyd says:

October 18, 2017 at 1:37 PM

Does your office treat mosaic plantar warts? I have several stubborn ones that have resisted at home OTC treatment. Thank you.

Reply

Franziska Ringpfeil MD. says:

November 17, 2017 at 7:11 PM

Warts are caused by a virus. They are by default difficult to treat because viruses are much smarter than humans. Treatment of warts on the sole take on average a year when you combine monthly in-office procedures with at home treatments. Many warts resolve on their own after 3-5 years. If this is not the case, if the wart causes pain with daily activities or if you have history of a lymphoma or leukemia, treatment is recommended.

Reply

KP from Philadelphia says:

August 29, 2017 at 11:30 AM

skin How much it would cost for anyone of the surgeries to remove black small wart of buttocks

Reply

Franziska Ringpfeil MD. says:

September 8, 2017 at 4:40 PM

Consultation fee is $85 for this limited problem. This includes examination and discussion of treatment options. Pending on the diagnosis (warts are not usually black on buttocks, unless it is brown and could by a condyloma), removal is around $150 and fee for pathologist (if applicable) is another $150 to the pathology laboratory. Please note that warts do not always resolve with one treatment because they have a way of hiding form our immune system.

Reply

Joe from Havertown says:

March 2, 2017 at 2:30 AM

I have been to a dermatologist for over a year now- and they burned the wart off twice ..came right back even bigger.. then they decided to do 3 treatments of needles on the wart to boost my immune system and that didn’t work either.. so after a year my wart is now a size of a dime and on my right cheek and she referred me to a plastic surgent.. called the plastic surgent and they said they don’t really deal with small things like this..
I just want this thing removed and understand it’s on my face and rather have stitches than looking at this thing…. can you help or should i keep looking for a plastic surgent.

Reply

Franziska Ringpfeil MD. says:

March 20, 2017 at 1:14 AM

Excision of a wart by a dermatologist or plastic surgeon is not as straight forward as you might think. Warts are caused by a virus and this virus makes itself invisible from our immune system. Each treatment has 37% efficacy. This includes at home or in office treatments including excision. Excision does not always assure that the virus is removed after cutting the wart out but treatment will definitely be more challenging if the wart comes back around the scars after excision. Your dermatologist has attempted to activate your immune system to overcome the invisibility issue I mentioned above with 2 different methods. Quite, honestly before cutting and failing I suggest to explore other options of activating the immune system. They include topical agents such as imiquimod, fluorouracil and the superpotent green tea extract Veregen. Please discuss these with your dermatologist or schedule an appointment with one of our dermatologists.

Reply

Jo from Philadelphia says:

January 18, 2017 at 12:24 PM

I have recurring flat warts on my face around my cheeks, eyelids and orbital bones. I have had them cauterized in the past and they have grown back. Flat warts run in my family so I dont expect them to not grow back despite my efforts. I have also gotten the Guardasil vaccine. What are the chances I can have them removed on initial visit? What is expected of post cautery care?

Reply

Franziska Ringpfeil MD. says:

January 21, 2017 at 6:33 PM

Treatment is always best if it can be properly planned. As you know, flat wart treatment is not straight forward because there is no cure, yet. In office treatments include cryosurgery, electrocautery or laser ablation and pulsed dye laser treatment. At home measures for treatment and prevention are topical retinoids and immune stimulators, as well as treatments to prevent the occurrence of dark marks at sites of in-office treatments. This type of planning takes place during the initial evaluation. If there are very few spots, and hyperpigmentation is not anticipated, treatment can take place at the initial visit.

Reply

Ilana from Philadelphia says:

September 27, 2016 at 10:09 PM

Hello,
I got condylomas near the anus from my infected husband. One of them is very dark and big(around 1.5 cm). Is it a sign of malignancy and should it be removed or treated? Does homeopathic remedies effective?
Thank you.

Reply

Franziska Ringpfeil MD. says:

October 2, 2016 at 2:43 AM

Condylomas should be treated because they are caused by a virus that may spread when traumatized. Trauma with natural skin friction is not entirely unusual in the perianal area. The size is not necessarily a sign of malignancy however, I recommend a biopsy with your description of size and color. If the growth is a malignancy, you can discuss various treatment options with your dermatologist.

Reply

John from Philadelphia says:

February 10, 2016 at 9:54 PM

Hi I Am a male and I have the HPV Virus and i have genital wart in the back of my shaft and in the middle on my penis I wanted to know is there any way you can help me get rid of them and treat the virus.

Reply

Franziska Ringpfeil MD. says:

February 12, 2016 at 9:09 PM

Treatment is available for genital warts. Treatment will remove the wart, which is the housing for the virus. About 20-30% of people will not loose the virus when the wart is treated. The HPV will then stay in the skin and can produce a wart later in life. A condom must be used to protect others when you have or had HPV in the genital area.

Reply

EMH from Philadelphia says:

March 16, 2015 at 11:16 PM

I have a wart on the back of head (on the scalp). Would this be removed on the first visit and what type of treatments are available?

Reply

Franziska Ringpfeil MD. says:

March 21, 2015 at 12:34 AM

The wart can be removed during the first visit if the diagnosis is correct, and the wart is small enough to be removed. For warts larger than a pencil eraser, treatment with liquid nitrogen(cryosurgery) might be a good option. A wart is caused by a virus and thus far, science has not yet come up with a specific treatment for this virus. Treating the wart attempts to destroy the housing of the virus. It sometimes fails and repeat treatments might be needed.

Reply

AMC from Philadelphia says:

March 6, 2015 at 10:04 AM

I was recently diagnosed with Pearly Penile Papules (PPP), the doctor said they are very common and that I should just leave them alone. Well I want them to be removed effectively with no scars, it really bothers me! What would you recommend?

Reply

Franziska Ringpfeil MD. says:

March 8, 2015 at 10:02 PM

Pearly penile papules are benign enlargements of glands that are located on the lips, the nipples and the genital area. I suspect that your doctor recommended to leave them alone because there is no specific treatment to shrink these glands. Treatment is limited to attempts to destroy these glands. The best treatment )(CO2 laser) only resolves about 50% of these papules. All treatments leave minute scars behind. Unless there is a method to specifically and successfully target these glands, I also recommend not to treat.

Reply

DORIS TRACANNA from Havertown says:

August 4, 2014 at 7:22 PM

I have recently noticed a wart on my face, just below the eye.. I want to have it removed… Can you help me???

Reply

Franziska Ringpfeil MD. says:

August 5, 2014 at 4:54 AM

I recommend you make an appointment with one of our dermatologist…This can probably be taken care of during your initial visit.

Reply

Rnn from Philadelphia says:

November 21, 2012 at 6:23 AM

My son (18 years old), has been battling a wart on thumb for the past year. It is on the end of the thumb coming up under the egde of the nail. It has been treated with TCA, cryo, and an in office mixture with duck tape. It inmproves, then reoccurs. It appear to be enlarging in size. It interfers with some of actions with his thumb. He is becoming frustrated. To make things worse he is in college in Phila. making regular treatment intervals difficult. Any reccommendations? Do you take insurances?

Reply

Franziska Ringpfeil MD. says:

January 8, 2013 at 10:46 PM

Unfortunately, there is no miracle treatment for warts, yet, because viruses stay under the radar of our immune system. In addition to the first line treatments your son had, other topical, oral vitamin supplements, laser treatment, empirical oral immune boosting prescription medications, desensitization treatments, hypnosis and others can be tried. Treatments should be carried out in regular intervals. Also, warts that persists under the nail may need a biopsy. We participate with most insurances.

Reply

JShq from Philadelphia says:

August 13, 2012 at 11:34 PM

I have had a wart on my finger for about 8 months. I thought it would go away on its own, and it hasn’t yet. It isn’t overly noticeable, but I would rather it be eliminated if possible. Is there anything that a doctor could do in a single session to eliminate it?

Reply

Franziska Ringpfeil MD. says:

August 14, 2012 at 5:34 AM

Warts are caused by human papilloma virus. They are benign and most will resolve on their own after several years. They can be transmitted to others through frictional skin to skin contact. Treatment is indicated when warts cause symptoms or are actively growing or spreading. There is no effective treatment for warts, yet. In office and at home procedures are tailored to encourage the immune system to fight the human papilloma virus from the inside. In areas of thickened skin such as on fingers, toes, palms, soles, elbows and knees several treatments are usually needed to remove a wart.

Reply

ABS from King of Prussia says:

July 30, 2012 at 4:44 PM

Do you do laser surgical removal of warts?

Reply

Franziska Ringpfeil MD. says:

July 30, 2012 at 7:08 PM

We treat warts with a pulsed dye laser to interrupt blood supply to the virus. This does not instantly remove the wart and is no more or less effective than cryosurgery, excision or other modalities to treat a virus induced growth (wart). We do not perform traditional or laser-assisted excision of warts on hands or feet. Some warts that are not located on hands and feet can be removed by shave excision.

Reply

Hi, I am a male with white marks, from genital wart treatment/removal, on the middle and lower shaft of the Penis. The marks are about 1cm wide. There is no other scaring, just discoloration or lack of pigmentation. Is there a treatment available to darken these spots to blend in with the surrounding skin?

Reply

Franziska Ringpfeil MD. says:

March 29, 2012 at 1:08 AM

There is no treatment currently available in the United States. Elsewhere, Re:Cell has shown excellent results for reintroducing color in white patches of skin and I believe it is a matter of time that it will be FDA approved.

Reply

Franziska Ringpfeil MD. says:

April 6, 2020 at 3:09 AM

Treatment for genital warts is generally recommended. If imiquimod fails after 16 weeks of application 3 times a week, treatment options are Canthacur, laser, or photodynamic therapy. Please schedule an in-office appointment as soon as COVID 19 crisis is over.

Reply

Franziska Ringpfeil MD. says:

April 2, 2019 at 9:15 PM

Yes, we perform pulsed dye laser treatment for warts and accept both of your insurances.

Reply

Franziska Ringpfeil MD. says:

August 9, 2018 at 12:39 AM

Our office does accept new patients, we treat genital warts, and we participate with and submit to Blue Cross Blue Shield PPO. Please book a new patient visit online on our website http://www.ringpfeildermatology.com with any of our dermatologists or call the office at 610.525.5250.

Reply

Franziska Ringpfeil MD. says:

March 7, 2018 at 5:44 PM

Warts are caused by a virus and it is never trivial to lose them. A virus ‘hides” from our immune system and therefore can evade treatment. Each treatment has an efficacy of 37%. Combining at home and in-office treatments provides you the best chance to treat the warts. Cryosurgery, laser treatment (not laser ablation), or cantharidin application can be performed on all warts. On the knee, ablation by blade or laser, or cautery are also possible. The treatment can usually be carried out at time of first consultation. Current cost for cryosurgery or laser or cantharidin of 3 warts is $145.

Reply

Franziska Ringpfeil MD. says:

November 17, 2017 at 7:11 PM

Warts are caused by a virus. They are by default difficult to treat because viruses are much smarter than humans. Treatment of warts on the sole take on average a year when you combine monthly in-office procedures with at home treatments. Many warts resolve on their own after 3-5 years. If this is not the case, if the wart causes pain with daily activities or if you have history of a lymphoma or leukemia, treatment is recommended.

Reply

Franziska Ringpfeil MD. says:

September 8, 2017 at 4:40 PM

Consultation fee is $85 for this limited problem. This includes examination and discussion of treatment options. Pending on the diagnosis (warts are not usually black on buttocks, unless it is brown and could by a condyloma), removal is around $150 and fee for pathologist (if applicable) is another $150 to the pathology laboratory. Please note that warts do not always resolve with one treatment because they have a way of hiding form our immune system.

Reply

Franziska Ringpfeil MD. says:

March 20, 2017 at 1:14 AM

Excision of a wart by a dermatologist or plastic surgeon is not as straight forward as you might think. Warts are caused by a virus and this virus makes itself invisible from our immune system. Each treatment has 37% efficacy. This includes at home or in office treatments including excision. Excision does not always assure that the virus is removed after cutting the wart out but treatment will definitely be more challenging if the wart comes back around the scars after excision. Your dermatologist has attempted to activate your immune system to overcome the invisibility issue I mentioned above with 2 different methods. Quite, honestly before cutting and failing I suggest to explore other options of activating the immune system. They include topical agents such as imiquimod, fluorouracil and the superpotent green tea extract Veregen. Please discuss these with your dermatologist or schedule an appointment with one of our dermatologists.

Reply

Franziska Ringpfeil MD. says:

January 21, 2017 at 6:33 PM

Treatment is always best if it can be properly planned. As you know, flat wart treatment is not straight forward because there is no cure, yet. In office treatments include cryosurgery, electrocautery or laser ablation and pulsed dye laser treatment. At home measures for treatment and prevention are topical retinoids and immune stimulators, as well as treatments to prevent the occurrence of dark marks at sites of in-office treatments. This type of planning takes place during the initial evaluation. If there are very few spots, and hyperpigmentation is not anticipated, treatment can take place at the initial visit.

Reply

Franziska Ringpfeil MD. says:

October 2, 2016 at 2:43 AM

Condylomas should be treated because they are caused by a virus that may spread when traumatized. Trauma with natural skin friction is not entirely unusual in the perianal area. The size is not necessarily a sign of malignancy however, I recommend a biopsy with your description of size and color. If the growth is a malignancy, you can discuss various treatment options with your dermatologist.

Reply

Franziska Ringpfeil MD. says:

February 12, 2016 at 9:09 PM

Treatment is available for genital warts. Treatment will remove the wart, which is the housing for the virus. About 20-30% of people will not loose the virus when the wart is treated. The HPV will then stay in the skin and can produce a wart later in life. A condom must be used to protect others when you have or had HPV in the genital area.

Reply

Franziska Ringpfeil MD. says:

March 21, 2015 at 12:34 AM

The wart can be removed during the first visit if the diagnosis is correct, and the wart is small enough to be removed. For warts larger than a pencil eraser, treatment with liquid nitrogen(cryosurgery) might be a good option. A wart is caused by a virus and thus far, science has not yet come up with a specific treatment for this virus. Treating the wart attempts to destroy the housing of the virus. It sometimes fails and repeat treatments might be needed.

Reply

Franziska Ringpfeil MD. says:

March 8, 2015 at 10:02 PM

Pearly penile papules are benign enlargements of glands that are located on the lips, the nipples and the genital area. I suspect that your doctor recommended to leave them alone because there is no specific treatment to shrink these glands. Treatment is limited to attempts to destroy these glands. The best treatment )(CO2 laser) only resolves about 50% of these papules. All treatments leave minute scars behind. Unless there is a method to specifically and successfully target these glands, I also recommend not to treat.

Reply

Franziska Ringpfeil MD. says:

August 5, 2014 at 4:54 AM

I recommend you make an appointment with one of our dermatologist…This can probably be taken care of during your initial visit.

Reply

Franziska Ringpfeil MD. says:

January 8, 2013 at 10:46 PM

Unfortunately, there is no miracle treatment for warts, yet, because viruses stay under the radar of our immune system. In addition to the first line treatments your son had, other topical, oral vitamin supplements, laser treatment, empirical oral immune boosting prescription medications, desensitization treatments, hypnosis and others can be tried. Treatments should be carried out in regular intervals. Also, warts that persists under the nail may need a biopsy. We participate with most insurances.

Reply

Franziska Ringpfeil MD. says:

August 14, 2012 at 5:34 AM

Warts are caused by human papilloma virus. They are benign and most will resolve on their own after several years. They can be transmitted to others through frictional skin to skin contact. Treatment is indicated when warts cause symptoms or are actively growing or spreading. There is no effective treatment for warts, yet. In office and at home procedures are tailored to encourage the immune system to fight the human papilloma virus from the inside. In areas of thickened skin such as on fingers, toes, palms, soles, elbows and knees several treatments are usually needed to remove a wart.

Reply

Franziska Ringpfeil MD. says:

July 30, 2012 at 7:08 PM

We treat warts with a pulsed dye laser to interrupt blood supply to the virus. This does not instantly remove the wart and is no more or less effective than cryosurgery, excision or other modalities to treat a virus induced growth (wart). We do not perform traditional or laser-assisted excision of warts on hands or feet. Some warts that are not located on hands and feet can be removed by shave excision.

Reply

Franziska Ringpfeil MD. says:

March 29, 2012 at 1:08 AM

There is no treatment currently available in the United States. Elsewhere, Re:Cell has shown excellent results for reintroducing color in white patches of skin and I believe it is a matter of time that it will be FDA approved.

Reply

Leave a Comment or a Question