Seborrheic Keratosis Help!

@ms91849
Don't you mean AK's -doesn't work on SK's. SK's are the topic of this post, they are only destroyed by freezing or a laser or a high concentration of hydrogen peroxide. Carac (fluorouracil) , Aldara etc are for pre canerous AK lesions. Much more serious than SK's which are not cancerous. I have to pay 200 at my dermatologist's office to have SK's zapped by liquid nitrogen . I had the 40 percent hydrogen peroxide treatment for SK's and it took 2 treatments and was more expensive and they don't use it any more. I'm on a regime of fluoruracil 5 percent now for AK's and when I get back to the dermatologists office in February I will have him freeze the SK's. He wanted me to go to the plastic surgeon to use a laser to ablate it since it's on my cheek and he didn't want his freezing it to leave a scar. That!s overkill at my age.

@kolshansky
Laser resurfacing:
• Fractional CO₂ or Er:YAG laser can clear large areas in one or two sessions, vaporizing many SKs at once.
• Often used for people with hundreds of SKs on the back, chest, or face.
• Downtime: several days of crusting/healing, possible temporary pigment changes.

@sjs1 Good comment !!
Certainly a reasonable alternative although possibly more expensive.

@dida84
You should use or try Aloe on your spots. The real plant not store bought. A well known Dermatologist uses a gel and it is made from Aloe. I hope this helps.

@elisargurr Thanks for the suggestion. I will try Aloe ffrom the płant. That is one thing i havent tried yet.

@sjs1
Thank you! Will this work in legs?

@crystalranae Yes, I read that:
Laser on legs carries higher risks than on the face:
• slower healing
• post-inflammatory hyperpigmentation (brown marks)
• itching during recovery
• longer redness (weeks–months)
• higher cost
Legs simply heal more slowly than the face because blood flow is lower. Con ---Very expensive start at 1K full leg treatment , laser used in spot treatment on legs less expensive. Unfortunately, appears not practical due to high cost.

@sjs1
I hate them so much. They cover my legs.

@crystalranae

Home Routine for Seborrheic Keratoses (SKs) on Legs

(Safe, dermatologist-aligned, and realistic)

Daily Routine (AM + PM)

AM (Morning)
1. Gentle cleanse (optional) – warm water only or a mild soap.
2. Apply plain moisturizer to legs:
• CeraVe Moisturizing Cream
• Vanicream Moisturizing Cream
• Eucerin Advanced Repair

Purpose: keeps SKs soft and prevents itching or rubbing under clothing.

PM (Night)

Every night:
• Apply lactic acid lotion (10–12%) or glycolic acid 10% over the entire lower leg area.
• AmLactin 12% (lactic)
• Alpha Skin Care Renewal 10% (glycolic)

This gradually smooths the texture of SK clusters and makes them less “stuck on.”

Targeted Treatment (3 nights per week)

Apply only to thicker or raised SK bumps:
• Urea 40% cream (dab with a Q-tip)

Brands:
• Urea 40
• PurSources 40%
• Glytone Urea 40%

Purpose: softens and thins the SK without irritation.

Optional Weekly “Softening Mask” (once a week)

Do this if the patches are very rough.
1. Soak legs 5–10 minutes in warm water.
2. Pat dry (do NOT rub).
3. Apply 10% glycolic or AmLactin.
4. Put on soft cotton leggings for 1 hour.

This gives a temporary smoothing effect and helps active products penetrate better.

Expected Timeline
• 2–3 weeks: legs feel smoother, less flaking
• 4–6 weeks: SKs look flatter and blend more with normal skin
• 8+ weeks: best cosmetic improvement visible
(Home treatment won’t remove them fully but can make them far less noticeable.)

Important Safety Notes

✔ Do NOT use wart freezing sprays — these scar legs.
✔ Do NOT pick, scratch, or peel SKs.
✔ Stop acids if skin becomes irritated or raw.
✔ Moisturizer is essential on days when skin feels dry.

When to Consider a Quick Dermatology Visit

If any SK is:
• itchy
• rubbed by clothing
• darkening or changing
• repeatedly irritated

→ A derm can freeze multiple spots in a single affordable session, often cheaper than laser.

( From ChatGPT 5.1)

Let’s not make treating Seborrheic Keratoses complicated.
Set up an appointment(s) with your dermatologist for liquid nitrogen treatments. Almost zero risks, simple and very effective!!