Laser Wart Removal
Verruca and wart removal Manchester
Warts and verrucae can be stubborn, unsightly, and sometimes painful. Many people try over-the-counter treatments, home remedies, or even multiple sessions of cryotherapy, only to find that the warts keep coming back. At our laser clinic in Manchester, we offer advanced laser wart removal using the latest technology including the CO₂ laser and VBeam laser. These treatments are highly effective at targeting both the wart tissue and its blood supply, helping you achieve clear, healthy skin with minimal risk of recurrence.
Table of Contents
What Are Warts and Why Do They Appear?
Warts are benign skin growths caused by the human papillomavirus (HPV). This virus infects the top layer of the skin and stimulates rapid growth of keratinocytes, the cells that make up the skin’s outer layer. Warts can occur anywhere on the body, but they are most common on the hands, feet, face, and around the nails. Plantar warts, which grow on the soles of the feet, can be particularly painful due to pressure when walking.
While some warts may resolve naturally as your immune system clears the infection, others persist for months or years. They may spread through scratching or direct contact. For many people, warts are not only a cosmetic concern but can also cause discomfort, embarrassment, or functional problems if located on the feet or around the nails.
There are a number of conventional treatments for warts including salicylic acid, cryotherapy with liquid nitrogen, and minor surgical excision. While these can sometimes work, they often require multiple sessions and have high recurrence rates.
Cryotherapy, for example, can be painful and may require several visits. Salicylic acid needs consistent daily application for weeks or even months. Surgical removal carries the risk of scarring and infection. Many patients who come to us have already tried these methods without success.
This is where laser technology offers a more precise and effective solution.
Why Choose Laser Wart Removal?
Laser treatment works by directly targeting the wart tissue and the blood supply that keeps the wart alive. By using focused laser energy, we can destroy the virus-infected tissue without causing excessive damage to the surrounding healthy skin.
There is strong evidence to support the use of lasers for wart removal. A systematic review of over 2,000 patients found that laser treatments such as CO₂, pulsed dye (VBeam), and Nd:YAG lasers achieved clearance rates ranging from 47% to 100% depending on the type of wart and the laser used (PubMed PMID: 27119270).
Another randomised trial compared CO₂ laser treatment to cryotherapy for plantar warts. The results showed that patients treated with the CO₂ laser required far fewer sessions to achieve clearance — often just one treatment compared with three or more for cryotherapy (PubMed PMID: 30116657).
Newer studies also demonstrate the benefit of combining ablative lasers such as the CO₂ laser with vascular lasers like the VBeam. By first debulking the wart and then destroying the blood supply, recurrence rates can be kept very low (PMC8780825).
Laser Wart Removal
Warts and verruca can be difficult to treat and distressing. Many patients will have tried over the counter treatments which can take a long time to be effective or may fail to improve the wart or verruca. At CLNQ, we offer laser wart and verruca removal in our Manchester clinic.
Consultation
During your consultation, we carefully examine the wart or verruca. We look at:
Site of the lesion
Size of the lesion
Suitability for laser
We will discuss any alternative options such as surgical removal. Some patients may respond with a single treatment whilst some may require multiple sessions particularly for larger lesions.
Suitability
Ideal candidates:
Patients with persistent warts not responding to cryotherapy or topical therapy
Warts in locations that are functionally or cosmetically problematic
Patients seeking faster resolution
Not recommended or with caution:
Very large lesions where surgical excision is more practical
Patients with bleeding disorders or poor wound healing
Active infection or suspicion of malignancy (biopsy first)
Dark skin types (higher risk of pigment loss) — we adjust parameters accordingly
Laser Options
At our Manchester clinic, we use a variety of advanced laser systems to tailor treatment to your needs.
CO₂ Laser Wart Removal
The CO₂ laser works by vaporising the wart tissue layer by layer. This is particularly useful for thick, resistant warts such as plantar or periungual warts. The treatment is precise and controlled, allowing us to remove only the infected tissue.
VBeam Laser Wart Removal
The VBeam laser (also known as pulsed dye laser) targets the tiny blood vessels that feed the wart. By destroying these vessels, the wart loses its blood supply and eventually dies. VBeam treatment is especially useful for flat warts and for patients who want a treatment with minimal risk of scarring.
Combination Treatments
For stubborn or recurrent warts, we often combine CO₂ laser debulking with VBeam vascular targeting. This two-step approach has been shown to improve clearance rates and reduce the chance of recurrence.
What to Expect During Treatment
On the day of treatment, the wart may be pared down to remove excess keratin. We usually apply local anaesthetic to keep you comfortable. The laser is then applied directly to the wart. The procedure itself typically lasts 10 to 30 minutes depending on how many warts you have.
After treatment, we apply a protective dressing to the area. Most patients can return to their normal activities immediately, although we advise keeping the area clean and dry. The treated site may look red or blistered initially, and a small scab will form before healing within one to two weeks
Laser Wart Removal FAQ
Frequently Asked Questions
Does laser wart removal hurt?
Most patients describe the sensation as a brief snap or heat on the skin. Local anaesthetic is used to make the procedure as comfortable as possible if having CO2 ablation. Local is not usually required for the VBeam laser.
How many treatments will I need?
Many warts clear after just one laser session. However, some more resistant warts may require two or three sessions spaced several weeks apart.
Will the wart come back?
Laser treatment destroys the wart tissue and blood supply, but as HPV can remain in the skin, there is always a chance of recurrence. Our follow-up care helps reduce this risk.
Is laser better than freezing warts?
Yes, in many cases. Research shows that laser requires fewer sessions and may be more effective for stubborn plantar or periungual warts compared with cryotherapy.
What are the risks?
As with any medical procedure, laser wart removal has some risks. These include temporary redness, swelling, blistering, or scabbing at the treatment site. Rarely, there may be changes in skin pigmentation or a small scar.
Warts may occasionally recur, although the risk is lower with laser than with other treatments. To reduce the risk further, we provide follow-up care and may recommend topical treatments or additional laser sessions if necessary.
There is a risk of scarring, particularly with the CO2 laser which will result in ablation of the tissue. Most patients heal with little or no visible mark with the PDL or VBeam laser.
How much is laser wart removal?
The cost of laser wart removal depends on a number of factors such as site, number and laser type. At CLNQ, the price for laser wart removal is from £250.
Can a wart be cut out?
In some cases surgical excision of the wart may be required. This is often when the lesion has failed to respond to a course of laser treatment. Our doctors will advise you about this option if it is suitable.
How do you get warts?
Warts are caused by infection with the human papillomavirus (HPV), which enters the skin through tiny cuts or abrasions. The virus stimulates the skin cells to grow more rapidly, creating the raised, rough bumps we recognise as warts. They are most commonly spread through direct skin-to-skin contact with someone who has warts or by touching contaminated surfaces, such as communal showers or swimming pool floors. While anyone can get warts, they are more likely to occur in people with weakened immune systems or in areas of the body that are frequently exposed to friction or moisture.
What happens after a wart removal?
After laser wart removal, the treated area will usually appear red and slightly swollen, and a small scab or blister may form over the site. This is a normal part of the healing process as the body replaces the wart tissue with healthy new skin. The scab typically falls off within one to two weeks, and most patients can resume normal daily activities straight away. It is important to keep the area clean and dry, avoid picking at the scab, and follow any aftercare instructions given. In some cases, especially with larger or more stubborn warts, a second session may be required, but many patients notice clear improvement after just one treatment. The Vbeam may result in some bruising around the treated area.
What are the black bits in a verruca?
The black dots you often see in a verruca are tiny blood vessels that have been drawn up into the thickened skin by the virus. These small capillaries can become clotted with dried blood, which makes them appear as black or dark spots within the lesion. Many people mistakenly think these are “wart seeds,” but they are actually small vessels feeding the verruca. When the verruca is pared down or treated, these black dots may become more visible, and successful treatments often cause them to disappear as the blood supply to the wart is destroyed.
Will a wart or verruca heal on their own?
Yes some warts and verruca may resolve on their own but this can be a lengthy process.
References
- Veitch D, Kravvas G, Al-Niaimi F. Pulsed Dye Laser Therapy in the Treatment of Warts: A Review of the Literature. Dermatol Surg. 2017 Apr;43(4):485-493. doi: 10.1097/DSS.0000000000001023. PMID: 28272080.
- Forbat E, Al-Niaimi F. Nonvascular uses of pulsed dye laser in clinical dermatology. J Cosmet Dermatol. 2019 Oct;18(5):1186-1201. doi: 10.1111/jocd.12924. Epub 2019 Apr 19. PMID: 31002479.
- Iranmanesh B, Khalili M, Zartab H, Amiri R, Aflatoonian M. Laser therapy in cutaneous and genital warts: A review article. Dermatol Ther. 2021 Jan;34(1):e14671. doi: 10.1111/dth.14671. Epub 2020 Dec 29. PMID: 33314577.
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