What can happen after the assessment?
The assessment should end with a clear explanation of what is known, what remains uncertain and what should happen next. A benign lesion may be suitable for treatment, while another may be better monitored or referred.
If the lesion has suspicious features, destructive cosmetic treatment should not proceed because it can remove tissue without the right diagnostic process. The clinician should explain the appropriate referral or investigation route.
- Reassurance and self-care advice
- A monitoring plan, including what changes to watch for
- Discussion of treatment options for a confirmed benign lesion
- Referral to a GP, dermatologist, podiatrist or another appropriate service
- Urgent NHS assessment where concerning features are present
Warts and verrucas
Warts and verrucas are common skin growths caused by a virus. A verruca is a wart on the sole of the foot and may be painful on a weight-bearing area. Many resolve without treatment, although this can take months or years.
Treatment is not always needed and no method guarantees permanent clearance. Pharmacy treatments may be appropriate for some people, while a large, painful, recurrent, facial or genital lesion, or one that bleeds or changes, needs professional advice.
How to prepare for a skin-lesion appointment
Make a note of when the lesion appeared, how it has changed, any pain, itching or bleeding, and treatments already tried. If possible, bring dated photographs showing change over time.
Tell the clinician about medicines, allergies, diabetes, circulation problems, immune suppression, pregnancy, bleeding risk, abnormal scarring and previous skin cancer. These details may affect advice or treatment suitability.
If treatment is considered appropriate
Treatment should only be discussed after the lesion has been assessed as suitable. The clinician should explain the proposed method, expected benefit, alternatives, number of sessions, fee, aftercare and what happens if the lesion returns.
Do not assume treatment will happen at the first appointment. Some lesions need further review, a specialist opinion or a different pathway before any removal is considered.
What should I know about cryotherapy?
Cryotherapy freezes a suitable superficial skin lesion. It can sting and the treated area may become red, swollen, sore, itchy, blistered or crusted. Healing time varies and repeat treatment may be needed.
Possible complications include infection, scarring, recurrence and a lighter or darker patch of skin, which can occasionally be long-lasting. Ask which method the clinic offers and what aftercare and follow-up are included.
How can I reduce the spread of warts and verrucas?
Warts and verrucas can spread through close skin contact or contaminated surfaces, particularly when skin is wet or damaged. Avoid picking or scratching them and wash your hands after touching one.
Do not share towels, socks or shoes. Cover a wart or verruca when swimming, change socks daily if you have a verruca, and avoid walking barefoot in communal areas.
