Verrucous Nevus Treatment
Ablative laser or surgical treatment for raised, warty epidermal nevi.
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A Becker’s nevus is a large, irregular patch of darkened skin, usually on the shoulder, chest or upper back, that often becomes more noticeable around puberty and may develop coarse hair. Treatment addresses the two components separately: pigment-targeting lasers for the discolouration and hair-removal lasers for the hair. Recurrence of pigment is common, so expectations need to be set carefully.
Separate lasers target the discolouration and any coarse hair growth within the patch.
Recurrence of pigment is common and discussed upfront, rather than promising a result that isn’t reliably achievable.
The pigment and any hair component are assessed to plan the combination of lasers needed.
A pigment-targeting laser is applied to lighten the discoloured patch.
A separate hair-removal laser addresses any coarse hair within the patch, often in later sessions.
Expected after laser treatment of the pigmented patch.
Pigment fades gradually over a course of sessions.
Common with this condition specifically — a realistic expectation to set from the outset, not a marker that treatment has failed.
Coarse hair within the patch can be more resistant to laser hair removal than typical body hair.
Addressing both components increases the overall number of sessions and cost compared with pigment alone.
It commonly does, to some degree — this is a known feature of Becker’s nevus, not a sign the treatment was done incorrectly.
They are usually addressed with different lasers, sometimes in the same visit and sometimes across separate sessions depending on your specific presentation.
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Ablative laser or surgical treatment for raised, warty epidermal nevi.
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