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Benign pigmented & Precancerous Lesions Treatments | London

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At a glance:

Benign pigmented & Precancerous Lesions Treatments | London

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Symptoms:

Benign: Melanocytes give the brown colour.

Presence of uneven skin tone with flat light brown patches (Melasma).
Benign waxy growths (Seborrhoeic Keratosis / Seborrhoeic Keratoses ).
Flat freckles (pigmented macules), lentigos (Solar Lentigo / Solar Lentigines).
Moles (Benign melanocytic naevi).

Pre-cancerous: Can transform to skin cancer.

Actinic Keratoses (AKs), are rough scaly crusty keratocyte horny patches which may transform into squamous cell carcinoma (SCC).
Benign moles (benign melanocytic naevi) are common but some may rarely alter transform into a malignant melanoma (MM).
Bowen disease (squamous cell carcinoma in situ): it’s scaly reddish raised appearance mimics other lesions and an incisional or excisional biopsy is advised.

Diagnosis:

Benign skin lesions, particularly around the eyes, are commonly assessed by dermatologists and oculoplastic surgeons. Diagnosis includes patient history, visual examination, dermoscopy, and biomicroscope evaluation for eyelid lesions. If a lesion appears suspicious, a surgical biopsy may be performed for further diagnosis.

Treatment:

Can involves topical medications, cryotherapy, intense pulsed light (IPL) and surgical excision to address pigmentation, remove growths, and restore skin clarity.

Our clinic operates as a private surgery and is not affiliated with the NHS (National Health Service)

Understanding Benign Pigmented & Precancerous Lesions

At Clinica London, we are dedicated to the highest standards of patient care, providing comprehensive treatment options for various skin conditions. Among these are benign pigmented and precancerous lesions, including Melasma, Seborrheic Keratosis, and Solar Lentigo.

Understanding these conditions—their causes, symptoms, and the importance of timely treatment—is crucial for maintaining healthy skin and preventing the progression to more serious issues. .

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Melasma

Melasma is a common skin condition characterised by flat brown or greyish patches, primarily affecting the face and hands. Although the exact cause of Melasma is not fully understood, it is believed to be triggered by exposure to the sun, hormonal changes, such as during pregnancy, and certain medications that increase skin sensitivity to sunlight. People with freckles are often surprised when a seemingly confluent area forms, often on their forehead, which is melasma.

Treatment for Melasma focuses on skin lightening creams, intense pulsed light (IPL) and LASER treatment, and azelaic acid to reduce pigmentation, alongside strict sun protection measures to prevent further darkening.

Seborrhoeic Keratosis

Seborrhoeic Keratosis is one of the most prevalent benign skin growths, especially in middle-aged and older individuals. These growths appear as greasy or waxy, brown, black, or tan lesions that can be mistaken for warts or skin cancer. Bits can fall off, hence likened to warts. However, Seborrhoeic Keratosis is entirely benign and not contagious. Causes include genetic factors and long exposure to the sun. Seborrhoeic keratoses will not go away spontaneously and if they are causing irritation, or are catching on clothes, or are unsightly, then they can be treated. Removal options range from cryotherapy, light treatment with intense pulsed light (IPL), and surgical curettage or excision, thus ensuring the skin’s health and aesthetic appeal.

Solar Lentigo

Solar Lentigo, commonly known as sunspots or liver spots, is a benign pigmented lesion caused by extensive sun exposure and increasing age. It appears as regular-shaped, pigmented, flat, brown spots on areas frequently exposed to the sun, such as the face, hands, and arms.

Although benign, its appearance can sometimes resemble precancerous conditions, making diagnosis and treatment important. Treatments for Solar Lentigo aim to even out skin colour, involving skin-lightening creams, light treatments with intense pulsed light (IPL), LASER therapy, and sun protection to prevent further damage.

Actinic Keratoses (known as Solar Keratosis)

Regarded as a risk for skin cancer or pre-cancerous. AK occurs on skin exposed to a lot of sun. They are the most common pre-cancerous pigmented skin lesions. They can be flaky and sore, irritating with a rough feeling, dry and scaly, red, pink or brown. Some are reddish overlying brown. It is easy to confuse them with Solar Lentigo (Age Spots), but AKs are rougher. They can form a keratin horn and contain squamous cell carcinoma (SCC). Around 23% of persons over 65 years old have AKs. AKs are an early warning of skin cancer. Hence, early treatment to prevent turning into skin cancer is advised.

When small, AKs is treated with topical chemotherapy such as fluorouracil, liquid Nitrogen cryotherapy, or surgical excision.

Mole (Benign Naevus)

Moles are the growth of melanocytes, the pigmented cells. Although benign, a few of them can become a cancer called malignant Melanoma (MM). Moles appear in adolescence or young adulthood, often starting flat and then becoming raised. Asymmetric moles, have irregular borders, vary or change in colour, are a wide diameter and evolving, and require screening and biopsy.

Bowen´s Disease

Regarded as a risk for skin cancer, this carcinoma in situ spreads outwards and is not invasive. They can be scaly, reddish and even crusted. It is advisable to treat them with topical chemotherapy and excision.

Clinica London provides a variety of treatments suited to each patient’s unique requirements, highlighting the need for a precise diagnosis and personalised care plan. Sun protection remains an important part of preventing and treating all three disorders, as are monthly skin examinations to monitor any changes or developments.

When Should You See a Doctor?

Recognising when to seek professional advice for skin conditions like Melasma, Seborrhoeic Keratosis, and Solar Lentigo is essential for early intervention and effective treatment. With our specialised team and state-of-the-art facilities, Clinica London stands at the forefront of dermatological care in London. We are here to help you understand when to consult a specialist for your skin concerns.

Key Signs to Watch For

Seborrhoeic Keratosis

Change in Appearance: Any noticeable change in the size, colour, or texture of existing skin growths warrants a consultation. While benign, seborrheic keratosis can sometimes resemble skin cancer.

Irritation or Bleeding: If the growth becomes irritated by clothing or bleeds when brushed against, it must be examined. While these symptoms are often harmless, they can indicate a need for removal to prevent further discomfort or infection.

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Melasma

Persistent Discolouration: Professional treatment may be necessary if you notice persistent dark patches on your face that do not improve with over-the-counter treatments or sun protection. Melasma requires a tailored approach to manage and reduce pigmentation effectively.

Solar Lentigo

Rapid Increase in Spots: A sudden increase in the number of spots or a change in their appearance should prompt a dermatological assessment. While Solar Lentigo is benign, distinguishing it from precancerous lesions is crucial for your health.

The Clinica London Approach

At Clinica London, our approach combines expertise with personalised care to ensure the best outcomes for our patients. Our London-based dermatology consultants specialise in precisely diagnosing and treating a wide range of skin conditions.

Our treatments, from cryotherapy, light treatment and LASER therapy for Seborrheic Keratosis removal to advanced skin lightening for Melasma and Solar Lentigo, are customised to each patient’s specific condition, using the latest dermatological technologies. Any pre-cancerous lesion should be biopsies and excised, such as actinic keratoses.

Expertise: Our team of dermatologists and ophthalmic plastic surgeons is renowned for their expertise in a wide array of skin conditions.
Personalised Care: We understand that each patient’s skin is unique, which is why all our treatments are tailored to meet your specific needs.
Cutting-edge Treatments: We offer effective solutions for all your skin concerns, ensuring the health and beauty of your skin.

If you’re experiencing any signs mentioned above or have concerns about your skin’s health, don’t hesitate to contact us. Early intervention is key to preventing progression and ensuring the health and beauty of your skin. Book your consultation today and take the first step towards clear, healthy skin with the leading dermatology and ophthalmology clinic in London.

Treatment Benefits

Melasma

Treatment for Melasma not only significantly reduces the appearance of dark patches, leading to a more even skin tone, but also boosts self-confidence. Effective management of Melasma can significantly enhance one’s quality of life by restoring the skin’s natural beauty.

Seborrheic Keratosis

Removal of Seborrheic Keratosis eliminates potential irritation and the risk of these benign lesions being mistaken for skin cancer. Treatment offers aesthetic improvements and peace of mind, ensuring your skin remains healthy and clear.

Solar Lentigo

Treating Solar Lentigo effectively reduces the visibility of sun spots, distinguishing these benign lesions from more severe conditions. This improves the cosmetic appearance of the skin and contributes to overall skin health by allowing for easier monitoring of any changes.

Actinic Keratoses

These are best treated to remove their appearance, discomfort and to exclude skin cancer, thus have peace of mind.

How Long Do the Results Last?

Melasma

Strict sun protection and adherence to prescribed skincare regimens can prolong the durability of melasma treatment outcomes. However, factors such as hormonal fluctuations or unprotected sun exposure may trigger recurrence, emphasising the importance of ongoing management and sun avoidance.

Seborrheic Keratosis

The removal of Seborrheic Keratosis offers permanent results for treated lesions, although new growths may appear on other areas of the skin over time. Regular skin examinations are recommended to monitor and address any new lesions early.

Solar Lentigo

Results from Solar Lentigo treatment are long-term, with diligent sun protection being crucial to prevent the formation of new spots. By avoiding sun exposure and following skin care advice from dermatology professionals, the improved appearance of the skin can be maintained effectively.

Actinic Keratoses

Results are long-term but new AKs may develop.

waiting room sign at clinica london office

Treatment

At Clinica London, our focus on treating benign pigmented and precancerous lesions such as Melasma, Seborrheic Keratosis, Solar Lentigo and Actinic Keratoses is guided by the latest research and the most effective treatment methodologies.

While not life-threatening, these conditions can significantly affect one’s aesthetic appearance and, in some cases, may progress to more serious conditions if left untreated. Our approach to these skin conditions is thorough and patient-focused, ensuring that every treatment plan is tailored to the individual needs and health of our patients’ skin.

Melasma presents a unique challenge due to its tendency to recur and its sensitivity to hormonal changes and exposure to the sun. At Clinica London, we incorporate a comprehensive treatment strategy that includes the application of a specially formulated mixture of Tretinoin, hydroquinone, and a mild steroid cream. This potent combination is designed to intensify the peeling of pigmented areas, significantly improving the appearance of Melasma and light freckles.

For those seeking deeper rejuvenation, we offer TCA peels. These peels not only enhance the texture of the skin and diminish very fine wrinkles but also address some forms of Melasma. However, as our specialist Miss Olver highlights, while effective, brown marks from Melasma can recur, emphasising the need for a tailored, ongoing skincare regimen. Intense pulsed light (IPL) treatment and non-ablative laser treatment with ResurFx can be beneficial but require further treatments.

Our commitment to providing the best Melasma treatment is reflected in our continuous exploration of advanced treatments and our dedication to achieving the best possible outcomes for our patients. Whether through topical treatments or chemical peels, we aim to restore your skin to its natural beauty and maintain these results with comprehensive aftercare advice and sun protection strategies.

Seborrheic Keratosis, often called Seborrheic warts, is a benign skin growth that varies in colour and size. While this condition does not pose a health risk, many patients opt for removal due to cosmetic concerns or discomfort. They will not go away spontaneously.

At Clinica London, we offer a range of effective treatments for Seborrheic Keratosis, ensuring both the aesthetic and physical comfort of our patients.

Our Seborrheic Keratosis treatment methods include cryotherapy, intense pulsed light (IPL) LASER therapy, surgical curettage and even rarely excision if large.

Cryotherapy involves applying extreme cold to precisely target and destroy the growths, while IPL and LASER therapy uses focused light to remove them without damaging the surrounding skin.

Curettage, sometimes performed with cryotherapy or LASER, involves carefully scraping the skin’s surface to remove the lesion. Treatment choice is determined based on the lesion’s size, location, and the patient’s skin type, ensuring the best possible outcome with minimal discomfort and downtime.

Solar Lentigo, commonly known as age spots or sunspots, is a flat, brown spot that appears on sun-exposed areas of the skin. Although these lesions are benign, many individuals seek treatment for cosmetic reasons. We at Clinica London use the latest technologies and treatment protocols to effectively reduce the appearance of Solar Lentigo, enhancing the skin’s overall appearance.

Treatments for Solar Lentigo at our clinic include intense pulsed light (IPL), LASER therapy, and chemical peels. LASER therapy and IPL are non-invasive options that target pigmented cells, leading to spots fading. Chemical peels, by removing the top layer of skin, encourage the growth of new, healthier skin cells, further reducing pigmentation. Treatment selection depends on the individual’s skin type, the severity of the pigmentation, and personal preferences, with each option offering benefits for restoring clear, even-toned skin.

Treatments for Actinic Keratoses involve a proactive approach to remove the lesion in its entirety because of its pre-cancerous nature.

At Clinica London, our dermatology and ophthalmic plastic surgeon specialists are committed to personalised care. We use the most effective treatments for Seborrheic Keratosis and Solar Lentigo. Our goal is not only to improve the appearance of your skin but also to ensure your complete satisfaction with the treatment process and outcomes.

Does Treatment Hurt?

At Clinica London, ensuring patient comfort during treatments for Melasma, Seborrheic Keratosis, Solar Lentigo and Actinic Keratoses is paramount. To minimise pain, we employ local anaesthetics for procedures that might cause discomfort, such as cryotherapy, laser therapy, or surgical removals. Patients might experience a sensation akin to a rubber band snap during laser treatments or a brief stint with cryotherapy. Still, these are generally well-tolerated thanks to cooling devices, topical gels, and rapidly-acting numbing effects.

Post-treatment discomfort is typically minor and manageable with over-the-counter pain relief and comprehensive aftercare instructions to support a smooth recovery. Our commitment is to ensure a comfortable treatment experience with effective pain management and clear communication about what to expect.

Recovery & Aftercare

We at Clinica London emphasise the importance of following a tailored aftercare plan to ensure optimal recovery and maintain the results of treatments for Melasma, Seborrheic Keratosis, Solar Lentigo and Actinic keratoses. Post-treatment, patients may experience mild redness or discomfort, which typically subsides quickly.

Key to recovery is rigorous sun protection to prevent recurrence, alongside applying any prescribed creams to support healing.

Recovery times vary, with Melasma treatment showing improvements within weeks and procedures like cryotherapy or light or LASER treatment for Seborrheic Keratosis requiring 1-4 weeks for complete healing. Surgical incisional or excisional biopsies may take 2 to 4 weeks to heal fully.

Maintaining results involves regular skin checks, a consistent skincare routine, and lifestyle adjustments to limit exposure to the sun.

Our team provides comprehensive aftercare instructions and support, ensuring a smooth recovery and lasting, healthy skin.

Risks & Side Effects

While treatments for Melasma, Seborrheic Keratosis, Solar Lentigo and Actinic Keratoses at Clinica London are generally safe and effective, as with any medical procedure, patients should be aware of potential risks and side effects. Our team ensures that patients are fully informed about these possibilities, enabling them to make informed decisions regarding their treatment options.

Melasma Treatment Risks

Skin Irritation: Topical treatments may cause redness, peeling, or dryness.
Hyperpigmentation: Incorrect or excessive use of lightening agents can lead to darker patches.
Sun Sensitivity: Increased vulnerability to sun damage, emphasising the need for sun protection.

Seborrheic Keratosis Treatment Risks

Scarring: Rare, but possible, especially if deep removal techniques are required.
Pigmentation Changes: The treated area may become lighter or darker than the surrounding skin.
Infection: A minimal risk if post-treatment care instructions are followed properly.

Solar Lentigo Treatment Risks

Temporary Redness or Swelling: Common side effects of light and LASER treatments, usually subsiding within a few days.
Blistering: In rare cases, LASER therapy may cause blisters, which heal with proper care.
Changes in Skin Texture: Very rare but can occur with more aggressive treatment methods.

Actinic Keratoses

Scarring: rare but can occur especially if deep removal techniques are required.
Usually heal very well

Patients should discuss their health history and any concerns with our consultants to minimise risks. Aftercare plays a crucial role in the healing process, and we provide detailed guidance to ensure the best possible outcomes.

While serious side effects are rare, our team is committed to offering support and solutions should any issues arise. Our goal at Clinica London is not only to achieve excellent treatment results but also to ensure the safety and satisfaction of our patients throughout their journey with us.

Our Consultants

At Clinica London, our team of consultants is at the core of our excellence in treating benign pigmented and precancerous skin conditions like Melasma, Seborrheic Keratosis, Solar Lentigo and Actinic Keratoses. With a combination of high qualifications, extensive experience, and specialised expertise, our consultants ensure that patients receive the best possible care tailored to their individual needs.

Dr Jennifer Crawley

Dr Jennifer Crawley is our Consultant Dermatologist with a focus on Seborrheic Keratosis. She graduated from the University of Glasgow in Medicine and Surgery in 2002 and has since gained extensive experience in dermatology, including a pivotal role as the Clinical Lead for Skin Cancer at University College Hospital London. Her expertise ensures precise diagnosis and effective treatment plans for our patients. She also biopsies suspicious moles. Her approach is primarily medical but also using cryotherapy, curettage and minor excision lesions.

Miss Jane Olver and Miss Michelle Ting

Olver and Ting are ophthalmic plastic surgeons or oculoplastic surgeons with a passion for eyelid and facial aesthetic, whether performing aesthetic peels, IPL, LASER or delicate surgical excision of suspected pathological lesions. Although centred on the eyelids and surrounding areas, they take in the balance and health of the whole face, and have are keen supporters of combining a healthy lifestyle approach with aesthetic and oculoplastic procedures.

Dr Jennifer Crawley

Consultant Dermatologist
Children & Adults

Miss Jane Olver

Consultant Ophthalmic Surgeon
Oculoplastic (Eyelid) & Lacrimal Specialist
Medical Director
President International Society Dacryology and Dry Eye 2024-2026

Ms Michelle Ting

Consultant Ophthalmic Plastic and Reconstructive Surgeon

Dr Rebeca Calado

Consultant Dermatologist
Children & Adults
Specialist in Dermatovenereology

The consultation fee for a new patient consultation with our Consultant Dermatologist or one of our Ophthalmic Plastic Consultants (Oculoplastics) specialising in benign and pre-cancerous skin lesions is £300 – £350

Each patient receives a bespoke treatment plan and quotes a comprehensive report, and a specific information sheet with advice.

Treatment Guide Prices:

Treatment creams £70 – £95
IPL per treatment £350 – £600
ResurFX LASER per treatment £350 – £900
Incisional Biopsy / Excision of lesion £550 – £1750 (excludes histopathology)

A personalised treatment quote will be given for each treatment required.

Our clinic operates as a private surgery and is not affiliated with the NHS (National Health Service)

FAQS

Seborrheic Keratosis is a common skin condition that appears as people age, making older adults more likely to develop these growths. Factors that may increase the risk include a family history of Seborrheic Keratosis, fair skin, and extensive sun exposure.

While these lesions can appear on anyone, individuals over 50, those with a genetic predisposition, and people who have spent a lot of time in the sun without protection are at a higher risk. It’s important to note that while these growths are benign, any new or changing skin lesions should be evaluated by a dermatologist to rule out other conditions.

Freckles are not directly a sign of sun damage but indicate skin exposure to UV radiation, particularly in fair-skinned individuals. They reflect a genetic predisposition to freckling, though being in the sun a lot can make them more pronounced, emphasising the importance of sun protection.

Award Winning Clinic in London

Clinica London is a leading ophthalmology and dermatology medical clinic. It has a sense of passion for helping patients. The clinic’s consultants are highly skilled professionals who have received British, European, and international awards in their respective fields. Clinica is honest and offers transparent treatment advice in a relaxed and comfortable environment.

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Benign pigmented & Precancerous Lesions Treatments | London

Benign pigmented & Precancerous Lesions Treatments | London

Understanding Benign Pigmented & Precancerous Lesions

Melasma

Seborrhoeic Keratosis

Solar Lentigo

Actinic Keratoses (known as Solar Keratosis)

Mole (Benign Naevus)

Bowen´s Disease

When Should You See a Doctor?

Key Signs to Watch For

Seborrhoeic Keratosis

Melasma

Solar Lentigo

The Clinica London Approach

Treatment Benefits

Melasma

Seborrheic Keratosis

Solar Lentigo

Actinic Keratoses

How Long Do the Results Last?

Melasma

Seborrheic Keratosis

Solar Lentigo

Actinic Keratoses

Treatment

Does Treatment Hurt?

Recovery & Aftercare

Risks & Side Effects

Melasma Treatment Risks

Seborrheic Keratosis Treatment Risks

Solar Lentigo Treatment Risks

Actinic Keratoses

Our Consultants

Dr Jennifer Crawley

Miss Jane Olver and Miss Michelle Ting

Dr Jennifer Crawley

Miss Jane Olver

Ms Michelle Ting

Dr Rebeca Calado

FAQS

Award Winning Clinic in London

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