Introduction
On the Internet, we often see promises like “The best method!” and “There is simply no more effective home remedy” for removing papillomas. The truth is that there are effective and safe ways , but their choice depends on the type of formation, the location on the body, your skin and your health. Below you will find a complete, practical and safe guide that explains when you can act on your own and when you absolutely need a dermatologist.
What actually is a “papilloma”?
In everyday language, “papilloma” most often refers to:
Skin tags (fibromas) – soft, small growths, often on the neck, under the armpits, under the breasts, in the groin. They are usually harmless and do not hurt.
Viral warts – flat or dome-shaped, on the hands, feet, knees, sometimes the face; caused by the human papillomavirus ( HPV ), some are hard and rough.
Molluscum contagiosum , seborrheic keratoses, etc. – look similar , but are not papillomas.
Since appearances can be deceiving, the first step is a proper diagnosis . If you are not sure what it is, consult a dermatologist – this prevents mistakes and unnecessary scarring.
When is it necessary to see a doctor?
The growth bleeds, grows rapidly, changes color/shape , itches severely, or hurts.
It appears on the eyelid/around the eye, on the genitals, on the lips .
You have diabetes, immunosuppression, pregnancy , or a tendency to form keloids.
This is your first such formation and you have no diagnosis.
How is the diagnosis made?
It is usually clinical – the dermatologist examines with a dermatoscope. If in doubt, a biopsy can be done . This is quick and prevents erroneous self-treatment.
Medical removal methods (most reliable)
These are the highly effective and risk-controlled procedures performed in the office:
Cryotherapy (freezing with liquid nitrogen)
Suitable for many warts and some papillomas. Usually 1–3 sessions every 2–3 weeks. Temporary whitening/blistering possible.
Electrocoagulation/cauterization
Burning and simultaneous coagulation of the vessel. Fast, with a small wound, minimal bleeding.
Radiofrequency excision
Precise cutting with radio waves; spares the surrounding skin and often leaves a finer scar.
Laser (CO₂, erbium, etc.)
Very precise depth control; suitable for sensitive areas and multiple small lesions.
Surgical excision (snip excision)
For larger or stalked papillomas; usually with local anesthesia, rapid healing.
The doctor chooses the technique based on the size, location, type , and your preferences. This is the “best method” in the sense of the most suitable for the individual .
Can I do it at home? Safe options and restrictions
on its own.
Upon the recommendation of a doctor, you can use a gentle antiseptic /epithelializing cream.
Avoid solariums and direct sun; if necessary – SPF 50+ .
If there is redness, severe pain, or discharge , see a doctor.
How to reduce the risk of occurrence and recurrence
HPV vaccination (according to schedule and age) reduces the risk of some types of HPV.
Do not share razors, towels, or files.
Keep skin dry in areas of friction; wear loose clothing.
Control your weight, insulin resistance, and diabetes – skin tags are more common in metabolic disorders.
Avoid microtraumas on hands/feet; wear flip-flops in swimming pools and shared showers.
Frequently Asked Questions
Question: Is there a “best” home remedy for warts?
Answer: For warts – salicylic acid and/or OTC cryo-sprays can help, but require patience and precision. For skin tags , the safest and best approach is an in-office procedure .
Question: Is the removal painful?
Answer: Most methods are short and tolerable; local anesthesia is applied if necessary .
Question: Are there any scars?
Answer: Usually – minimal or none, especially with radiofrequency and laser techniques. It depends on skin type , location and aftercare .
Question: Will they come back?
Answer: They can, especially with warts (HPV) and with continued friction/metabolic factors. Preventive measures reduce the risk.
Summary: how to act wisely
Don’t make a diagnosis based on a photo – if in doubt, see a dermatologist.
For small warts on hands/feet: you can try salicylic acid or OTC cryo as directed.
For skin tags and formations on the face, neck, eyelids, genitals – office removal is safest and often fastest.
Do not use aggressive home methods (tying, cutting, uncontrolled acid treatments).
Take care of your skin after the procedure and follow the specialist’s recommendations .
