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Foot wart cure. Plantar Wart Treatments: Effective Solutions for Foot Warts

What are plantar warts. How can you identify them. What causes these common foot growths. Which treatments are most effective for eliminating plantar warts. How can you prevent plantar warts from occurring.

Understanding Plantar Warts: Causes and Characteristics

Plantar warts are a common foot condition that can cause discomfort and concern for many individuals. These growths occur on the soles of the feet, typically on areas that bear the most weight, such as the heels and balls of the feet. But what exactly are plantar warts, and how do they develop?

Plantar warts are caused by the human papillomavirus (HPV), which enters the skin through tiny cuts or abrasions. These warts can appear as small, fleshy bumps or hard, flat growths with rough surfaces. One distinctive feature of plantar warts is the presence of tiny black dots, which are actually small blood vessels that have become clotted.

Identifying Plantar Warts

How can you distinguish plantar warts from other foot conditions? Here are some key characteristics:

  • Interruption of normal skin lines and ridges
  • Gray or brown lumps with pinprick-sized black dots
  • Well-defined boundaries
  • Possible discomfort when walking or standing

It’s important to note that plantar warts can be mistaken for corns or calluses. However, the presence of those tiny black dots (clotted blood vessels) is a distinguishing feature of warts.

Risk Factors and Prevention of Plantar Warts

While anyone can develop plantar warts, certain factors may increase your risk. Understanding these can help you take preventive measures to reduce your chances of contracting the virus that causes plantar warts.

Who is Most Susceptible to Plantar Warts?

People who are more likely to develop plantar warts include:

  • Children and teenagers
  • Individuals with weakened immune systems
  • Those frequently exposed to warm, moist environments
  • People with cuts or damaged skin on their feet

Preventive Measures

How can you protect yourself from plantar warts? Consider these preventive strategies:

  1. Wear shower thongs or sandals in public locker rooms, showers, and swimming pool areas
  2. Keep your feet clean and dry
  3. Change socks regularly, especially if your feet tend to sweat
  4. Use foot powders to reduce moisture
  5. Avoid walking barefoot in public areas
  6. Don’t share shoes or socks with others

By implementing these measures, you can significantly reduce your risk of contracting the HPV that causes plantar warts.

Conventional Treatments for Plantar Warts

When it comes to treating plantar warts, there are several conventional methods available. These range from over-the-counter solutions to professional medical treatments.

Over-the-Counter Treatments

For those seeking to treat plantar warts at home, over-the-counter options include:

  • Salicylic acid solutions (40% concentration)
  • Wart removal pads
  • Freezing sprays

These treatments typically require consistent application over several weeks to be effective. It’s important to follow the instructions carefully and be patient, as results may not be immediate.

Professional Medical Treatments

If over-the-counter treatments prove ineffective, or if the warts are particularly large or numerous, professional medical treatments may be necessary. These can include:

  • Cryotherapy (freezing the wart with liquid nitrogen)
  • Laser therapy
  • Electrocautery (burning the wart)
  • Surgical excision
  • Prescription-strength topical medications

Each of these treatments has its own benefits and potential side effects, so it’s important to consult with a healthcare professional to determine the best approach for your specific case.

Alternative and Natural Remedies for Plantar Warts

While conventional treatments are often effective, some individuals prefer to explore alternative or natural remedies for plantar warts. These methods may be less invasive and can sometimes be equally effective.

The Duct Tape Method

One popular alternative treatment is the duct tape method. This involves:

  1. Covering the wart with duct tape for six days
  2. Removing the tape and soaking the wart in water
  3. Gently rubbing the wart with an emery board or pumice stone
  4. Repeating the process for up to two months

A study published in the Archives of Pediatrics and Adolescent Medicine found that this method was more effective than cryotherapy in some cases.

Visualization and Mind-Body Techniques

Dr. Andrew Weil, a proponent of integrative medicine, suggests using visualization techniques to treat plantar warts. This involves:

  • Spending a few minutes each day imagining the warts shrinking
  • Using guided imagery or clinical hypnosis recordings
  • Practicing visualization when waking up and falling asleep

While scientific evidence for this method is limited, some individuals report success with this mind-over-matter approach, particularly children who can engage their vivid imaginations.

Advanced Medical Treatments for Persistent Plantar Warts

For plantar warts that prove resistant to standard treatments, more advanced medical interventions may be necessary. These treatments are typically administered by podiatrists or dermatologists and can be highly effective for stubborn warts.

Topical Prescription Medications

One advanced treatment option is a prescription topical medication called Wart5-Fluoro. This compound combines:

  • An acid to remove the wart tissue
  • 5-Fluorouracil, a drug that kills the virus causing the wart

Studies have shown this combination to have a success rate of about 95% in eliminating plantar warts. The treatment is painless but typically takes about 8 weeks to fully resolve the warts.

Surgical Excision

In cases where only a few warts are present, surgical excision may be recommended. This procedure involves:

  • Local anesthesia to numb the area
  • Removal of the wart through a simple surgical procedure
  • Possible follow-up topical therapy to prevent recurrence

The advantage of surgical excision is immediate removal of the wart, although there may be a recovery period following the procedure.

Complications and When to Seek Medical Attention

While plantar warts are generally benign, there are situations where medical attention may be necessary. Understanding potential complications and knowing when to consult a healthcare professional is crucial for proper foot care.

Potential Complications

Some complications that can arise from plantar warts include:

  • Pain or discomfort that interferes with walking or daily activities
  • Spread of warts to other areas of the foot or body
  • Secondary bacterial infections
  • Scarring from improper treatment attempts

When to See a Doctor

Consider seeking medical attention if:

  • The wart persists despite over-the-counter treatments
  • You’re unsure if the growth is a wart
  • The wart is causing significant pain
  • You have diabetes or a weakened immune system
  • There are signs of infection (redness, swelling, pus)
  • The wart is changing in appearance or spreading rapidly

A healthcare professional can provide an accurate diagnosis and recommend the most appropriate treatment plan for your specific situation.

Living with Plantar Warts: Management and Lifestyle Adjustments

While dealing with plantar warts, there are several lifestyle adjustments and management strategies that can help alleviate discomfort and prevent the spread of the virus.

Pain Management

To manage pain associated with plantar warts:

  • Use cushioned insoles or pads to reduce pressure on the affected area
  • Avoid high-impact activities that put stress on your feet
  • Apply ice to reduce inflammation and numb the area
  • Take over-the-counter pain relievers if necessary

Preventing Spread

To prevent the spread of plantar warts:

  • Avoid touching or scratching the wart
  • Keep the affected foot clean and dry
  • Use separate towels and washcloths for your feet
  • Wear socks when walking around the house
  • Clean surfaces that come into contact with the wart (e.g., shower floor)

By implementing these strategies, you can manage your plantar warts effectively while undergoing treatment and prevent their spread to other areas of your body or to other people.

The Future of Plantar Wart Treatment: Emerging Therapies and Research

As medical science advances, new treatments for plantar warts are continually being developed and researched. These emerging therapies offer hope for more effective and less invasive treatments in the future.

Immunotherapy

One promising area of research is immunotherapy, which involves stimulating the body’s immune system to fight the HPV causing the warts. This can be done through:

  • Intralesional injections of immunostimulants
  • Topical immunomodulators
  • Systemic immunotherapy

These treatments aim to boost the body’s natural defenses against the virus, potentially offering a more targeted and effective approach to treating plantar warts.

Photodynamic Therapy

Another emerging treatment is photodynamic therapy, which involves:

  1. Applying a photosensitizing agent to the wart
  2. Exposing the area to a specific wavelength of light
  3. The light activates the agent, destroying the wart tissue

This non-invasive treatment shows promise in effectively treating plantar warts with minimal side effects.

Ongoing Research

Researchers continue to explore new avenues for plantar wart treatment, including:

  • Development of new antiviral medications
  • Improvements in laser therapy techniques
  • Investigation of natural compounds with antiviral properties
  • Exploration of combination therapies for enhanced efficacy

As these emerging therapies are further studied and refined, individuals suffering from plantar warts may have access to more effective and personalized treatment options in the future.

In conclusion, plantar warts, while often benign, can cause significant discomfort and concern. Understanding their causes, characteristics, and available treatments is crucial for effective management. From conventional methods to alternative remedies and emerging therapies, there are numerous options for addressing this common foot condition. By staying informed about prevention strategies and treatment advancements, individuals can take proactive steps to maintain healthy, wart-free feet.

Plantar Warts & Treatment | Foot Care

What are plantar warts?

“Plantar” refers to the sole of the foot, and plantar warts are simply warts that grow on the bottom of the feet.

What are the varieties of plantar warts?

Plantar warts tend to occur on the heels or the balls of the feet, which take the most pressure from standing and walking.

What are the causes of plantar warts?

Like warts found elsewhere on the body, planter warts are growths caused by the human papillomavirus (HPV). You can pick up the HPV that causes planter warts anywhere, but you are most likely to come into contact with it in warm, moist places such as shower floors, locker rooms and public swimming pools.

Who is likely to get them?

You are most susceptible to HPV if you’re repeatedly exposed to the virus, if your skin is cut or damaged, or if your immune system is weakened.

How can plantar warts be prevented?

Wear shower thongs or sandals when you use a public locker room or shower. Use foot powders and change your socks often to keep the feet dry.

What are the symptoms?

A planter wart can look like a small, fleshy bump; a hard, flat growth with a rough surface and well-defined boundaries; or a gray or brown lump with tiny pinprick-size black dots (clotted blood vessels that distinguish warts from bloodless corns and calluses). The growths interrupt the normal lines and ridges in the skin.

What is the conventional treatment?

You do not really have to do anything about plantar warts. Most will disappear on their own sooner or later. But if yours are causing discomfort, a number of planter wart treatments are available. You can buy over-the-counter treatments containing a 40 percent salicylic acid solution that you apply once or twice a day for a few weeks. Another planter wart treatment option is the “duct tape treatment” – you cover the warts with duct tape for six days then soak them in water and rub them gently with an emery board or pumice stone. You may have to repeat the process over the course of a month or two before the warts disappear, but a study published in the October 2002 Archives of Pediatrics and Adolescent Medicine found that the duct tape method worked better than having a doctor freeze the warts off with liquid nitrogen, which can be painful and cause scarring.

What therapies does Dr. Weil recommend for plantar warts?

Try removing warts with visualization: Spend a few minutes a day picturing the growths shrinking. If you need help coming up with images, you can listen to audiotapes made by practitioners skilled in guided imagery and clinical hypnosis. It may be most effective to do this when waking and falling asleep. Children are especially good at it. Their vivid imaginations can conjure up all kinds of magical methods of wart removal. This mind-over-matter method can work remarkably well, so try it first, before resorting to acids, duct tape, lasers, or surgery.

Plantar Wart Treatment Guide | Foot & Ankle

What are Plantar (Foot) Warts?

Wart – central black dots, blood vessels, called rete pegs.

Warts are one of a number of soft tissue conditions of the foot that can be quite painful. They are caused by a virus, which invades the skin through small or invisible cuts and abrasions. They can appear anywhere on the skin, but only those on the bottom of the foot are called plantar warts.

Children, especially teenagers, tend to be more susceptible to warts than adults; some people are immune to warts.

Treatment of Plantar Warts

We have a number of treatments available for warts and because they can be resistant to treatment we review the literature regularly for articles pertaining to better wart treatments.

Our standard treatments include:

Topical Treatment of Warts – Painless and Effective

Most over-the-counter wart medications are not effective for warts on the bottom of the foot because while they will get rid of some of the wart they do not kill the virus so the wart keeps growing.

We commonalty prescribe a topical medication called Wart5-Fluoro that is a compound of an acid to get rid of the wart and a drug called 5-Fluorouracil that acts to kill the virus. Most studies on this combination of medications show about a 95% success rate at getting rid of warts. We like this as a primary treatment for most patients because it is effective and completely painless. The only downside is that it takes about 8 weeks to see complete resolution of the wart(s).  Wart5-Fluoro has been shown to be safe for children. It is not approved for pregnant women.

Surgical Excision of Warts

If only a few warts are present, removal of warts by a simple surgical procedure, performed under local anesthetic, may be indicated. If there are many warts, then a combination of topical and oral medications will likely be used first. The advantage of the surgical procedure is that the wart is gone immediately. We may still recommend several weeks of topical therapy following excision of the wart.

Laser Treatment of Warts

We can also perform laser treatment of warts. The advantage of laser treatment is that it is a very fast way to treat the wart. The laser acts to cauterize the vessels in the wart depriving it of it’s blood supply. The downside is that it is briefly painful.

Vitamin D Injection for Warts

A newer treatment is injection of Vitamin D into the wart. Current studies show this to be about 80% effective.  

Other Treatments

There are a number of other treatments available including Bleomycin injection and microwave therapy.  Unfortunately there is no one best treatment and what works for one person may not work for another. 

Self Treatment of Plantar Warts

The products that are recommended below are those that we recommend to our patients and they are also affiliate links so we may receive a small commission at no additional cost to you if your order from the link.

We advise against self treatment of warts. Over-the-counter medications contain acids or chemicals that destroy skin cells, and can damage  healthy tissue in the surrounding area.

Self treatment with such medications should always be avoided by people with diabetes and those with cardiovascular or circulatory disorders. Never use them in the presence of an active infection.

If you absolutely cannot see a podiatrist for treatment of plantar warts and you want to try self-treatment, salacylic acid has been shown to be the most effective over-the-counter wart medication. We recommend the WartStick for two reasons:

  • It is one of the strongest OTC wart medications with 40% salacylic acid.
  • It goes on dry so it is less likely to spread to and damage surrounding tissue. 

Try this for about 3-4 weeks. If you are not seeing improvement see a podiatrist or dermatologist.

Is That Really a Wart?

On your first visit we will evaluate your foot to determine if the lesion on your foot is a wart and we will discuss various treatments with you – including the advantages and disadvantages of each. If topical treatment is to be used then you will receive a prescription. If surgical removal is indicated, we will make you an appointment to return soon to have that done. A complete evaluation is necessary before surgical excision can be scheduled, so we usually cannot remove the warts on your first visit. To get started on treating your foot warts contact us today to make an appointment in our Seattle office.

Identification of Warts

Most warts are harmless, even though they cause pain. They are easily mistaken for calluses—which are layers of dead skin that build up in areas that are being irritated by excessive pressure or friction. Warts, however, are a viral infection.

It is also possible for a wart to be mistaken for more serious lesions, including malignant lesions. These problems are very rare, but is wise to consult a podiatric physician when any suspicious growth or is noted on the skin of the foot in order to ensure a proper diagnosis.

Plantar warts tend to be flat and hard, with a rough surface and well-defined boundaries; warts are generally raised and fleshier when they appear on the top of the foot or on the toes. Plantar warts are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. Warts can be frustrating in that they are often very resistant to treatment and have a propensity to reoccur.

Source of the Wart Virus

The plantar wart is often contracted by walking barefoot on ground where the virus is hiding. The virus lives best in moist, warm environments, making infection a common occurrence in places such as gyms.

If left untreated, warts can grow to more than an inch and can spread into clusters. Like any other infectious lesion, plantar warts are spread by scratching, touching, or even by contact with skin shed from another wart. The wart may also bleed, another route for spreading.

Occasionally, warts will simply disappear, and, just as frequently, they can recur in the same location.

The pain from a wart is caused by increased pressure on weight bearing areas – such as the heel or the ball of the foot.

Prevention Tips

  • Avoid going barefoot, except on sandy beaches.
  • Change your socks and shoes daily.
  • Keep your feet clean and dry.
  • Check kid’s feet for lesions.
  • Avoid direct contact with warts—from other persons or from other parts of the body.
  • Visit your podiatrist as part of your annual health checkup.

 Tips for Individuals with Warts

  • Avoid self treatment with over-the-counter preparations if possible.
  • Seek professional podiatric evaluation and assistance with the treatment of your warts.
  • Diabetics and other patients with circulatory, immunological, or neurological problems should be especially careful with the treatment of their warts.
  • Warts may spread and are catching. Make sure you have your warts evaluated to protect yourself and those close to you.

Foot care | Altermed

Every time summer approaches, we remember that this is the season of bare legs. Everyone wants to come to this long-awaited time in a decent shape. Let’s talk about some foot skin problems that do not adorn us at all.

Prices for services

Primary appointment with a dermatologist (assessment of patient complaints, history taking, examination, provisional diagnosis, consultation)

Primary appointment – an appointment with a doctor of a specific specialty for the first time.

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1500 ₽

Appointment with a dermatologist for removal of neoplasms (evaluation of complaints, history taking, dermatoscopy according to indications)

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500 ₽

Fungus

Thick uneven yellow toenails, cracked dry skin of the soles, a sharp unpleasant odor – all this can be signs of mycosis – a fungal disease of the skin and nails. People are ashamed of such “beauty”, and therefore, paradoxically, instead of going to the doctor, they hide their legs all year round.

The fungus is much more dangerous than it seems! It reduces immunity, is transmitted to relatives and friends, worsens the quality of life of the patient.

Meanwhile, the fungus treatment regimen is simple and does not take as much time as it used to be believed.

The complex of therapy consists of ointments for external use and medicinal antimycotic preparations for internal use. A quick positive effect is achieved when using hardware technologies.

Life story: Alexander (37 years old) suffered from a fungus for more than 10 years, Alexander was most upset by the unpleasant smell of his own feet. Even when visiting, Sasha first ran to the bathroom, where he washed his feet and changed his socks. The diagnosis was rubromycosis, the treatment took 1.5 months.

Plantar warts

Plantar warts are a skin disease caused by human papillomavirus types 1, 2, and 4, characterized by small tumor-like benign formations. Plantar warts appear on the soles of the feet, in places where shoes press against the skin of the foot. Plantar warts are usually painful, interfere with walking, and are often confused with calluses, which leads to incorrect and ineffective treatment.

In the meantime, a plantar wart can be removed in a few minutes with a laser, the most effective technique to date. If there are a lot of warts, then in addition to their removal, you will need to undergo systemic antiviral and immunotherapy.

Life story: Larisa (22 years old) unsuccessfully treated a plantar wart with a plaster, ointments for 3 summer months, thinking that it was a corn. When trying to extract the neoplasm with nail tweezers, she spread the infection all over the foot. I got rid of several warts with a laser in 1 hour.

Microbial eczema

Microbial eczema is an inflammatory skin disease that is caused by a specific infectious agent (staphylococci, streptococci, etc.). Microbial eczema is located, including on the shins, ankles, and may look like vesicles, nodules, against the background of a red or bluish-red spot, crusts are visible in the center of inflammation, significant swelling is possible. Unlike fungal infection, microbial eczema is accompanied by itching. Varieties of microbial eczema are varicose eczema, which develops against the background of varicose veins, mycotic, occurring against the background of fungal lesions of the skin and nail plates, and paratraumatic (at the site of injury) eczema.

Despite such frightening signs, microbial eczema is often cured completely or almost completely with a systematic and qualified medical approach.

Palmar and plantar psoriasis

Palmar-plantar psoriasis is easy to confuse with a fungus: the skin also peels and exfoliates, cracks do not heal. This is the difficulty in diagnosing many types of psoriasis – they disguise themselves as other skin diseases. However, psoriasis is a much more terrible disease than mycosis, sometimes threatening even disability or death. The more dangerous it is to try to diagnose yourself and write a prescription for yourself. There, you can muffle the symptoms and postpone a truly effective and verified treatment for an indefinite period. And at this time, psoriasis will progress.

Life story: Olga Yurievna (54 years old) turned to a dermatologist with a suspicion of foot fungus. After the examination, the patient was diagnosed with palmoplantar psoriasis. At the moment, she is undergoing intensive complex treatment by a dermatovenereologist. The prognosis is favorable.

Unfortunately, the problem of foot skin care is not always only an aesthetic problem. Many diseases require a more serious approach to treatment than just a self-prescribed and applied ointment. Otherwise, health can be lost once and for all. And then even the best doctor will be powerless.

Removal of moles, warts, papillomas Tver, price

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Removal of moles, warts, papillomas and other benign neoplasms is performed in case of damage or change, as well as for aesthetic reasons. Often, skin neoplasms are perceived as completely safe aesthetic flaws, but in rare cases, under the influence of injuries, sunburn, etc. cells of moles, warts, keratomas can degenerate into cancer cells.

Each skin formation – moles, warts, papillomas – has its own characteristics. If moles or papillomas become larger, change shape or color, appear painful or bleed, then it is important to urgently remove them. Damaged and large formations are also removed.


Radio wave surgery is rightly considered the most progressive and safe technology of the 21st century.

Advantages of radio wave surgery:

  • Maximum safety and efficacy in the treatment of papillomas, nevi, fibromas, warts, moles.
  • Excellent cosmetic effect – even, clear skin or the smallest possible scar.

In our clinic, we use the Surgitron™ radiosurgical device manufactured by Ellman International, Inc. (USA). Its main difference from the electroknife, which has been “dominating” for more than one decade, is the minimal damage to surrounding tissues, which contributes to better wound healing and the formation of a “gentle” scar. That is why “Surgitron™” is actively used by leading surgeons around the world.


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  • 5% discount on medical programs for children

    In honor of International Children’s Day

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  • 15% discount for complex ultrasound

    For women and men! The promotion is valid until 31.07.2023

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  • Special offer for laboratory prenatal screening

    First and second trimester screening

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Prices

Service name Price, a
Removal of benign formations: Ingrown toenail middle stage

2500

Removal of benign formations: Ingrown toenail severe stage

4000

Removal of benign formations: Ingrown nail easy stage

2000

Abscess opening

2000

Sectoral resection with histological examination

17000

Radiosurgical removal of large papillomas (more than 4 mm) body

500

Radiosurgical removal of large papillomas (more than 4 mm) face

1000

Radiosurgical removal of large papillomas (more than 4 mm) intimate area

1000

Radiosurgical removal of papillomas from 11 pcs. up to 20 pcs. (1 piece) intimate area

400

Radiosurgical removal of papillomas from 6 pcs. up to 10 pcs. (1 piece) intimate area

450

Radiosurgical removal of papillomas from 1 pc. up to 5 pcs. (1 piece) intimate area

500

Radiosurgical removal of papillomas from 1 pc. up to 5 pcs. (1 piece)

400

Radiosurgical removal of papillomas from 6 pcs. up to 10 pcs. (1 piece)

350

Radiosurgical removal of papillomas from 11 pcs. up to 20 pcs. (1 piece)

300

Radiosurgical removal of benign skin formations (keratomas, warts, molluscum contagiosum), etc. from 11 pcs. and more (1 piece)

300

Radiosurgical removal of benign skin formations (keratomas, warts, molluscum contagiosum), etc. from 6 pcs. up to 10 pcs. (1 piece)

600

Radiosurgical removal of benign skin formations (keratomas, warts, molluscum contagiosum), etc. from 1 pc. up to 5 pcs. (1 piece)

650

Radiosurgical removal of benign soft tissue formations (atheromas, fibromas, lipomas), etc. over 3 cm

5000

Radiosurgical removal of benign soft tissue formations (atheromas, fibromas, lipomas), etc. from 1 cm to 3 cm

4000

Radiosurgical removal of benign soft tissue formations (atheromas, fibromas, lipomas), etc. up to 1 cm

3000

Removal of spider veins on the apparatus Surgitron (1 pc)

1500

Removal of benign formations: Lipoma more than 5 cm to 10 cm

8000

Removal of benign formations: Lipoma from 2 to 5 cm

4000

Removal of benign formations: Over 2 cm

3000

Removal of benign formations: Lipoma up to 2 cm

2000

Removal of benign formations: Atheroma (1 unit)

2000

Removal of benign formations: Candyloma (1 unit)

1500

Radiosurgical removal of basalioma from 7 mm to 10 mm

5000

Radiosurgical removal of basalioma from 4 mm to 6 mm

4000

Radiosurgical removal of basalioma from 1 mm to 3 mm

3000

Radiosurgical removal of nevi, hemangiomas, etc. – intimate zone

2500

Radiosurgical removal of nevi, hemangiomas, etc. – person

1500

Radiosurgical removal of nevi, hemangiomas, etc. – scalp

1000

Removal of nevi, skin fibromas, keratomas, papillomas, warts (1 pc)

600

Removal of dry corns and warts on the legs with the Surgitron apparatus, small 1 piece, less than 1 cm

1200

Removal of dry corns and warts on the legs with the Surgitron large apparatus 1 pc, 1-2 cm

1800

Removal of neoplasms and warts on the body with the Surgitron apparatus small 1 piece, up to 1 cm

500

Removal of neoplasms and warts on the face with the Surgitron apparatus large 1 piece, more than 1 cm

1500

Removal of neoplasms and warts on the face with the Surgitron apparatus small 1 piece, up to 1 cm

1000

Removal of neoplasms and warts on the body with the Surgitron device large 1 piece, more than 1 cm

600

Removal of stitches

400

Cosmetic suture 1 cm

500

Anesthesia

300

Dressing

400

Complexity allowance (comorbidities, etc.

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