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Conditions we treat

Seborrheic Keratosis

Seborrheic keratosis is among the most common benign skin growths. It appears from middle age onward, typically in multiples after age 50, and the number tends to increase with time. The classic growth is round or oval, waxy or rough, and looks stuck onto the skin rather than growing from it. Color ranges from light tan through dark brown and black. Seborrheic keratoses favor the face, chest, shoulders, and back, but can appear almost anywhere except the palms and soles. They are harmless and not contagious, but they can closely resemble warts, precancerous lesions, and sometimes melanoma. For that reason, a growth should not be removed at home or by anyone who has not first ruled out cancer. Dr. Julia Tzu examines each lesion and uses dermoscopy when its appearance is not clear-cut. She also holds board certification in dermatopathology if tissue requires microscopic examination. Once the diagnosis is settled, removal may use hyfrecation, laser, or shave removal, with the choice determined mostly by the lesion's thickness.

5 min read · Last updated: 2026-02-08 · Reviewed by Dr. Julia Tzu , MD, FAAD, FACMS

At a Glance

What are the symptoms of Seborrheic Keratosis?

  • Round or oval waxy or rough bump
  • Stuck-on or pasted-on appearance
  • Flat or slightly raised with warty surface
  • Color ranging from light tan to brown to black
  • Size varying from small to over 1 inch across
  • Slightly elevated border
  • May appear alone or in clusters
  • Can become itchy, especially if irritated by clothing

When should you seek care for Seborrheic Keratosis?

  • Any new skin growth, so that it can be confirmed as benign rather than assumed to be
  • A growth turned irritated, bleeding, or sore
  • A growth changing in color, size, or shape
  • Many new growths appearing over a short period, which occasionally warrants a broader evaluation
  • Uncertainty about whether a lesion is a seborrheic keratosis or something that needs treating
  • Cosmetic concern, particularly on the face and neck
  • A growth that catches on clothing, a collar, or a bra strap and keeps getting knocked

Have questions about seborrheic keratosis? Our team is here to help.

What causes Seborrheic Keratosis?

  • Exact cause unknown
  • Genetic tendency (runs in families)
  • Age-related skin changes
  • Not caused by sun exposure (unlike actinic keratosis)
  • Not contagious or caused by virus

How is Seborrheic Keratosis treated?

We offer a service to help manage this condition: Laser Treatment .

Prognosis

  • Excellent prognosis as these are benign
  • Growths don't become cancerous
  • Typically don't return after removal, especially if small
  • New seborrheic keratoses may develop elsewhere
  • Skin may be lighter in removal area (usually fades)
  • No treatment needed unless bothersome

Frequently Asked Questions

On this page

  1. What are the symptoms of Seborrheic Keratosis?
  2. When should you seek care for Seborrheic Keratosis?
  3. What causes Seborrheic Keratosis?
  4. How is Seborrheic Keratosis treated?
  5. Prognosis
  6. FAQs
  7. Sources

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Sources & References

This article draws from 5 peer-reviewed sources.

Medical Institutions

  • [1] Mayo Clinic – Seborrheic Keratosis Symptoms and Causes
  • [2] Mayo Clinic – Seborrheic Keratosis Diagnosis and Treatment
  • [3] Cleveland Clinic – Seborrheic Keratosis

Educational & General

  • [4] AAD – Seborrheic Keratoses Diagnosis and Treatment
  • [5] AAD – Seborrheic Keratoses Overview

Medically reviewed by Dr. Julia Tzu , MD, FAAD, FACMS · Last reviewed: 2026-08-31

Medical Dermatology | Cosmetic Dermatology | Mohs Surgery

World-Class Cosmetic & Surgical Dermatologist in NYC

Julia Tzu, MD, FAAD, FACMSFinancial District, New York

Call (212) 931-0538

Frequently asked questions

What is seborrheic keratosis?
Seborrheic keratosis is a common benign skin growth that typically appears in multiples after age 50. It usually has a waxy, stuck-on appearance, with a well-defined border and color ranging from tan to dark brown. These growths commonly occur on the face, chest, shoulders, and back. They are not cancerous or contagious.
Are seborrheic keratoses dangerous?
No. Seborrheic keratoses are benign growths and do not become cancerous. The concern is that they can look like skin cancer. Any new skin growth needs examination by a dermatologist to confirm the diagnosis and rule out a concerning condition.
When should I see a dermatologist about a seborrheic keratosis?
See a dermatologist for any new skin growth. Also seek evaluation if a growth becomes irritated, bleeds, changes in appearance, or if many new growths appear suddenly. A clinical examination can quickly distinguish many seborrheic keratoses from concerning lesions.
How are seborrheic keratoses removed?
Common methods include cryotherapy, which freezes the growth with liquid nitrogen; electrocautery, which burns it with electrical current; and curettage, which scrapes it away. Shave removal and laser treatment are also options. The choice can depend on the growth's size and location and the number being treated. Because seborrheic keratoses are benign, removal is optional.
Do seborrheic keratoses return after removal?
A properly removed lesion does not usually return at that site, especially when it is small. New seborrheic keratoses may continue to appear elsewhere because the tendency to develop them is constitutional and increases with age. Removal addresses existing growths but does not prevent new ones.
How can I tell whether a growth is seborrheic keratosis or skin cancer?
Seborrheic keratoses typically look waxy and stuck on, with well-defined borders, but appearance alone is not always enough to distinguish them from melanoma or another skin cancer. Any new or changing growth needs examination by a dermatologist.
How is a seborrheic keratosis distinguished from melanoma?
Clinical examination identifies the great majority of seborrheic keratoses, and dermoscopy resolves most of the rest. Under magnification, these growths show characteristic structures that pigmented melanocytic lesions do not. If the diagnosis remains ambiguous, biopsy settles it definitively. This is also why home removal is discouraged: destroying a lesion destroys the ability to examine it.
Which removal method is used, and what determines the choice?
Thickness is the primary consideration among hyfrecation, laser, and shave removal. Hyfrecation delivers precisely controlled electrical energy to lift the growth away in progressive layers. Laser is most effective for very thin lesions; the beam destroys the pigmented portion, and the growth falls away over about two weeks. Shave removal uses a surgical blade to pare a bulkier lesion flush with the surrounding skin. All three methods are performed under local or topical anesthesia.
What does healing look like after removal?
Healing depends on the method. A laser-treated site darkens over roughly two weeks before clearing. Hyfrecation leaves a crusted, darkened area for one to two weeks, with full healing over a couple of months. A shave site heals as a raw area over several weeks, and its pink discoloration fades over months. All three require petrolatum and sun protection because sun exposure on healing skin produces the brown mark the removal was intended to eliminate.

Ready to get started?

Call (212) 931-0538 to book with Dr. Julia Tzu at our Financial District office.