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Rough or thickened skin areas deserve a clear diagnosis. The appropriate treatment for keratosis depends on the diagnosis.
Keratoses include different forms of abnormal keratin build-up. At DIVINE Medica, medical assessment comes before any cosmetic correction.
Keratoses include different forms of abnormal keratin build-up. Some are benign, while others need further medical treatment. Only after diagnosis can we determine whether CO₂ ablation is appropriate or whether tissue needs to be examined.
Rough, thickened or repeatedly irritated areas are examined first. Only after the type of keratosis has been established can we decide whether removal is appropriate or another treatment is needed.
The diagnosis is clarified before removal, including whether tissue examination may be required. We discuss the risks of infection, delayed healing, scarring, pigment changes and damage to surrounding tissue with you. The extent of treatment, protective measures and aftercare depend on the location of the lesion.
The type of rough skin lesion, its development and any recent changes are assessed carefully. We tailor the plan to the treatments suitable for you and how well your skin tolerates them.
The type of rough skin lesion, its development and any changes are assessed carefully. Repeated irritation, bleeding or growth are important details. During your consultation, we confirm the diagnosis and explain the appropriate treatment options.
After diagnostic assessment, the appropriate area is documented and cleansed. Anaesthesia and protective measures depend on the chosen method. If tissue sampling is required, this is considered before complete ablation.
Only keratoses that have been appropriately assessed are treated with the selected technique. The extent of removal depends on the size and depth of the lesion. We then control any bleeding and provide appropriate wound care. Local anaesthesia usually keeps discomfort during removal to a minimum, although you may feel the injection and brief pressure.
At the end of the procedure, we assess the immediate response of the treated area. Healing is monitored according to the diagnosis. Aftercare and follow-up appointments are tailored accordingly.
Tell us about any changes in the lesion, previous skin findings and medications. Change prescribed medication only after medical advice. Please report new bleeding, rapid growth or inflammation before the appointment and do not attempt to remove the lesion yourself.
Use the recommended wound care and sun protection on the treated area. Do not pick at crusts. Recurrent thickening or new changes should be examined again, and worsening symptoms require prompt medical review.
Healing is monitored according to the diagnosis. Skin colour and the appearance of any scars continue to change over approximately 2–6 months. Further steps depend on the diagnosis and whether the lesion recurs.
Download the key preparation and aftercare guidance as a PDF.
The final treatment plan and price are confirmed during your consultation.
Prices may vary depending on the product, extent of treatment and any combination of treatments.
Answers to your questions about treatment, results and aftercare.
Keratoses include different forms of abnormal keratin build-up. Some are benign, while others need further medical treatment. Only after diagnosis can we determine whether CO₂ ablation is appropriate or whether tissue needs to be examined.
The appointment takes around 15–45 minutes. Healing is monitored according to the diagnosis. Skin colour and the appearance of any scars continue to change over approximately 2–6 months. Further steps depend on the diagnosis and whether the lesion recurs.
Local anaesthesia usually keeps discomfort during removal to a minimum, although you may feel the injection and brief pressure. Local anaesthesia is required. Expected downtime is around 3–10 days. The small wound may initially be tender, red or mildly swollen, and a crust can form. Minor bleeding is possible. Increasing pain, redness or discharge requires medical assessment.
Rough, thickened or repeatedly irritated areas are examined first. Only after the keratosis has been classified can we determine whether removal is appropriate or another treatment is needed. Use the recommended wound care and sun protection. Do not pick at crusts. Recurrent thickening or new changes should be assessed again, and worsening symptoms require prompt medical review.
Recovery time: 3–10 days
The small wound may initially be tender, red or mildly swollen, and a crust may form. Minor bleeding can occur. Increasing pain, redness or discharge requires medical assessment.
We assess how well your skin has tolerated treatment before planning any additional procedures. The follow-up plan depends on the diagnosis. The order of treatments and the intervals between them depend on your skin condition and any previous procedures.
At DIVINE Medica, medical assessment of the keratosis comes before cosmetic correction. We also consider whether tissue examination is needed when choosing the treatment method. Follow-up is based on the specific diagnosis.
The type of rough skin lesion, its development and any changes are assessed carefully. Repeated irritation, bleeding or growth are important details. During your consultation, we confirm the diagnosis and explain the appropriate treatment options. Your consultation takes place in person at DIVINE Medica in Munich.
A 30-minute consultation costs €75.
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Specialist physician focused on personal consultation, medical responsibility and balanced treatment planning.
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Specialist physician providing individual medical care with attention to safety, proportion and patient goals.
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Head of Medical Cosmetics & Aesthetic Technologies with a focus on skin analysis, individual goals and long-term treatment planning.
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