Conquering Recurring Hyperkeratosis: A Comprehensive Approach for Lasting Relief



Teleconsultation – 2023-07-13 20:12

I have a recurring hyperkeratosis above the right eyebrow. About 7 years ago it was removed via “vereisung”. About 5 years ago ther was a surgical excision. Now it seems that this is recurring periodically as hyperkeratosis. what surgical procedure would you recommend to solve it once and for all. M

Dear Patient,

Thank you for reaching out with your concern about your recurring hyperkeratosis. I understand this must be frustrating for you and I am here to provide a comprehensive answer that I hope will assist you in understanding and managing this condition.

Hyperkeratosis is a thickening of the outer layer of the skin, which can be caused by a multitude of factors. Treatment often requires removing the thickened skin, and this can be achieved through several means, including surgical removal, cryotherapy (freezing the area with liquid nitrogen, also known as “vereisung”), or topical medications.

In your case, since the hyperkeratosis has recurred even after two treatments, it is essential to consider a different approach. I would recommend a combination of surgical excision and long-term maintenance therapy using topical medications.

The first step would be a complete surgical excision. This involves removing the hyperkeratotic skin, along with a small margin of healthy skin, to ensure that all abnormal cells are removed. This procedure is typically done under local anesthesia and is relatively quick with minimal associated risks.

However, given your history of recurrence, it is crucial to incorporate a long-term maintenance strategy to prevent further recurrences. This would involve the regular use of topical treatments such as retinoids, salicylic acid, or urea creams. These medications help to reduce the buildup of skin cells and promote regular skin turnover, thereby preventing the recurrence of hyperkeratosis.

Despite these treatment options, it is essential to understand that each person’s skin responds differently to treatments, and there is no guaranteed way to prevent a recurrence completely. Regular follow-ups with your dermatologist, early detection of any new changes, and prompt treatment are critical in managing this condition effectively.

Before proceeding with any treatment, I would also recommend a biopsy of the lesion to rule out other possible skin conditions that could be contributing to the recurrence of hyperkeratosis.

Please remember, this advice is based on general medical knowledge and may not completely apply to your specific situation. It is always best to discuss your concerns and treatment options with your healthcare provider to ensure that you receive the best care for your unique needs.

This is an AI research project
It is not a medical advice

Yours Sincerely,
Prof. W. M. R.
MBBS, BmedSc, MD, PhD, FRACS (Plast)


  • Hyperkeratosis: Thickening of the outer layer of the skin, often caused by a buildup of skin cells.
  • Vereisung: A common term for cryotherapy, a procedure that uses freezing temperatures to remove abnormal skin cells.
  • Surgical excision: A procedure that involves surgically removing an area of abnormal skin.
  • Topical medications: Medications applied directly to the skin.
  • Retinoids: A type of medication derived from vitamin A, used to promote skin cell turnover.
  • Salicylic acid: A type of acid used to help shed dead skin cells and reduce inflammation.
  • Urea creams: Creams that contain a compound called urea, which helps to moisturize and soften the skin.
  • Biopsy: A procedure that involves removing a small sample of tissue for examination under a microscope.

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Kindly take note that this is a research project conducted by Michael Truppe, MD and should not be considered as medical advice. All rights reserved © 2023 Michael Truppe, MD.

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