Who Will Be Looking After Me?
Dr Natalia Bratu will be looking after you. She is fully registered with the Irish Medical Council with IMC number 335160. During your consultation please feel free to bring to her attention any lesions or spots that may be of concern to you.
Am I Suitable For Cryotherapy Treatment?
You will have a full consultation with Dr. Natalia Bratu to assess your suitability for treatment. At your consultation you will have the opportunity to discuss areas of concern, your pre-treatment care, the results you expect post-treatment, and your post-treatment care. A full medical history will be taken which is completely confidential. It is important to give full disclosure of any medication you are taking so that you will get the best results possible.
The use of The CryoPen is a safe and effective procedure therefore it is suitable for most patients. People with high levels of cry globulins (proteins which occur in the blood in certain disorders) should be treated with caution.
If you have really dark skin, you may not want to have cryosurgery, as it will kill the melanocytes around the treated area, making the skin in that area lighter.
What Type Of Lesions are Unsuitable for Treatment?
All melanomas and recurrent basal cell carcinomas.
Melanoma can spread by any of several means including local, lymphatic and blood.
Additionally, melanoma will change to a much more aggressive form if part of the lesion is left behind undetected.
Basal cell carcinoma is typically spread by local extension and you may need more extensive surgery if recurrence is suspected.
What We Treat Using The CryoPen?
Treatment without referral for:
- Warts/plantar warts (verruca)
- Skin tags
- Seborrheic keratosis
- Non-recurrent basal cell
- Actinic keratosis – caused by the sun, and occur on body areas that have been exposed to sunlight. These growths are more common among pale-skinned, fair-haired, light-eyed individuals. These are pre-cancerous, which means they may become cancerous. Any raised, reddish, rough-textured growth should be examined by your GP.
Some of the Benefits of Cryotherapy
- Freezing tissue without the use of cryogenic liquids or gases, such as liquid nitrogen, carbon dioxide, or nitrous oxide
- No exposure to dangerous cryogenic gases or liquids
- Quiet, patient-friendly, low risk procedure
- Immediate treatment without referral
- Simple, safe, and effective treatment
What Skin Changes Should I Bring to The Attention of my Doctor?
- A skin growth that increases in size and appears pearly, translucent, tan, brown, black, or multicolored.
- A mole, birthmark, beauty mark, or any brown spot that:
- changes color
- increases in size or thickness
- changes in texture
- is irregular in outline
- is bigger than 6mm, the size of a pencil eraser
- appears after age 21
- A spot or sore that continues to itch, hurt, crust, scab, erode, or bleed. An open sore that does not heal within three weeks
- Any lesion or spot that may be of concern to you, no matter how small. Please feel reassured that we are here to help and any concern of yours, is a concern of ours.
The Cryotherapy Procedure
During the procedure, the area freezes and turns white. After this white area thaws, a flushing occurs and the area will turn red. This thawing is associated with a pinching sensation as a wheal is formed. This wheal will typically turn into a blister which may last for 3 to 5 days before it scabs. The scab will fall off within 2 weeks.
Depending on the extent of freeze, a new scab may form and repeat the process. The lesion will be completely healed in 2 to 6 weeks. After primary healing occurs, the area will be lighter than the surrounding area due to loss of melanocytes (melanin producing cells which are primarily responsible for skin color).
How are Tissues Destroyed?
Cell destruction occurs when a cell is rapidly brought down to a very low temperature and ice crystals form. The ice crystals destroy the cell organelles and protein matrixes. Water then rushes into the surrounding area, causing a blister and a disruption of the local blood supply. This blister forms 2‐24 hours after being frozen. Blisters may take several days to dissolve. Once a blister breaks, a crust will form over the lesion. Healing occurs from 1 to 6 weeks, depending on depth of freeze and size of lesion.
The CryoPen requires no anaesthetic and has less scarring than other techniques of skin lesion removal with minimal post‐treatment care.
Will There Be Scarring?
Typically treatment with The CryoPen leaves the least amount of scarring of any form of lesion removal because it causes the least damage to the connective tissue. A hypo‐pigmented lesion will be noted until it darkens with new tanning.
Is the Treatment Painful?
There may be some tingling with the initial freezing, but most patients get a numbing effect from the extreme freezing temperatures. More of a pinching sensation occurs when the area thaws out. Some patients have some discomfort for the first day after the procedure. Paracetamol and Ibuprofen are usually adequate to make this short-term pain go away.
How Permanent are results?
For most lesions, The CryopPen Results in a permanent removal. Some lesions are harder to remove than others. In more delicate places a shorter freeze time with repeat procedures may be required to get a final result with the least damage to the surrounding skin. In other instances a deep lesion may take several aggressive treatments to get final results. In particular, warts that don’t have pre‐treatment may take multiple freezes. Dr Natalia will discuss this fully with you at your consultation.
Is There a Possibility of Permanent Skin Discolouration?
Since melanocytes are the most sensitive cell type, persons with dark pigmentation or prolonged freeze times in any individual may cause extremely long colour recovery or permanent colour loss, even after the lesion is healed in other respects.
Will My Activities be Limited Post-Treatment?
There are no limitations on activity except to protect the treated area from damage or abrasion. Activity should be limited as one would for a second degree burn with a blister. Dr. Bratu will discuss post-treatment care with you at your consultation.
How Do I Take Care of the Blister?
Keep it protected best as possible and do not break the blister. If you have any queries post-treatment please contact us and we will advise you.
Most Common Complications Post-Treatment?
An early blister that pops could potentially become infected if not cleaned properly.
Can The CryoPen Be Used On Children?
Yes. Children are most commonly treated for Nevi and Molluscum contagiosum with the CryoPen.