Dermoscopy-Guided Versus Conventional Radiofrequency Ablation for Facial Verruca Vulgaris: A Prospective Observational Study

Dr. Kanika Roy

Abstract: Facial verruca vulgaris are common cutaneous viral infections that often cause major cosmetic concern to patients. Radiofrequency (RF) ablation is a standard treatment for their removal. Dermatoscopy may help in precise removal by identifying satellite lesions and residual components. This prospective observational study compared recurrence, cosmetic outcomes, and adverse events of facial verruca vulgaris treated with RF ablation performed with versus without dermoscopic guidance in 100 immunocompetent patients with facial verruca vulgaris. Follow-up visits occurred at 1 and 6 months. No recurrence was seen in the dermatoscopy-guided group, compared with 8% (4/50) recurrence in the conventional group at 6 months. Cosmetic outcomes were rated more acceptable in the dermatoscopy-guided cohort, as limited, targeted ablation minimized tissue damage. Adverse events were mild and comparable between both groups. Dermatoscopy-guided RF ablation resulted in better cosmetic outcomes and lower recurrence without increasing adverse events, supporting its routine integration into wart management.

Keywords: facial warts, dermatoscopy-guided treatment, radiofrequency ablation, cosmetic outcomes, recurrence prevention

How to Cite?: Dr. Kanika Roy, "Dermoscopy-Guided Versus Conventional Radiofrequency Ablation for Facial Verruca Vulgaris: A Prospective Observational Study", Volume 14 Issue 9, September 2025, International Journal of Science and Research (IJSR), Pages: 702-704, https://www.ijsr.net/getabstract.php?paperid=MR25915150950, DOI: https://dx.doi.org/10.21275/MR25915150950