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Seborrhoeic Keratosis Removal London 2026. Doctor-Led Cryotherapy and Curettage at The Online GP by The Wellness

Last updated. May 2026. Medically reviewed by GMC-registered doctors at The Online GP by The Wellness, Marylebone.

Seborrhoeic keratosis removal in London starts at £245 at The Online GP by The Wellness in Marylebone, where a GMC-registered doctor performs the dermatoscopic diagnosis and the removal in a single visit. Seborrhoeic keratoses are the most common benign skin growth in adults over 40, affecting approximately 80 percent of people over the age of 60 in the UK. They are often mistaken for melanoma, which is why doctor-led dermatoscopic assessment matters more than the removal itself. The NHS no longer funds seborrhoeic keratosis removal as a cosmetic procedure under the September 2024 Evidence-Based Interventions policy.

Doctor-led seborrhoeic keratosis removal from £245 with same-visit treatment.WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429.

What is a seborrhoeic keratosis

A seborrhoeic keratosis is a benign skin growth that develops most commonly in adults over the age of 40. The medical term combines the Greek "sebo" (referring to the greasy or oily appearance) and "keratosis" (a thickening of the keratin in the outer skin layer). They are also known colloquially as senile warts, barnacles, age warts, age spots (although true age spots are a separate flat pigmented lesion called solar lentigo), and stuck-on warts.

The defining clinical features are.

  • A waxy, often greasy, "stuck-on" appearance, as if a piece of putty or wax has been pressed onto the skin surface.

  • A range of colours including light tan, brown, dark brown, black, and occasionally a mottled or speckled appearance.

  • A textured surface that can be smooth and waxy, rough and warty, or fissured and crumbly.

  • A clear demarcation from surrounding skin.

  • No tendency to bleed unless physically traumatised.

  • Slow growth over months to years.

Most adults develop multiple seborrhoeic keratoses over time. They appear most commonly on the trunk (back, chest, abdomen), the face (especially the temples and around the eyes), the scalp, the upper arms, and the lower legs. Areas not exposed to friction or sun damage are also affected, distinguishing seborrhoeic keratoses from many other skin lesions.

Seborrhoeic keratoses are entirely benign and have no malignant potential. They do not transform into skin cancer. This is the most important reassurance to take from this article. The clinical concern is not whether the seborrhoeic keratosis itself is dangerous. The concern is whether the lesion you assume is a seborrhoeic keratosis is in fact a seborrhoeic keratosis, or whether it is something else that looks similar.

The British Journal of Dermatology has published multiple case series of melanoma misdiagnosed as seborrhoeic keratosis. Pigmented basal cell carcinoma can resemble seborrhoeic keratosis. Bowen disease (squamous cell carcinoma in situ) can resemble a flat irritated seborrhoeic keratosis. This diagnostic overlap is the reason doctor-led assessment with dermatoscopy is the standard of care, not nurse-led removal without examination.

How seborrhoeic keratosis differs from melanoma. The dermatoscopic distinction

To the naked eye, a darkly pigmented seborrhoeic keratosis and a melanoma can appear very similar. Both can be brown to black. Both can have variable colour within the lesion. Both can have irregular borders. The patient often cannot distinguish them, which is why so many seborrhoeic keratoses prompt the worried call about possible cancer.

Under dermatoscope, the distinction usually becomes clear within seconds to an experienced clinician.

Dermatoscopic features of seborrhoeic keratosis (typical and recognised by validated diagnostic algorithms).

  • Milia-like cysts. Tiny white or yellow round structures within the lesion.

  • Comedo-like openings. Small dark dots or plugs resembling blackheads, distributed across the surface.

  • Fingerprint-like pattern. Parallel pigment ridges resembling a fingerprint, particularly at the periphery.

  • Cerebriform pattern. Brain-like convolutions in the surface.

  • Hairpin vessels. Looped fine blood vessels.

  • Moth-eaten border. A scalloped edge with concave indentations.

Dermatoscopic features of melanoma (asymmetric pigment network, multiple colours including blue-grey).

  • Atypical pigment network. Irregular thickness and spacing of the pigment lines.

  • Asymmetric distribution of structures.

  • Blue-white veil. A whitish overlay with bluish hue suggesting regression.

  • Multiple colours within the lesion, particularly the combination of brown, black, blue-grey, and white.

  • Pseudopods or radial streaming. Finger-like projections of pigment at the lesion edge.

  • Atypical vessels. Dotted, glomerular, or polymorphous.

A doctor with dermatoscopy training applies one of the validated algorithms (the three-point checklist, the seven-point checklist, the Menzies method, or pattern analysis) to classify the lesion. The three-point checklist alone has a sensitivity of around 96 percent for melanoma when applied by trained users.

This is why The Online GP by The Wellness performs dermatoscopic examination on every patient before any seborrhoeic keratosis removal. Treating without diagnosing is the single biggest avoidable clinical risk in dermatology.

Send a photograph of any concerning lesion before booking removal.WhatsApp +44 7961 280835. A doctor will review the photograph and advise whether removal or formal mole check is appropriate.

Why people seek seborrhoeic keratosis removal

The lesions themselves cause no medical harm. The reasons patients seek removal are well-documented and entirely valid.

Catching on clothing, jewellery, and bra straps. Raised seborrhoeic keratoses on the trunk and shoulders are repeatedly caught and irritated by clothing and accessories. The lesion may bleed when caught, scab, then catch again. This cycle is the most common driver of removal in adults aged 40 to 60.

Catching on the face when shaving. Lesions on the face, particularly in men, are repeatedly nicked during shaving. The repeated trauma can cause inflammation that further raises the lesion.

Itching and discomfort. Around 20 to 30 percent of seborrhoeic keratoses become itchy or mildly tender, particularly when inflamed.

Visible cosmetic concern. Lesions on the face, neck, scalp, or other visible areas affect confidence, photographs, and social comfort. This concern is medically legitimate even though the lesions are not medically dangerous.

Diagnostic uncertainty. The most pressing reason to see a doctor about a seborrhoeic keratosis is to confirm that it is in fact a seborrhoeic keratosis. The clinical reassurance from a dermatoscopic examination is itself a meaningful health outcome.

Multiple new lesions appearing rapidly. The sudden appearance of many seborrhoeic keratoses (the Leser-Trelat sign) is rarely associated with an underlying internal malignancy. While most cases of multiple new seborrhoeic keratoses have no sinister meaning, a doctor will assess and may suggest further investigation if the pattern is unusual.

Why the NHS no longer removes seborrhoeic keratoses

The September 2024 update to the Evidence-Based Interventions guidance (version 4.0) reclassified the removal of benign skin lesions including seborrhoeic keratoses as procedures that should not be routinely funded on the NHS in adults.

The NHS retains funding only where one of the following clinical criteria is met. Regular bleeding requiring medical management. Pain requiring regular analgesia. Recurrent infection. Diagnostic uncertainty about malignancy. Significant pressure or functional symptoms.

For most adults with a bothersome but classical seborrhoeic keratosis, none of these criteria apply. The lesion catches on clothing, looks unsightly, or simply was not there ten years ago. The NHS will not remove it.

This is not a clinical failure. The NHS has elected to deploy limited capacity to procedures with the highest clinical benefit per pound. Seborrhoeic keratosis removal does not meet that threshold under the current funding rules. Private treatment is now the standard route for adults.

The Online GP by The Wellness operates as a private complement to the NHS, providing the doctor-led diagnostic and procedural service that the NHS has stepped back from, with full GMC registration and CQC accreditation.

Seborrhoeic keratosis removal pricing in London

The London market for seborrhoeic keratosis removal ranges from £150 to £600 per lesion depending on the technique, clinician seniority, and clinic location. The Online GP by The Wellness positions doctor-led removal at the more accessible end of the doctor-led market.

Prices verified May 2026. The pricing for "first lesion" varies widely because consultations are sometimes priced separately and sometimes included. The Online GP by The Wellness pricing always includes the doctor consultation and dermatoscopic assessment.

Pricing detail at The Online GP by The Wellness.

  • Cryotherapy of single seborrhoeic keratosis (thin or flat lesion). £245 including doctor consultation, dermatoscopic assessment, treatment, and aftercare.

  • Curettage and cautery of raised or thick seborrhoeic keratosis. £495 including doctor consultation, dermatoscopic assessment, local anaesthetic, removal, and aftercare. Histology available if desired for £150 additional.

  • Multi-lesion package up to five lesions in one area (mixed cryotherapy and curettage). £495.

  • Combined with full body mole check. £495 mole check plus £75 to £195 per lesion treated, total typically £695 to £895 for the comprehensive package.

How seborrhoeic keratosis removal works at The Online GP by The Wellness

The doctor selects the right technique per lesion based on the lesion thickness, texture, location, and patient preference. Most patients have several lesions removed in a single visit using a combination of techniques.

Cryotherapy for thin or flat seborrhoeic keratoses. Liquid nitrogen at minus 196 degrees Celsius is applied by spray or cotton applicator for 10 to 20 seconds per lesion, sometimes with a freeze-thaw-freeze cycle for thicker lesions. The treated lesion turns white, then thaws, blisters within 24 to 48 hours, and falls away over 7 to 14 days. Cryotherapy is the preferred technique for face, neck, and arm seborrhoeic keratoses where the cosmetic result is paramount.

Curettage and cautery for raised, thick, or stalked seborrhoeic keratoses. A small injection of local anaesthetic numbs the area. The doctor uses a curette (a small spoon-shaped surgical instrument) to gently scrape the seborrhoeic keratosis away from the underlying normal skin. The base is cauterised with a fine electrocautery probe to stop any bleeding and reduce recurrence risk. Healing is rapid (around 7 to 14 days) and the cosmetic result is excellent because the lesion sits in the upper skin layer only.

Shave excision for stalked seborrhoeic keratoses. Some seborrhoeic keratoses develop a thin stalk. These are removed with a single horizontal shave under local anaesthetic, similar to skin tag excision. Healing is rapid.

Laser removal. Available for selected lesions, particularly small clusters of seborrhoeic keratoses on the face. Referred to a partnered dermatology laser clinic when this is the right modality.

Excisional biopsy with histology. For any lesion where dermatoscopic appearance is not entirely typical of seborrhoeic keratosis, or where the patient wants histological confirmation, the lesion is excised with a small ellipse of surrounding tissue, sutured, and sent for histopathology. The Online GP by The Wellness offers this at £695 inclusive of all fees and stitches removal.

Most appointments take 30 to 60 minutes from arrival to leaving the clinic, depending on the number of lesions treated.

Where on the body. Special considerations by location

Face and scalp seborrhoeic keratoses. Often the most cosmetically important removals. Cryotherapy with precision delivery is preferred for the face to minimise the risk of pigment change. Curettage with cautery is preferred for raised lesions where complete removal in a single visit is desired. Scalp lesions caught by hair combing or brushing benefit from removal.

Trunk seborrhoeic keratoses. The most common location and the easiest to treat. Cryotherapy for thinner lesions, curettage for raised lesions, multi-lesion packages popular here because most patients have multiple lesions.

Skin folds and friction zones. Seborrhoeic keratoses under the bra strap, in the axilla, in skin folds (inframammary, abdominal), and along the waistband are particularly bothersome because of repeated catching. These benefit most from removal and are often the most rewarding to treat.

Lower legs and arms. Routine treatment. The doctor will discuss the slightly higher risk of post-inflammatory pigment change in lower-leg skin, which can take 6 to 12 months to fade.

Around the eyes and on the eyelids. Treated with precision cryotherapy or referred to consultant oculoplastic surgery for lesions on the eyelid margin.

Sole of the foot. Rarely affected by seborrhoeic keratosis. Any pigmented lesion on the sole of the foot warrants careful dermatoscopic examination as acral melanoma can resemble seborrhoeic keratosis.

The Leser-Trelat sign. When multiple seborrhoeic keratoses warrant investigation

The Leser-Trelat sign is the eponym for the sudden eruption of multiple new seborrhoeic keratoses, often accompanied by itching, which has been historically associated with internal malignancy. The strength of the association is debated. A 2019 systematic review in the British Journal of Dermatology concluded that the association is weak but not absent, and that patients with the classic clinical picture warrant a careful review for occult malignancy.

The doctor at The Online GP by The Wellness will assess.

  • The rate of appearance. Multiple new lesions appearing over weeks to months is the relevant pattern, not slow accumulation over years.

  • The age. The sign is most concerning in patients over 60 with new symptom onset.

  • Associated features. Unexplained weight loss, change in bowel habit, persistent cough, or other concerning symptoms.

  • Background risk. Age, smoking history, family history of cancer.

In most cases, the appearance of multiple seborrhoeic keratoses is simply the natural progression of skin ageing and requires no investigation beyond the dermatological review. In selected cases, the doctor will arrange routine screening blood tests or refer to your GP for further investigation. The Online GP by The Wellness offers a comprehensive blood panel from £495 if you would like this checked at the same visit.

What to expect after treatment

Hour 0. Brief stinging at the treatment site, lasting 5 to 15 minutes. Continue normal activities.

Day 1 to 3. A blister or small scab forms over the treated area. For cryotherapy-treated lesions, a clear thin film with underlying redness is typical. For curettage-treated lesions, a small superficial wound covered by a dressing.

Day 4 to 10. The treated area dries and scabs. Wash gently once a day with mild soap and water. Do not pick at the scab.

Day 10 to 21. Scab falls away to reveal pink, normal skin underneath. Apply SPF50 to any treated area on sun-exposed skin to minimise the risk of post-inflammatory hyperpigmentation.

Week 4 to 12. Pink colouration fades to natural skin tone. For lesions on the face, the result is usually excellent and indistinguishable from surrounding skin by week 12.

Side effects to be aware of. Permanent scarring is uncommon with correctly performed cryotherapy or curettage. Hypopigmentation (lighter skin patch) and hyperpigmentation (darker patch) can occur, particularly in darker skin tones, and usually resolve over 6 to 12 months. Mild bleeding from curettage settles within minutes and is controlled with simple pressure or cautery during the procedure. Infection is uncommon (around 1 to 2 percent of cases) and responds to a short course of oral antibiotics if it occurs.

Will it come back. True recurrence at the same site after complete cryotherapy or curettage is uncommon (around 2 to 10 percent depending on technique). New seborrhoeic keratoses may appear elsewhere over time as part of the natural process. Removal of existing lesions does not prevent new lesions from forming.

When to contact the clinic. Increasing pain after day 3, spreading redness, warmth, fever, or pus suggest infection. WhatsApp the clinic on +44 7961 280835 and a doctor will review by photograph and advise within hours during clinic hours.

Why doctor-led seborrhoeic keratosis treatment is the standard of care

Seborrhoeic keratosis removal is sometimes offered by beauty therapists, aesthetic nurses, and pharmacy clinics using CryoPen devices. The technical removal can be straightforward. The clinical decision before the removal is not.

The three patient groups where doctor-led treatment is essential.

One. The patient who has a typical seborrhoeic keratosis but several other moles. A skilled doctor performing the removal also performs an opportunistic check of surrounding moles. This is how silent melanomas elsewhere on the body are discovered. A beauty therapist treating only the presenting lesion has no clinical framework for examining the rest of the skin.

Two. The patient whose "seborrhoeic keratosis" is actually something else. Pigmented basal cell carcinoma, Bowen disease, irritated melanocytic naevus, and amelanotic or hypomelanotic melanoma can all resemble seborrhoeic keratosis to the untrained eye. Dermatoscopic examination distinguishes them. A 2021 BMJ Open study found that of lesions clinically diagnosed as seborrhoeic keratosis by non-dermatology-trained practitioners, around 4 to 6 percent were actually skin cancer (with the highest rates in lesions on the face and scalp in patients over 60).

Three. The patient with multiple lesions requiring a treatment strategy, not just a single procedure. Patients with 10 or more seborrhoeic keratoses need a thought-through plan. Which lesions to treat first, which technique per lesion, how many sessions, what cosmetic outcome to expect. A doctor co-designs this plan with the patient. A therapist offering a single CryoPen session does not.

The British Association of Dermatologists position statement on removal of benign skin lesions (2024) recommends that lesion removal in adults be performed by, or under the direct supervision of, a medically qualified clinician with dermatoscopic training. The Online GP by The Wellness complies with this recommendation as a baseline standard.

Book a doctor-led seborrhoeic keratosis assessment and treatment.WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429.

The investment frame. Why doctor-led at £245 to £495 makes sense

A single seborrhoeic keratosis cryotherapy at £245 is more expensive than a £30 nurse-led CryoPen session at a budget clinic. The relevant question is what comes with the £245.

The £245 at The Online GP by The Wellness includes a 30-minute doctor consultation, full dermatoscopic examination of the presenting lesion, opportunistic dermatoscopic examination of any other lesion of clinical interest noticed during the consultation, the cryotherapy itself, written aftercare, follow-up via WhatsApp, and a written clinical note for your record. The £30 nurse-led session includes only the freeze.

The expected value calculation favours doctor-led treatment for one reason above all others. Out of every 100 lesions clinically diagnosed as seborrhoeic keratosis by untrained eyes, around 4 to 6 are actually skin cancer. The financial cost of a missed melanoma is enormous (treatment costs over £40,000 for advanced melanoma; life expectancy difference of around 25 to 30 years between stage 1 and stage 4). The marginal £200 difference per visit is a small price for the clinical accuracy that comes with doctor-led care.

For patients with multiple seborrhoeic keratoses, the multi-lesion package at £495 covers up to five lesions in the same area. This includes the consultation, dermatoscopic examination, treatment by the most appropriate technique per lesion, and aftercare. For 5 lesions at London Skin Clinic at £300 per lesion the total would exceed £1,500. The Online GP by The Wellness package pricing is engineered for the patient who needs comprehensive treatment without per-lesion-pricing anxiety.

For patients combining a mole check with same-visit treatment of identified benign lesions, the £495 mole check plus £75 to £195 per lesion treated typically totals £695 to £895 and represents the most cost-efficient way to combine surveillance with cosmetic treatment.

Frequently asked questions

Are seborrhoeic keratoses cancerous. No. Seborrhoeic keratoses are entirely benign and have no malignant potential. They do not transform into skin cancer. The clinical reason for doctor-led assessment is to confirm that the lesion is in fact a seborrhoeic keratosis and not something else that resembles it.

How quickly do seborrhoeic keratoses grow. Most grow slowly over months to years. Rapid growth (over weeks) warrants prompt dermatoscopic assessment to confirm the diagnosis.

Can a seborrhoeic keratosis become a melanoma. No. Seborrhoeic keratoses do not transform into melanoma. However, a melanoma can be initially misdiagnosed as a seborrhoeic keratosis on visual inspection alone. This is why dermatoscopic examination is the standard of care.

Will multiple seborrhoeic keratoses keep coming. Most patients who develop one or two seborrhoeic keratoses will develop more over the following years. Removal of existing lesions does not prevent new ones from appearing. Many patients return for occasional removal of new lesions as part of their broader dermatological care.

Can children have seborrhoeic keratoses. Seborrhoeic keratoses are extremely rare in children. Any "stuck-on warty lesion" in a child is more likely to be a viral wart, a melanocytic naevus, or another benign growth and should be assessed accordingly.

Will my insurance cover this. Most private medical insurance policies exclude cosmetic procedures, which includes most seborrhoeic keratosis removal. Where there is documented pain, bleeding, recurrent irritation, or diagnostic concern, a clinical letter on request may support a claim. Many patients self-pay and consider it a one-off cost.

What if my "seborrhoeic keratosis" is on my eyelid or near the eye. Dermatoscopic assessment first to confirm the diagnosis. Treatment by precision cryotherapy if appropriate, or referral to consultant oculoplastic surgeon for lesions on the eyelid margin or near the lashes.

Can I drive home afterwards. Yes. There is no sedation involved. Patients return to normal activities immediately.

How quickly can I be seen. Same-day appointments are routinely available before midday. WhatsApp enquiries with photographs usually receive a same-hour response during clinic hours.

Do you do histology. Yes. Where the doctor recommends histology to confirm the diagnosis (typically for atypical-looking lesions or where the patient prefers histological certainty), excisional biopsy with histopathology is offered at £695 inclusive of all fees.

How to book seborrhoeic keratosis removal

The clinic is in Marylebone, central London, three minutes from Baker Street tube and adjacent to Harley Street. Same-day appointments are routinely available.

Three ways to enquire.

  1. WhatsApp. Send a clear photograph of the lesion (with a ruler or coin for scale if possible). A doctor will respond within the hour during clinic hours with diagnostic likelihood and pricing. Open WhatsApp +44 7961 280835.

  2. Email.team@thewellnesslondon.com. Include photographs.

  3. Phone. 020 3951 3429.

International patients welcome. No NHS registration, UK address, or GP referral required. Multilingual doctors available in English, Arabic, Spanish, French, and Dutch.

Medical disclaimer and authorship

This article is for general information and does not constitute medical advice for any individual case. Seborrhoeic keratoses can be visually indistinguishable from melanoma, basal cell carcinoma, and other skin lesions to the untrained eye. Photographic assessment is not a substitute for direct clinical examination including dermatoscopy. If you notice a lesion that is changing rapidly, bleeding spontaneously, or causing new symptoms, please seek prompt clinical assessment.

About The Online GP by The Wellness. The Online GP by The Wellness is a private healthcare group providing doctor-led medical services from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. The clinic is CQC-registered. Contact us on WhatsApp at +44 7961 280835, email team@thewellnesslondon.com, or call 020 3951 3429.

References.

NHS England. Evidence-Based Interventions Programme, version 4.0. September 2024.

British Association of Dermatologists. Position statement on removal of benign skin lesions. Updated 2024.

Greco MJ, Bhutta BS. Seborrheic Keratosis. StatPearls. Updated 2024.

Wollina U. Recent advances in managing and understanding seborrheic keratosis. F1000Research. Updated 2024.

Liu YR et al. The Leser-Trelat sign and internal malignancy. A systematic review. British Journal of Dermatology. Updated 2019.

Argenziano G et al. Dermoscopy of pigmented skin lesions. A systematic review. British Journal of Dermatology. Updated 2024.

NICE Clinical Knowledge Summary. Seborrhoeic keratosis. Updated 2025.

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