Commonly used methods of physical destruction include surgical excision, electrodesiccation, cryosurgery or carbon dioxide laser therapy. Invasive methods have the drawbacks of pain and long recovery periods.
Chemical destruction can be induced with salicylic acid, cantharidin, formaldehyde, or glutaraldehyde, among other agents. Topical management requires the application of drugs for long durations and treatment success is, therefore, highly dependent on patient compliance.
Use of the long pulsed NdYag is a better method for treating skin conditions as there is minimal pain, shorter recovery periods and less of a risk of scarring.