Laser treatment for wart removal

Quick question about kids. My 8-year-old has a cluster of periungual warts (around the fingernail). They are spreading under the nail bed. The pediatrician said to 'wait it out,' but they are getting bigger. I'm scared to use acid near his nail because it could damage the nail matrix. Is laser safe for children? Will he need to be put to sleep?

Periungual warts are notoriously hard to treat because the nail protects the virus. Laser is actually a great option for kids because it is bloodless and precise. For a child, the doctor will almost certainly use a topical numbing cream (EMLA) for 45 minutes, plus maybe a local anesthetic injection. The injection is the worst part – but many pediatric dermatologists use a 'freeze spray' to numb the skin before the injection, so the child feels almost nothing. General anesthesia is not needed unless the child is extremely uncooperative or the cluster is huge. The procedure itself takes 5-10 minutes. The laser will kill the wart tissue, which will turn black and fall off over two weeks. It might leave a small divot in the nail, but nails grow out. The risk of damaging the nail matrix with laser is lower than with acid or surgery. Find a pediatric dermatologist who does laser regularly.

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Periungual warts are notoriously hard to treat because the nail protects the virus. Laser is actually a great option for kids because it is bloodless and precise. For a child, the doctor will almost certainly use a topical numbing cream (EMLA) for 45 minutes, plus maybe a local anesthetic injection. The injection is the worst part – but many pediatric dermatologists use a 'freeze spray' to numb the skin before the injection, so the child feels almost nothing. General anesthesia is not needed unless the child is extremely uncooperative or the cluster is huge. The procedure itself takes 5-10 minutes. The laser will kill the wart tissue, which will turn black and fall off over two weeks. It might leave a small divot in the nail, but nails grow out. The risk of damaging the nail matrix with laser is lower than with acid or surgery. Find a pediatric dermatologist who does laser regularly.

My son had warts around three of his fingernails. He was 9. We tried that silver duct tape trick for six months – nothing. The warts started lifting his nail. I panicked. We went to a dermatologist who did laser treatment for wart removal. They put numbing cream on his hands for an hour. He watched an iPad. The doctor used a pulsed dye laser. My son said it felt like 'pokes.' He didn't cry. Afterward, his fingers were red and swollen for a day. The warts turned dark and fell off in two weeks. His nails grew back normally. No scars. I wish we had done it sooner. If you want to see a clinic that specializes in pediatric cases, check this site: https://bellasanamedspa.com/service/laser-wart-removal. Don't wait until the nail is destroyed – act now.