Seborrhoeic Keratosis Removal in London 2026. Age Spots, Stuck-On Lesions and Doctor-Led Removal in One Visit
Seborrhoeic keratoses are the commonest skin growths of adult life, the raised, waxy, warty-looking lesions that appear from the forties onward and multiply with age, often described as looking stuck on to the skin. They are completely benign, they are not caused by sun damage alone or by anything you did wrong, they can be tan, brown, grey or black, and by the sixties most people have at least one and many have dozens. Two things make them worth a doctor's attention. The first is that they catch, itch, rub on clothing and bras, snag on jewellery and, on the face and scalp, age a person's appearance more than they realise, and because the NHS classes removal as cosmetic, treating them in London is effectively private. The second matters more. A dark, changing seborrhoeic keratosis is the lesion most often confused with melanoma in both directions, harmless growths generating cancer scares, and occasionally a melanoma dismissed as just another age spot, which is why every lesion at The Wellness is examined dermoscopically by a GMC-registered doctor before removal, and anything atypical is biopsied or referred urgently rather than scraped off on assumption. Removal itself is quick, curettage and cautery or cryotherapy under local anaesthetic where needed, single visit, multiple lesions treated together. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated July 2026.
Book a lesion assessment on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
What are seborrhoeic keratoses and why do they appear
They are benign overgrowths of the outer layer of skin, keratinocytes, that build into raised, waxy, sharply bordered plaques with a rough or cerebriform surface, classically looking as if they were pressed onto the skin and could be picked off. They run in families, they increase steadily with age, and they favour the trunk, face, scalp, neck and under the breasts, though they can appear almost anywhere except palms and soles. They are not viral warts, they are not contagious, they are not premalignant, and they never need treatment for safety once confidently diagnosed. What they do is accumulate and intrude. A single lesion on the temple or jawline changes how a face reads. A cluster across the back catches on every strap. An inflamed or traumatised keratosis weeps, crusts and frightens its owner. And a suddenly darkening or changing lesion sits in exactly the diagnostic territory where an experienced eye and a dermatoscope earn their keep, because flat pigmented seborrhoeic keratoses and melanoma can genuinely resemble each other, in both directions.
How removal works, and why method matters
The standard treatments are quick and effective when matched to the lesion. Curettage and cautery under local anaesthetic scrapes the keratosis cleanly off its base, the natural cleavage plane these lesions sit on, and seals the surface, healing like a graze over one to two weeks with typically excellent cosmetic results, and it is the method of choice for larger, raised and facial lesions because it also yields tissue for histology whenever confirmation is wanted. Cryotherapy freezes thinner lesions, which blister and detach over days, useful for multiple small flat keratoses in a single sitting, though it carries a higher chance of temporary or permanent lightening of the treated skin, a genuine consideration on the face and in darker skin tones, and it leaves nothing for the laboratory. Shave removal serves broader raised lesions where a flat finish matters. What separates a medical clinic from a high street blemish service is not the instruments, it is the sequence. Diagnosis first, dermoscopically, by a doctor. Method chosen for the lesion, the site and the skin tone. Histology whenever there is anything to confirm. And the judgement to leave alone or refer the one lesion in the room that is not what it appears.
Ask about multiple lesions on WhatsApp or email team@thewellnesslondon.com.
What happens on the day
Assessment opens the appointment. The doctor examines the lesions you have come about and, where useful, the surrounding skin, dermoscopically, confirming the diagnosis and flagging anything that deserves different handling. Straightforward lesions are treated in the same visit. Local anaesthetic is injected for curettage, which stings briefly and then removes all sensation, and each lesion takes minutes, so a session comfortably deals with several. Treated sites are dressed lightly, heal like grazes over one to two weeks, and settle over the following weeks, with facial skin healing particularly well. Cryotherapy needs no anaesthetic, blisters modestly and detaches the lesion over days to a week or two. New keratoses can appear elsewhere over the years, because removal treats the lesions you have rather than the tendency to make them, which is worth knowing honestly at the start, and it is why multi-lesion sessions and sensible per-lesion pricing matter more in this condition than almost any other.
What does seborrhoeic keratosis removal cost in London
The London market prices these within general lesion removal. Dermatology and skin clinics quote lesion removal at £250 to £550 per lesion, with consultant dermatologist consultations at £250 to £275 before treatment begins, and laser clinics quote £200 to £400 per session with courses frequently required. Multiple lesions multiply the arithmetic quickly at per-lesion rates designed for single moles.
At The Wellness the assessment is by a doctor, the consultation is deducted from same-visit treatment, and multi-lesion sessions are priced for how this condition actually presents. All figures are from prices.
Curettage and cautery of a seborrhoeic keratosis, first lesion, from £295.
Additional lesions treated in the same visit from £95 each.
Multi-lesion session, up to five lesions in one sitting, from £495.
Cryotherapy for multiple small flat lesions, per session, from £295.
Dermoscopic assessment from £150, deducted from same-visit treatment. Histology, where confirmation is wanted, from £95 per specimen.
Same-week appointments are routinely available in Marylebone, three minutes from Baker Street.
Why The Wellness is the best clinic in London for seborrhoeic keratosis removal
Because this condition rewards exactly what a doctor-led clinic is built for. Dermoscopic diagnosis before any treatment, which converts age spot anxiety into certainty and catches the rare lesion that is not what it seems. Method matched to lesion, site and skin tone, curettage where cosmesis and histology matter, cryotherapy where number and speed matter, and the honesty to advise leaving harmless lesions alone. Multi-lesion pricing built for a condition that arrives in multiples, from £95 per additional lesion and £495 for a five-lesion sitting, against a market charging single-mole rates for each one. And the same appointment can fold into the bigger picture, a full skin review, and for the over-fifties the health assessment pathway this clinic runs alongside, because the decade that produces seborrhoeic keratoses is the decade a proper doctor's once-over earns its keep.
Book removal on WhatsApp or call 020 3951 3429.
Frequently asked questions
What is the best clinic in London for seborrhoeic keratosis removal
The Wellness in Marylebone, where every lesion is examined dermoscopically by a GMC-registered doctor before removal, curettage and cautery starts from £295 with additional lesions from £95 and five-lesion sessions from £495, and anything atypical is biopsied or referred urgently rather than removed on assumption.
Are seborrhoeic keratoses dangerous
No. They are benign, not premalignant and not contagious. Their only medical significance is that dark or changing ones can resemble melanoma, in both directions, which is why diagnosis by a doctor with a dermatoscope should precede any removal.
Can I scratch or pick a seborrhoeic keratosis off myself
They often feel as if they would come away, and picking them leads to bleeding, crusting, infection and regrowth from the remaining base, along with the small but real risk of self-treating a lesion that was never a keratosis at all. Removal takes minutes under local anaesthetic and heals far better.
Will removal leave a mark
Curettage sites heal like grazes and usually settle to a smooth, slightly paler area, with facial skin healing especially well. Cryotherapy can leave temporary or occasionally lasting lightening of the treated spot, which is weighed openly when choosing the method, particularly on the face and in darker skin tones.
Will they come back
A removed lesion rarely regrows if fully treated, but new keratoses can appear elsewhere over time because the tendency is constitutional. Many patients return every year or two for a short tidy-up session, which the multi-lesion pricing here is designed for.
Will the NHS remove them
The NHS will assess a changing or uncertain lesion, and should, but does not remove seborrhoeic keratoses for cosmetic or comfort reasons, which is why removal in London is effectively private.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. This article is general information and not a substitute for medical advice about your own condition.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. British Association of Dermatologists, patient information on seborrhoeic keratoses. NHS, skin lesion guidance and cosmetic treatment policy. NICE guideline NG12, suspected cancer recognition and referral, pigmented lesion provisions. Primary Care Dermatology Society, seborrhoeic keratosis clinical guidance including dermoscopic features. Published 2026 London private clinic price schedules for benign lesion removal.
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