CASE REPORT
Plantar Wart Treatment with 1,064 nm Nd:YAG Laser
This is a case report performed with the ZYE® Laser, using the LongPulse® handpiece.
Alexandre Filippo, MD
Dermatologist
Rio de Janeiro - Brazil
Plantar warts are benign lesions caused by a viral infection, usually located on the soles of the feet. They primarily affect children and young adults, especially those who frequent humid environments such as swimming pools, gyms, and locker rooms, where direct contact facilitates transmission. In addition to aesthetic discomfort, they can cause intense pain when walking or exercising.
Their main cause is infection with the human papillomavirus (HPV), which penetrates the skin through small cracks or cuts. The combination of humidity, mechanical pressure, and direct contact with contaminated surfaces favors the development of these lesions, making them persistent and often resistant to conventional treatments.
Treatment options include cryotherapy, topical agents, surgical procedures, and laser technologies. The long-pulse 1,064 nm Nd:YAG laser stands out for its selective action on the vessels that nourish the wart. Its mechanism of action consists of selective photothermolysis, promoting the coagulation of the micro blood vessels that supply the lesion, leading to the gradual necrosis of the infected tissue and promoting its regression.
The LongPulse® handpiece is compatible with the ETHEREA-MX® and ZYE® platforms. It offers uniform and controlled energy delivery with precision, minimal invasiveness, and rapid recovery. In this case, two sessions were performed with a one-month interval between treatments.