
Needling ​
Verruca needling is a procedure that uses a sterile needle to puncture the verruca multiple times under local anaesthetic.
This breaks down the tissue, pushing viral matter
deeper into the skin to stimulate the body's
immune system to fight the human
papillomavirus (HPV) that causes the verruca.
The procedure is often used for persistent verrucas
that have not responded to other treatments.
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The procedure
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A local anaesthetic is injected to numb the
area, making the procedure painless. -
A sterile needle is used to repeatedly puncture
the verruca tissue. -
The process physically breaks down the verruca and pushes viral material into the dermis, prompting an immune response.
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The area is then dressed and may require a review appointment.
What to expect after the procedure​
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A sterile dressing is applied, which can be redressed with a plaster if needed.
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You may see a red/brown discoloration under the dressing, which is normal dried blood.
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The local anesthetic will wear off after a few hours.
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Minor soreness is common for a few days.
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Avoid anti-inflammatory medication, such as aspirin, as it could interfere with the immune response.
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A full result can take up to four months to appear, as the immune system works to clear the virus. ​
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Success and Considerations Needling is particularly effective for large or persistent verrucas. In most cases, a single treatment suffices, though a second session may be require.
Although successful in a lot of cases, like all verruca treatments, there is no guarentee the verruca will completely vanish or not recur, as this is influenced by the individuals immune system.

