What it is
Flat warts are small, slightly raised growths with a smooth, flat top. They can appear in groups and are often found on the face, neck, hands or legs. Like other common warts, they are associated with human papillomavirus (HPV), a very common virus.
Filiform warts look different: they are thin, thread-like or finger-like growths. They often appear around the eyelids, mouth, nose or neck, which is part of why they can feel so noticeable.
Warts from shaving are a common concern, because a razor can nick the skin and may spread the growths to nearby areas on the beard area or legs. Many people feel self-conscious about these spots. That is understandable, and you are far from alone. Only a clinician can tell you what a particular spot actually is, since other skin growths can look similar.
How it’s traditionally been approached
People have approached warts in many ways over the years. Some wait to see whether a wart changes on its own, since the body's immune system sometimes responds over time. Others choose to have a clinician look at it and discuss options.
Over-the-counter wart products are widely available, and they are described fairly as one option many people try for warts on hands and feet. People with diabetes, poor circulation, neuropathy or a weakened immune system should ask a provider before treating warts at home, especially on the feet. Facial and genital warts should not be treated with over-the-counter wart products.
In a clinic, dermatologists and other licensed clinicians have traditionally used a range of in-office and prescription approaches. Which one is considered depends on the location, the type of wart and the person's skin and health. Results vary, and warts can return. Cutting, burning or digging out a growth at home is not advised, because it can cause irritation, scarring or spread.
How the right provider may help
A licensed dermatologist, primary care clinician or other qualified provider may be able to confirm what a growth is, which is an important first step. A visit generally involves a conversation about when the spot appeared and whether it has changed, followed by a close look at the skin. Nothing here is a promise of any outcome.
Because the face, beard area and legs are sensitive and visible, a provider may talk with you about options in light of your skin, your shaving habits and your overall health. Any medical product or treatment is chosen only by a licensed clinician after an evaluation. If a prescription product comes up, ask the provider about its current FDA status.
Helpful questions to bring: What is this growth? Should anything be checked for skin cancer? What are my options, and what are the possible side effects? Can warts return? How should I shave or care for the skin in the meantime? Bringing a list can make the visit feel calmer.
The whole-person view
Body, mind and stress affect each other. Visible skin concerns on the face can weigh on confidence, and stress or poor sleep can make anyone feel less settled in their skin. Treating yourself kindly while you seek answers is part of caring for the whole person.
If worry or self-consciousness is taking up a lot of space, some people explore body-based support through Somatic Experiences, and others find talk therapy through Therapists.plus helpful. These are options to consider alongside, not instead of, care from a licensed clinician. Providers.plus can also help you find licensed providers.
Somatic Experiences: nervous system regulation →Therapists.plus: anxiety panic and ocd →
Keep in mind
- Any growth that is changing, bleeding, itching, irregular in shape or color, or not healing should be checked by a dermatologist for skin cancer, and should not be self-treated. The ABCDEs of melanoma (asymmetry, border, color, diameter, evolving) are a general guide only, not a way to diagnose yourself.
- Do not use over-the-counter wart products on the face or genital area, and do not cut, burn or dig out a growth at home.
- No approach is guaranteed to cure warts or HPV or to prevent them from returning, and results vary from person to person. Licensed professionals should guide your care.
- For emergencies call 911. If you are in emotional crisis, call or text the 988 Lifeline.
Guides in this topic
Provider types
Frequently asked questions
What are flat warts on the face?
Flat warts on the face are small, smooth, slightly raised growths associated with HPV, often appearing in clusters. They can look like other skin conditions, so it is best to have a dermatologist or other licensed clinician look at them. Avoid treating facial growths with over-the-counter wart products.
What is a filiform wart?
A filiform wart is a thin, thread-like or finger-like growth that often appears around the eyelids, mouth, nose or neck. It is a type of wart associated with HPV. A licensed clinician can confirm what it is and discuss options.
Can I try wart removal on my face at home?
No, over-the-counter wart products should not be used on the face, and you should never cut, burn or dig out a growth at home. Facial skin is delicate and can be irritated or scarred. A dermatologist can look at the spot and talk through safer options.
Can shaving cause or spread warts?
Shaving can nick the skin, and warts from shaving may spread to nearby areas of the beard area or legs when a razor passes over a wart. Ask a clinician about shaving techniques and skin care that may suit you. They can also confirm that the spot is a wart and not something else.
Do flat warts go away on their own?
Sometimes warts change or fade over time, but this varies from person to person and cannot be predicted. Warts can also return after they clear. A clinician can discuss whether watching and waiting or another approach may make sense for you.
When should I see a dermatologist about a spot on my skin?
See a dermatologist if a spot is changing, bleeding, itching, irregular in shape or color, or not healing, since these should be checked for skin cancer. It is also wise to get any new facial growth examined rather than assuming it is a wart. Do not self-treat while you wait for an evaluation.
Educational resource. Warts.ai shares general information and connects people with independent providers. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health.