Actinic Keratoses

Actinic keratoses are rough, scaly patches that develop on sun-exposed skin, most often the face, scalp, ears, and hands. They are considered precancerous, which means treating them early can prevent skin cancer down the road.
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About Actinic Keratosis Treatment Services

That rough patch that keeps coming back isn’t just dry skin, and it shouldn’t be ignored.

At Charleston Dermatology, our physicians and providers examine each spot carefully to determine whether it’s an actinic keratosis, how far it has progressed, and whether any areas need closer attention. Because these lesions can develop into squamous cell carcinoma, early evaluation matters.

Treatment plans are built around your skin, not a one-size-fits-all routine, and may include cryotherapy (freezing), prescription topical treatments, chemical peels, or photodynamic therapy for larger areas. Prevention starts with the right diagnosis. Schedule a visit and let our team build a plan that actually works for you.

Frequently Asked Questions

Actinic keratoses (also called AKs or solar keratoses) are rough, scaly, sometimes tender patches caused by years of sun exposure. They often feel like sandpaper and may be easier to feel than see. They appear most often on the face, scalp, ears, neck, and backs of the hands.

Cumulative sun exposure and tanning bed use are the main causes. Ultraviolet light damages skin cells over time, and that damage adds up. People with fair skin, light hair, a history of sunburns, or outdoor occupations are at higher risk, and AKs become more common with age.

Treatment depends on how many lesions you have and where they are. A single spot is often frozen with liquid nitrogen in the office, while widespread sun damage may be treated with prescription creams or photodynamic therapy. Because a small percentage of AKs can turn into squamous cell carcinoma, regular skin checks are an important part of your plan.

Our Specialists

Adam Sperduto, MD
Roger Sullivan, MD
Lee Yarbrough, MD
Ashley Allen, MD
Megan Hohenberger, MD