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Eskata is Here!

In a recent blog post, we announced the coming arrival of Eskata, a new FDA approved treatment for Seborrheic Keratoses.  This week we are excited to answer some commonly asked questions!

How does it work?

Eskata is a super-concentrated solution (40%) hydrogen peroxide that comes in an applicator with a felt-tipped pen.  It is applied to the skin as seen in the photos.  It is only sold to and applied by health professionals.  The lesion turns white and then develops redness around it that lasts at least 24 hours.  The redness then subsides and the lesion eventually falls off.

How does it differ from other treatment options like cryosurgery or freezing?

Compared to cryosurgery/freezing, the lesion stays red for less time and takes longer to fall off and resolve.  In clinical trials, lesions were evaluated and retreated at three weeks if not resolved.  It is less painful, and in clinical trials had less scarring compared to cryosurgery or freezing.  See the Table Below for a comparison.

Which one should I pick? 

Looking at the chart below, if time and cost are not a factor, Eskata would win.  However, time and money are almost always a factor.  For many patients who cannot tolerate freezing, I think the pain will be a deciding factor.  My goal is to provide options so patients can choose.

What is the cost?

One applicator of Eskata is $125 at this time.  If lesions require a second treatment, an additional $125 cost would apply.  The cost of the Eskata will be added to the “per lesion” charge that we already charge in the office for cryosurgery.

Who will apply the Eskata?  Can I do it at home? 

Eskata will be applied by a nurse or medical assistant in our office.  Dr. Rosenberger will work with patients to pre-identify which lesions are suitable for treatment with Eskata, but the actual application is time-consuming and will be performed by one of our trained and qualified staff.  You cannot apply it at home.

Click the link to download a short video demonstration on a real patient.

Eskata video clip

How will I know if a lesion needs a second treatment?  If it doesn’t fall off, it needs a second treatment.  We will recommend a one month follow up evaluation to determine the effectiveness of treatment and need for retreatment.

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