What Is the Spray That Dermatologists Use?

Dermatologists use specialized sprays for various in-office procedures and treatments. These sprays enhance patient care and improve treatment effectiveness by allowing targeted delivery of active ingredients for precise interventions.

Understanding Dermatological Sprays

When people ask about “the spray dermatologists use,” they often mean liquid nitrogen, a technique central to cryotherapy. Liquid nitrogen is an extremely cold substance that rapidly freezes tissue upon contact. Its primary purpose in dermatology is to precisely target and destroy abnormal skin cells or benign growths, removing unwanted lesions while minimizing damage to surrounding healthy tissue.

Spray technology in dermatology allows for uniform distribution of active ingredients, optimizing absorption and efficacy. While liquid nitrogen is a physical agent used for its freezing properties, other sprays contain various medications or compounds. These different spray types are selected based on the specific dermatological condition being addressed and the desired therapeutic outcome.

Cryotherapy: The Primary Application

Cryotherapy, often performed using a specialized spray device, is a common dermatological procedure that leverages the extreme cold of liquid nitrogen. During this treatment, liquid nitrogen is sprayed directly onto the target skin lesion, causing the cells to rapidly freeze. This rapid freezing leads to the formation of ice crystals inside the cells, which disrupts their structure and ultimately causes cell death. As the treated tissue thaws, the damaged cells are destroyed, leading to blistering, scabbing, and eventual shedding of the lesion.

This method treats common skin conditions like warts (benign viral growths) and actinic keratoses (rough, scaly precancerous patches). Cryotherapy also removes benign moles, skin tags, and other superficial lesions. The procedure is typically performed in minutes in the office, causing minimal discomfort and generally not requiring extensive numbing.

Beyond Cryotherapy: Other Sprays in Dermatology

Beyond cryotherapy, dermatologists employ other types of sprays for different purposes during procedures. Antiseptic sprays, such as those containing chlorhexidine or alcohol, are used to prepare the skin before minor surgical interventions. These sprays help to clean the skin surface and reduce the risk of infection.

Topical anesthetic sprays are another category, designed to numb small areas of skin temporarily. Products like ethyl chloride or lidocaine spray can provide rapid pain relief or discomfort control for minor cosmetic or dermatological procedures, such as injections or biopsies. This immediate numbing effect helps patients feel more comfortable during in-office treatments.

Medicated sprays containing corticosteroids manage widespread inflammatory skin conditions like eczema or psoriasis. These sprays deliver anti-inflammatory agents directly to the affected areas, helping to reduce redness, itching, and swelling.

What to Expect During and After Treatment

During the application of a dermatological spray, especially liquid nitrogen for cryotherapy, patients typically experience an intense cold sensation immediately followed by a stinging or burning feeling. This sensation is temporary and usually subsides shortly after the application. Following the procedure, the treated area may appear red and swollen, which is a normal response to the controlled freezing.

Within hours to days after treatment, a blister often forms at the site, sometimes dark in color. This blister will flatten and form a scab, protecting the healing skin underneath. Patients should keep the treated area clean and avoid picking the scab, allowing it to fall off naturally, typically within one to three weeks. Temporary pigment changes, such as lightening or darkening, can occur but often resolve over time. Contact the dermatologist if there are signs of infection, such as increasing pain, pus, or persistent redness beyond the treated area.