What to Expect After Cryotherapy: Healing and Aftercare

Cryotherapy is a dermatological procedure commonly used to freeze and remove various skin lesions. Understanding the typical healing process and necessary aftercare is helpful for those undergoing this treatment. While individual experiences can vary, common patterns of recovery generally occur.

Immediate Post-Treatment Sensations

Immediately following cryotherapy, the treated area will likely become red and swollen. A stinging or burning sensation is common during the procedure and may persist for a few hours or even up to 2-3 days afterward. This discomfort is often described as similar to a sunburn. Tenderness at the treated site is also a common inflammatory response. In some cases, a headache may occur, particularly if the treatment was applied to the scalp or forehead.

The Healing Process and Skin Changes

Within a few hours to 1-2 days after cryotherapy, a blister may form at the treated site. These blisters can be clear or blood-filled (hemorrhagic), both of which are normal parts of the healing process. It is advised not to puncture these blisters, as the blister roof acts as a natural protective dressing for the healing skin underneath.

Over the next few days, the blister may naturally flatten or dry up, leading to the formation of a crust or scab. This scab typically falls off within 1 to 3 weeks, revealing new skin. The healing time can vary, with areas like the face healing faster (around 5-10 days) compared to the lower legs (up to 3 weeks or longer). The new skin underneath may appear pink or discolored.

Temporary changes in skin color are common, including both lightening (hypopigmentation) and darkening (hyperpigmentation) of the treated area. Hypopigmentation is a frequent occurrence. Hyperpigmentation typically fades within 3-12 months, although some pigment changes can be permanent.

Essential Aftercare and Recovery Tips

Proper wound care is important for optimal healing. Starting the day after the procedure, gently wash the treated area daily with mild, fragrance-free soap and water, then pat it dry. Apply petroleum jelly (like Vaseline) to the area for about two weeks to keep it moist and prevent excessive crusting. Keeping the wound moist can facilitate healing and reduce scarring.

Protecting the healing skin is also important. Avoid picking at any scabs or blisters, as this can delay healing, increase the risk of infection, and potentially lead to scarring. While a bandage is not always necessary, it can be used to protect the area from friction or trauma, especially if it is in an area prone to rubbing. For mild pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can be used.

Sun protection is particularly important for the healing skin. Apply a broad-spectrum sunscreen with an SPF of at least 30 to the treated area once it has healed to prevent further discoloration or damage. Sun exposure should be avoided for at least 6 weeks following treatment.

When to Contact Your Healthcare Provider

While minor discomfort and skin changes are normal, certain signs and symptoms warrant medical attention. Contact your healthcare provider if you experience increasing redness, warmth, or swelling that extends beyond the treated area. The presence of pus or unusual drainage from the wound, or a foul smell, also indicates a potential infection.

Contact your healthcare provider if you experience:
Excessive pain not relieved by over-the-counter medication or pain that worsens after the first day or two.
Blisters that are unusually large, extremely painful, or show signs of infection.
Bleeding that does not stop after applying firm pressure for 15 minutes.
Any unexpected or concerning changes, or persistent symptoms after the expected healing timeline.