Filiform Warts: What They Are and How to Get Rid of Them Safely

Filiform warts are long, narrow growths that stick out from the skin, typically extending 1 to 2 millimetres. They may appear yellow, pink, brown, or skin-coloured. Unlike other types of warts, filiform warts don’t usually form in clusters.

These warts are often referred to as ‘facial warts’ as they mostly develop on the face. They usually appear as HPV bumps on lip lines, neck, and around the eyes. Their location and appearance make them hard to ignore, both physically and visually. It usually causes discomfort and self-consciousness.

Learn about what causes filiform warts, how to recognize them, and the best treatment options available to manage or remove them effectively.

What Causes the Filiform Warts?

Filiform warts are caused by specific strains of the human papillomavirus (HPV). The virus enters through tiny breaks in the skin and leads to the formation of the wart. HPV is highly contagious and can be spread through direct contact, especially when the skin is broken or irritated.

Who Is Most at Risk?

People with weakened immune systems or those who already have HPV are more likely to develop filiform warts. Children and individuals who frequently touch or scratch their faces may also be at higher risk. Since the virus spreads through skin-to-skin contact, even small cuts or abrasions can increase the chances of transmission.

How to Identify a Filiform Wart

Physical Appearance (Long, Narrow, Thread-like Projections)

Filiform warts are easy to recognize due to their distinct look. They typically:

• Consists of thin, thread-like projections
• Extend about 1 to 2 millimetres from the skin
• Grow quickly and protrude outward from the skin’s surface
• Appear in shades of pink, brown, yellowish, or flesh-colored

Difference from Other Types of Warts

These warts differ from common warts and plantar warts in several ways. They are:

• Found mostly around sensitive facial areas like the eyes, lips, and neck
• Usually isolated rather than forming in clusters
• More visible due to their elongated shape

Are Filiform Warts Contagious?

Yes, Filiform warts are contagious. They are caused by the human papillomavirus (HPV), which spreads through direct or indirect contact.

• Skin-to-skin contact, especially if there’s a cut or abrasion
• Sharing personal items like razors, towels, or makeup
• Touching the wart and then another area of your skin

Preventive Measures

To reduce your risk of spreading or getting filiform warts, try these steps:

• Don’t share personal hygiene items
• Avoid touching or picking at the wart
• Keep the area clean and covered if needed
• Wash hands regularly, especially after touching affected areas

When to See a Doctor

If a filiform wart:

• Causes cosmetic concerns or discomfort
• Becomes painful, irritated, or starts to bleed
• Appears on the face or sensitive areas (eyelids, lips)
• Then it’s best to consult a healthcare provider for safe and effective removal.

Treatment Options for Filiform Warts

Filiform warts can be stubborn and uncomfortable, especially when they appear on sensitive areas like the face. While they may disappear over time as your immune system fights the virus, some people choose to remove them due to irritation or cosmetic concerns.

It’s important to note that most treatments focus on removing the wart itself, not the underlying virus (HPV). Currently, there’s no cure for HPV, and existing vaccines do not target the strains that cause filiform warts.

Surgical Treatment Options

Doctors use various in-office procedures to remove filiform warts. These are generally quick and effective, though some may require multiple sessions:

• Excision (Cutting or Shaving): A common method where the wart is carefully trimmed using a scalpel or surgical scissors. This may need to be repeated to prevent regrowth.
• Electrosurgery (Burning): Uses an electric current to burn off the wart. The doctor may scrape away some tissue before or after the procedure.
• Cryotherapy (Freezing): Involves applying liquid nitrogen to freeze the wart. The cold temperature destroys the wart tissue over time, although several sessions may be necessary.
• Cantharidin Treatment: A blistering agent painted onto the wart, causing it to lift from the skin. After a few days, the wart is removed by a doctor. This method is not always available or suitable for all patients.

Advanced Treatments for Persistent Warts

In cases where warts are difficult to treat, especially in people with weakened immune systems, your doctor may recommend:

• Injections
• Laser therapy
• Chemical peels
• Topical immunotherapy

Can You Treat Filiform Warts at Home?

While many common warts respond to over-the-counter remedies, filiform warts often require professional care due to their delicate location and thread-like structure.

Avoid home treatments if:

• The wart is on your face, eyes, or lips
• Instructions involve cutting, scraping, or using abrasive tools
• You have diabetes, and the wart is on your foot (due to reduced sensation)

Self-treatment may be possible in non-sensitive areas (like fingers) but always check with a doctor first.

Advancing Wart Treatments Through Clinical Trials

Many clinical research institutes are actively conducting trials focused on various skin conditions. These studies aim to discover safer, more effective treatment options to improve patient care and long-term outcomes.

If you’re struggling with stubborn or recurring warts, consider joining a clinical trial for warts. These trials are now enrolling patients, giving you the opportunity to explore potential breakthrough treatments while contributing to medical advancement.

Conclusion

In conclusion, filiform warts may be harmless but can cause discomfort and cosmetic concern, especially on the face. While they sometimes resolve on their own, professional removal is often the safest choice. Early consultation with a dermatologist ensures proper care, reduces the risk of spreading, and helps prevent potential complications or recurrence.