Skin Health Expert Insight · Updated October 2026
DB The Dermatology Brief
Evidence-Based Skin Care
Expert Insight

How To Get Rid Of Seborrheic Keratoses And Stop Them From Coming Back

If you have quietly accepted these rough, raised spots because you were told nothing could be done, a dermatologist explains why that was wrong, and exactly how to clear them at home.

Board-Certified Dermatologist
30+ Years in Clinical Practice & Research

Let me describe something, and tell me if it sounds familiar. You noticed the first rough, raised spot years ago. Maybe you asked someone about it, maybe you didn't. Either way, the message you came away with was the same: it's harmless, it's just age, there's nothing to do. So you did the only sensible thing. You accepted it.

And then, slowly, you built a whole quiet routine around that acceptance. You stopped really looking at them. You stopped mentioning them. A few became several, several became more, and you told yourself this was simply what skin does once you reach a certain age. You were not being careless. You were doing exactly what you were told.

I have spent over 30 years treating skin, and I will tell you plainly: that one piece of advice, "there's nothing to do," is wrong, and it has quietly cost more people more years than almost anything else I see. So I want to undo it. Here is what these actually are, how you get rid of them, and how you keep them from building back up.

If You Have These, You Will Know This

The quiet ways people just learn to live with them

Before I explain the how, I want you to feel seen, because almost no one talks about this part out loud. If you have these spots, there is a good chance you have quietly done at least a few of these without ever deciding to.

You stopped asking anyone about them, because you assumed the answer would just be "it's age."

You quietly started choosing tops with a higher neckline, or sleeves in warm weather, without really admitting why.

You caught one with a towel, a necklace clasp or a fingernail and winced, because they are tender when knocked.

You watched the count slowly climb over the years and made a kind of peace with it, because what else could you do.

You put up with the ones that itch, that you think look ugly, and that bleed a little when they get caught, because you never knew you were allowed to do anything about them.

None of that is vanity, and none of it is you failing to cope. It is what a reasonable person does when they have been told the situation is permanent. The problem was never you. It was the information.

Almost nobody chooses to live covered in these. They simply accept them, because they were never told there was anything else to choose.
What You Were Never Told

These are not "just age." They are a buildup you can remove.

Here is the piece that changes everything, and almost no one hears it. The phrase "just age" makes these sound passive, like a stain the years left behind that is now simply part of your skin. That is not what they are. These growths, seborrheic keratoses, are a physical buildup of keratin, the tough protein in your outer skin, overproduced and compacted into a thick, raised, stuck-on mound. That is why they feel rough and sit up off the skin.

And being a buildup is exactly what makes them something you can actually deal with. Think about it. Your skin sheds dead surface cells every single day, everywhere on your body, and renews itself without you noticing. So why do these stay put for years while everything around them turns over? Not because your skin is broken. Because the keratin in them is packed so densely that your skin's normal shedding cannot get underneath to lift it away. It is not permanent. It is just stuck. And anything stuck can be loosened.

How You Get Rid Of Them

The way you actually clear them at home

Once you understand that they are simply packed too tightly for your skin to shed, the solution follows on its own. You do not need to burn them, freeze them or cut them off. You need to soften the buildup until your own skin can let it go. And the thing that does that is an ingredient you have almost certainly walked past in a pharmacy a hundred times.

It is called urea. At the low strengths in ordinary creams it only moisturizes, which is why the creams in your bathroom have never touched these. But at a much higher strength, around 40 percent, it crosses a threshold and becomes something quite different. It reaches into the packed keratin and loosens it. Pair it with a small amount of salicylic acid to help lift the softened surface away, and the raised growth gradually flattens and smooths as your skin clears what has been released.

You are not forcing anything off your skin. You are loosening the one thing that stopped your skin from clearing it years ago.

Because it is a cream and not a clinic procedure, you treat every spot at once, across your chest, back, neck and arms, at home, on your own schedule. No appointments, no scabs, nothing to heal. Most people feel the rough texture begin to ease within the first few weeks, with the raised ones flattening over time.

The Formula I Point People To

SK Renewal 40

40 percent urea with 2 percent salicylic acid, made specifically for this rough, raised keratin buildup. Not for ordinary dryness or general skincare. Used at home, on all of them at once, and kept on hand for the new ones.

How You Stop Them Coming Back

And here is the part that keeps them gone

Getting rid of the spots you have now is only half the answer, and I would be doing you the same disservice you have already had if I stopped there. So let me be completely honest. If your skin is the type that makes these, it will keep that tendency. New ones can still form, because that part is written into your genes, and no cream and no procedure changes it. Anyone who tells you otherwise is not being straight with you.

But here is the distinction that matters, and the real meaning of stopping them from coming back. You did not end up with the spots you have because they all appeared at once. You ended up with them because, for years, each new one was left completely alone to slowly thicken into another stubborn growth, until the count quietly climbed. That slow buildup is entirely preventable, and preventing it is the whole game.

The step is simple, and it is the opposite of what you have been doing for years. Instead of ignoring a new spot, you treat it the moment you notice it, while it is still small and thin. Caught that early, it softens off in a fraction of the time, long before it can ever become one of the big ones. Do that, and you break the cycle. They stop returning and taking over, even though your skin keeps its underlying tendency, the same as everyone's does.

You cannot stop your skin from ever forming another spot. But you can absolutely stop them from ever building back up into what you are looking at today.
What Reviewers Are Saying
From Dermatologists
Dr. Karen Whitfield
Board-Certified Dermatologist
★★★★★

"I have had a number of patients use this for the ordinary rough, raised keratoses, and what stands out to me is how consistent the feedback is. The texture softens, the raised ones flatten, and because it is a cream they can treat everything at once. For the right type of spot, it does what the chemistry says it should."

Verified practitioner feedback
Dr. Lauren Mitchell
Dermatologist, 18 Years in Practice
★★★★★

"Most of the patients I see with these had simply accepted them for years. The ones who tried this came back telling me the spots that used to catch and bother them had smoothed down. I still want anything unusual checked in person first, but for the clearly benign ones, I am comfortable with it."

Verified practitioner feedback
From People Who Used It
Margaret H.
Verified Buyer
★★★★★

"I had told myself these were just part of getting older and left them alone for the better part of ten years. A few weeks in and the roughness on my chest had already eased. I almost did not believe I was allowed to do something about them after all this time."

Verified purchase
David K.
Verified Buyer
★★★★★

"The one on my shoulder used to itch and catch on my shirt collar until it bled a little. That is the first one that smoothed down, and now when I spot a new small one I treat it straight away so it never gets to that stage. I just keep the tube in the bathroom now."

Verified purchase
What To Honestly Expect

Slow, real, and worth it

I will not promise you perfect skin overnight, because that is exactly the kind of overselling that made you stop trusting these claims in the first place. What actually happens is steadier and more believable. The rough texture softens first, usually within a few weeks. The raised ones flatten and smooth over time. And the new ones you catch early never get the chance to thicken the way the old ones did.

For someone who spent years quietly accepting these, believing there was nothing to be done, that is not a small thing. It is the difference between slowly losing ground and finally, quietly, staying ahead of it, on your own terms, at home.

Two honest notes before you begin

This is for the ordinary, benign, rough and raised spots only. Anything that changes quickly, bleeds, itches badly, has an irregular border or uneven colour, or simply looks different from the rest, should be seen by a dermatologist in person before you treat it. When in doubt, get it checked. That advice never changes.

SK Renewal 40 is only sold through its official website, and it comes with a 60-day money-back guarantee. Because the strength has to be exact to work, there are weaker and imitation versions on marketplaces like Amazon and in some shops. If the concentration is even slightly off it will not cross the threshold, and you will just have another moisturizer, so it is worth getting it from the source.

You were told there was nothing to do. There was.

Soften the buildup to clear the spots you have, then catch each new one early so they never pile back up. You do not have to keep living with them. You just were never told you had a choice.