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Actinic Keratosis

CONVENIENTLY LOCATED TO SERVE Newport Beach, Irvine, Huntington Beach, Laguna Beach, Fountain Valley, Aliso Viejo and Laguna Niguel

Close-up of a woman's neck showing visible platysmal bands before treatment.
Actinic keratosis (AK) is a rough, scaly skin lesion that develops due to prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds. These patches are considered precancerous because they have the potential to progress into squamous cell carcinoma, a type of skin cancer.

AKs commonly appear on sun-exposed areas such as the face, ears, scalp, hands, and neck. Individuals with fair skin, a history of extensive sun exposure, or frequent tanning bed use are at a higher risk. At Metropolis Dermatology in Costa Mesa, CA, we provide comprehensive treatment options to effectively remove actinic keratosis and lower the risk of skin cancer.

What is Actinic Keratosis?

Actinic keratosis is a precancerous skin condition caused by cumulative sun damage. Although AK lesions are not cancerous, they have the potential to develop into squamous cell carcinoma if left untreated. These patches often appear rough, dry, or flaky, with colors ranging from flesh-toned to pink, red, or tan.

 

Causes

  • Long-term UV exposure: Chronic sun exposure weakens skin cells, leading to AK formation.
  • Tanning bed use: Artificial UV radiation increases the risk of precancerous skin changes.
  • Fair complexion: Individuals with lighter skin, blue or green eyes, and blonde or red hair are more prone to AKs.
  • Weakened immune system: Certain medical conditions or medications can make the skin more susceptible to UV damage.
  • Age factor: Actinic keratosis is most common in individuals over 40 due to accumulated sun exposure.

 

Symptoms

Actinic keratosis can present differently based on skin type and severity, but typical signs include:

  • Rough, dry, or scaly patches on sun-exposed areas like the face, ears, scalp, and hands.
  • Discolored lesions that appear red, pink, tan, or flesh-toned.
  • Raised, crusty, or flaky areas that feel rough to the touch.
  • Itching, tenderness, or a burning sensation in affected areas.

 

What Are the Possible Treatments?

Early detection and treatment help prevent AKs from developing into skin cancer. At Metropolis Dermatology in Costa Mesa, we offer advanced treatments tailored to your skin type and condition severity.

 

Treatments

  • Topical Medications: Prescription creams such as 5-fluorouracil (5-FU) and imiquimod help eliminate abnormal skin cells.
  • Laser Therapy: Targets damaged tissue to remove precancerous lesions and rejuvenate skin.
  • Photodynamic Therapy (PDT): Uses a light-activated solution to destroy precancerous skin cells.
  • Cryotherapy: Freezes lesions with liquid nitrogen, allowing them to slough off naturally.
Side-by-side comparison of a woman's neck before and after platysmal band injections.

FAQs

Is actinic keratosis dangerous?

While AKs are not immediately harmful, they have the potential to progress into squamous cell carcinoma, so treatment is recommended.

Can actinic keratosis disappear on its own?

Some lesions may temporarily fade, but AKs often return and worsen over time, requiring medical intervention.

How is actinic keratosis diagnosed?

A dermatologist will examine the skin and may perform a biopsy if needed to confirm the diagnosis.

How can I prevent actinic keratosis?

  • Wear broad-spectrum sunscreen (SPF 30 or higher) daily.
  • Avoid prolonged sun exposure, especially during peak hours.
  • Use protective clothing, hats, and sunglasses outdoors.
  • Refrain from using tanning beds or artificial UV sources.

How often should I have skin checks?

Individuals with a history of sun exposure or previous AKs should schedule annual skin exams to monitor for new or recurring lesions.

Hear from

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452 reviews
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Sabin Rich
October 13, 2026
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Always the best experience in this office ! The office is super nice and clean and Dr. Higgins and her staff are always so sweet and helpful! I won’t go anywhere else ever !
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Cece
October 13, 2026
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Dr. Ann Collier was so nice and very thorough with her assessment! I recommend for sure!
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Ryan Alevy
October 7, 2026
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Julia is not just one of the best physicians I’ve ever had, but she’s also a kind, thoughtful, and patient human being (which we love because sometimes going to the doctor is scary!) I had some basil cell carcinoma and Julia found it, biopsied, and recommended me to another amazing physician (Dr. Jenny Hu) who removed it alongside her team. It’s easy to not mind a medical experience when it’s normal or “everything is fine,” but when inevitably stuff sometimes isn’t, you want to have somebody like Julia in your court. I’m so grateful for the comfort I feel when I go in for visits; it’s night and day when compared to some less than optimal experiences I’ve had in other offices! Also, the team at the office, billing, communication, scheduling- it’s all super streamlined and smooth. Thank you for everything!
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Schedule Your Consultation Today!

If you have rough, scaly patches of skin or a history of frequent sun exposure, early treatment can prevent actinic keratosis from progressing into skin cancer. At Metropolis Dermatology in Costa Mesa, CA, we offer advanced treatment options to eliminate AKs and keep your skin healthy. Schedule a consultation today to discuss your treatment options!

 

 

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