"What Are These Rough, Crusty Bumps on My Scalp and Cheek, and Do I Need to Worry?"
Finding a new, rough, or raised spot on your skin can immediately trigger anxiety. You might find yourself searching the internet, asking: "Is this rough spot on my face skin cancer?" or "Why do I have a crusty, stuck-on bump on my scalp?"
At our offices in Houston and Katy, Texas, we see many patients who notice these sudden changes in their skin. Today, we’re sharing a case study of a 54-year-old male who came to see us with painful, irritated lesions on his left scalp and right cheek.
Here is how a board-certified dermatologist in Katy TX can put your mind at ease, quickly diagnose these spots, and clear them up in a single, simple visit.
The Patient Story: Sudden, Stuck-On Spots
Our patient, a 54-year-old male, came to our clinic as an established patient. For about a month, he had been dealing with two frustrating, moderately severe skin lesions: one on his left scalp and one on his right cheek. They were rough, raised, and had recently become tender and inflamed.
Because they were starting to catch on his hairbrush and clothing, causing discomfort, he knew it was time for a professional evaluation.
The Diagnosis: Influmed Seborrheic Keratosis
Using specialized diagnostic tools, we examined both areas. We were able to reassure the patient that these spots were inflamed seborrheic keratoses (singular: seborrheic keratosis).
What exactly are they?
Common and Benign: Seborrheic keratoses are incredibly common, benign skin growths Katy residents frequently develop as they age. They are completely non-cancerous.
The "Stuck-On" Appearance: They often look like they were made of wax or clay and literally "stuck" onto the surface of the skin. They can range in color from light tan to deep brown or black.
Why They Get Inflamed: While harmless, they can easily become irritated by friction, shaving, or sweat. When this happens, they become red, swollen, itchy, or crusted—which is why patients often mistake them for something more serious.
The Treatment: Liquid Nitrogen Cryotherapy
Because these two spots were actively painful and inflamed, removing them was the best course of action to restore the patient's comfort.
To do this, we performed cryotherapy for skin lesions Houston patients trust for quick, highly effective removal.
The Procedure: We applied liquid nitrogen—which sits at an extremely cold temperature of $-196^\circ\text{C}$—directly to the two lesions.
How It Works: The extreme cold instantly freezes the targeted cells of the seborrheic keratosis. This causes the growth to gently blister, scab over, and eventually fall off on its own over the course of one to two weeks, leaving fresh, healthy skin underneath.
Comfort and Recovery: The procedure takes only a few seconds per spot. While there can be minor, temporary scalp tenderness or pinpoint bleeding immediately afterward, there is absolutely zero downtime.
By treating these irritated spots directly, we eliminated his discomfort and cleared his skin in a matter of minutes.
Worried About a Rough, Raised Spot on Your Skin?
If you are searching for "seborrheic keratosis treatment Katy" or need a trusted expert for liquid nitrogen spot removal Katy TX, Dr. Reena Jogi, MD is here to provide exceptional care. From checking suspicious spots to performing quick, cosmetic, and medical removals, we help you maintain healthy, beautiful skin.
Stop worrying about your skin. Get it checked by an expert. Schedule your skin evaluation at Village Dermatology in Houston or Katy today!

