Pearly Penile Papules Overview

PPP Treatment Del Mar

Pearly penile papules (PPP) are flesh-colored or white small, dome-shaped bumps or skin tags that form around the rim and underside of the tip of the penis. These bumps, or papules, may be skin-colored or slightly lighter than the skin. It is believed that nearly 1 out of 5 men will be affected with PPP in their lifetime. Though some men choose to leave this condition untreated, many men find their appearance to be embarrassing, causing social and emotional effects.

Dr. William Groff is a board certified dermatologist and is the leading expert in pearly penile papules treatment. Dr. Groff has also been recognized as a world renowned PPP Specialist by his peers. For over 19 years, Dr. Groff has successfully treated over 2000 men suffering from pearly penile papules and has never had any complications. These men have come from all over the USA and around the world to seek his expertise in this area. In fact, Dr. Groff has performed more laser treatments for pearly penile papules than any other dermatologist in the world. Dr. Groff‘s patients are universally happy with the results from Lumenis UltraPulse Encore CO2 treatment. For more information visit

Treatment Options

Pearly Penile Papules Treatment San Diego

Some men choose to leave PPP untreated, as the papules are generally asymptomatic. However, many men find this condition to be embarrassing in intimate situations and suffer detrimental social and emotional effects from leaving them untreated. Treatment for pearly penile papules is typically quite simple and effective through carbon dioxide laser treatment by a qualified dermatologist. Here’s what you can expect when you come in for PPP treatment.

The most effective, painless, and safest treatment for the successful removal of pearly penile papules is the Lumenis UltraPulse Encore CO2 laser. This laser provides optimal results because of its unique ability to specifically target particular areas without damaging nearby tissue in any way. Before the treatment begins, a numbing cream will be applied to the affected area. Once the cream has fully activated, Dr. William Groff will administer the laser treatment by focusing and firing the beam on each individual papule, vaporizing it instantaneously. The entire treatment takes only 20-30 minutes, requires no injections, and is completely painless.

Do PPP Creams Work?

Though creams claiming to treat papules do exist, they are not effective and can cause undesirable side effects. The safest and most beneficial treatment is PPP removal with a CO2 laser at CLDerm.


6 Months After PPP Treatment
Pearly Penile Papules Treatment
Pearly Penile Papules Treatment
Pearly Penile Papules Treatment
Pearly Penile Papules Treatment
Pearly Penile Papules Treatment


PPP Laser Treatment Demonstration by Dr. William F. Groff (8:21)
Pearly Penile Papules Removal by Dr. Groff (5:51)
CO2 Laser Removal of Pearly Penile Papules (1:50)
Treatment for Pearly Penile Papules (1:20)


Q: Who is a candidate for CO2 treatment of pearly penile papules?

A: Anyone who is experiencing pearly penile papules is a candidate for PPP removal with a CO2 laser and is encouraged to contact our practice today to schedule an initial consultation.

Q: Who should administer PPP treatments?

A: PPP treatments should always be performed by a board-certified dermatologist with an extensive knowledge of laser treatments. Dr. William Groff is a leading expert in this specialized treatment, having performed over 700 PPP treatments throughout his career.

Q: Is laser PPP removal permanent?

A: Yes, treatment with a CO2 laser for PPP will bring permanent results to every patient.

Q: What are the benefits of PPP treatment?

A: PPP treatments can significantly diminish or completely remove the unsightly bumps. One of the most desirable aspects of laser PPP removal is the fact that there is virtually zero recovery time after the treatment has been performed. Patients can almost always return to work immediately, though swelling, redness, and scabbing are common during the first few days. After 1-2 weeks, a full recovery can be expected.

Q: What can I expect regarding recovery?

A: There will be some redness, swelling, crusting and scabbing, and mild stinging or discomfort for the first few to several days. Almost all patients are able to go back to work immediately. It typically takes 1-2 weeks to completely heal.


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The information available on this website is provided for informational purposes only. This information is not intended to replace a medical consultation where a physician's judgment may advise you about specific disorders, conditions and/or treatment options. We hope the information will be useful for you to become more educated about your health care decisions.

*Free consultations are available with Drs. Butterwick, Groff, Wu, Boen, and Leysin Fletcher, PA-C. General Dermatology consultations are subject to a fee.