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Mole and Skin Lesion treatment

What are skin lesions?

Lesions on the skin can be moles, cysts, lumps or skin tags. The majority of these are non-cancerous and do not have to be removed. They develop due to cells in the skin growing to excess, or changing colour to that of the surrounding skin.

Why have them removed?

You may wish for cosmetic reasons to have your skin lesion. Mr Roblin will discuss with you how well hidden or unsightly the resulting scar may be. He may advise alternative treatment such as liquid nitrogen therapy, curettage or laser therapy if this will give you a better cosmetic outcome.

Some skin lesions are cancerous which you or your GP may be concerned about. These can be removed leaving a small scar and the tissue sent for histological examination by a pathologist.

Reasons not to have it

When a lesion is excised it will leave a small scar, which certain areas of the body it may be difficult to conceal.

Aspirin increases the risk of bleeding by preventing blood from clotting. If you are taking aspirin, you will be asked to stop this for at least ten days before the procedure.

Further information

Consultation

Mr Roblin will want information about the skin lesion - duration, any changes (colour, size, irregularities), bleeding, itching. In addition any other moles you have or that have been removed in the past.

You will be asked about your general health, information about your medical history and any previous surgical procedures.

Procedure

The majority of skin lesions can be removed in a short procedure. The technique used depends on the lesion; it's size and site. Mr Roblin will discuss this with you. For lesions on the face and hand, sutures are left on the surface and will need to be removed. Those in the face at 5-7 days, and those in the hand at 10-12 days.

Anaesthetic

Usually local anaesthetic. Occasionally general anaesthetic. 30 mins.

Length of stay

Day case

Risks/Possible complications

Early (1-2 days):

Frequent
  • Bruising
  • Swelling
Infrequent
  • Bleeding (haematoma)
  • Discomfort

Later (after one week):

  • Scars - unsightly, lumpy, stretched. Scars mature and improve for up to 1 year
  • Infection

Recovery

Immediately after the operation
  • There will be some bruising and swelling
  • Pain is usually mild and controlled with standard painkillers
After return home
  • Socialising with friends 1-2 days
  • Return to work at 1-2 days
  • Driving at 1-2 days
  • Swelling and bruising for 1-2 weeks
  • Return gym and strenuous activity 1-2 weeks
  • Final result 1 yr (as scar matures)

Permanence of results

Permanent