Skin Lesion Removal

Overview
Skin lesion removal involves excision or destruction of unwanted, suspicious, or symptomatic skin growths. It may be performed for medical, functional, or cosmetic reasons. Lesions include moles, cysts, lipomas, skin tags, and potentially cancerous growths. The goal is complete removal with minimal scarring and accurate histological diagnosis when indicated.

Who It’s For

  • Lesions showing changes in colour, shape, or size

  • Painful, bleeding, or irritated lesions

  • Suspicious growths requiring biopsy or exclusion of skin cancer

  • Benign lesions removed for comfort or appearance

Procedure

  • Performed under local anaesthesia in a minor procedure setting

  • Technique depends on lesion type and location:

    • Simple excision: lesion removed with a small margin of normal tissue; closed with fine sutures

    • Shave excision: raised lesions removed flush with the skin surface; minimal scarring

    • Punch excision: small circular blade used for small moles or cysts

    • Curettage or cautery: superficial lesions scraped or cauterised (no sutures)

  • Specimens are often sent for histopathological analysis to confirm diagnosis

Recovery

  • Minor discomfort for 1–2 days

  • Keep wound clean and dry; dressings changed as directed

  • Sutures removed after 5–14 days depending on site

  • Sun protection during healing reduces scar visibility

  • Most patients resume normal activity immediately

Results and Scarring

  • Lesion removed completely with minimal scarring

  • Scar fades over several months

  • Cosmetic outcome depends on site, skin type, and aftercare

  • If histology reveals malignancy, further treatment may be advised

Risks

  • Bleeding, infection, delayed wound healing

  • Scarring or pigment change

  • Incomplete excision requiring re-operation

  • Rare recurrence of lesion

Long-Term Considerations
Routine skin checks are recommended, especially for patients with a history of sun exposure, atypical moles, or previous skin cancer. Early evaluation of new or changing lesions ensures timely management and optimal cosmetic outcomes.