Excision of lesions

What is skin lesion excision?

On several occasions, there are skin lesions that can appear over the years or, in those already present since childhood, have changed their shape, color, texture, or size over the years.

Initially, they require a prior examination by a dermatologist, followed by removal or excision. Some are removed for cosmetic reasons, while others are removed for dermatological reasons, such as for examination or biopsy, or to prevent future malignant tumors.

Lesion excision is the removal or excision of lesions through a small incision, which can be located on the face, trunk, chest, or extremities. The most common lesions are nevi (or moles), sebaceous cysts, lipomas, xelanthelasmas, warts, skin tags, widened and keloid scars, and, to a lesser extent, malignant tumors such as basal cell carcinoma, squamous cell carcinoma, and melanoma.

Who are the candidates for this surgery?

Any patient who presents a skin lesion that requires removal for cosmetic reasons or is referred by dermatology.

What is the surgery like?

If the lesion is small, it can be performed under local anesthesia in the office. A small incision is made, which will require a stitch to cover the edges and achieve the most aesthetically pleasing healing. For larger lesions, requiring a larger area to be removed or the use of skin grafts or flaps, the surgery will be moved to an operating room. These are outpatient surgeries, with very good and rapid recovery times.

This surgery causes mild local swelling. Skin-colored tape will be placed over the area, ensuring proper treatment according to instructions. You should not be unable to bathe or perform work the following day.

The use of anti-inflammatory and healing balms is recommended afterwards.

The scar is imperceptible, at first it can be easily noticed although as the months go by it will become more difficult to distinguish.

What can I expect after surgery?

What is necessary for surgery?

A complete laboratory examination, electrocardiogram evaluated by cardiology, and chest X-ray are routinely performed.

When can I return to my daily activities?

Depending on the size of the lesion, it is recommended that you resume activities within 24 to 48 hours, depending on your individual progress. A repeat visit will be scheduled for stitch removal, and if a biopsy is requested, the results will be sent to the dermatologist. The use of healing creams and avoiding sun exposure for at least three months are recommended afterward.