Prof. M.N. Huda is the Best Dermatologist in Bangladesh. He known as Best Dermatologist in South Asia. This world- renowned doctor has bagged the overflowing respect and love for his excellent work and selfless services in health care sector. He is not just an Skin Specialist in Dhaka but a Renowned Professor of Dermatology & Venereology. He also called Leading Dermatologist in Bangladesh.
A skin lesion is an area of the skin that is different from the skin around it. This may be a lump, a sore, or an area of skin that is not normal. It can also be skin cancer.
Removal of a skin lesion is a procedure to remove the lesion.
Description
Most injury removal procedures are easily performed in your doctor’s office or in an outpatient facility. You may need to see your primary care provider, a skin doctor (dermatologist), or a surgeon.
The procedure you will have depends on the location, size, and type of the injury. The lesion that removed is usually sent to the laboratory, where it examined under a microscope.
You may receive some type of numbing medicine (anesthetic) before the procedure.
The different types of skin removal techniques are described below.
Shave Excision
This technique used for skin lesions that protrude from the skin or are on the top layer of the skin.
Your doctor uses a small razor to remove the outermost layers of the skin after the area has numbed. The area to removed includes part or all of the injury.
Generally, you will not need stitches. At the end of the procedure, medicine is applied to the area to stop any bleeding. Or the area can be burned with a cautery to seal off the blood vessels. Neither of these measures will cause you pain.
SIMPLE EXCISION WITH SCISSORS
This technique also used for skin lesions that protrude from the skin level or on the top layer of the skin.
Your doctor will grasp the skin lesion with small forceps and gently stretch it. Small curved scissors will used to carefully cut around and below the injury. A curette (an instrument used to clean or scrape the skin) can be used to cut away any remaining portion of the lesion.
Sutures are uncommonly required. At the end of the procedure, medicine is applied to the area to stop any bleeding. Or the area can burned with a cautery to seal off the blood vessels.
FULL THICKNESS SKIN EXCISION
This technique involves removing a skin lesion that in the deepest levels of the skin, until it reaches the layer of fat that is underneath it. A small amount of the normal tissue surrounding the lesion can also be removed to ensure that it is free of any possible cancer cells (clean margins). This is more likely to done when there is a concern of possible skin cancer.
- Most often, an ellipse-shaped area (football) is removed, as this makes it easier to close it with sutures.
- The entire lesion is removed, reaching the depth of the fat, if necessary, to remove the entire area. A margin of about 3 to 4 millimeters (mm) or more around the tumor may also removed to ensure that there are clean margins.
The area closed with sutures. If a large area removed, a skin graft or normal skin flap can used to replace the skin that was removed.
SCRAPING AND ELECTRODESECTION
This procedure involves scraping or removing a skin lesion. A technique that uses high-frequency electrical current, called electrodesiccation, can used sooner or later.
This procedure can used for superficial injuries that do not require a full-thickness excision.
LASER EXCISION
A laser is a beam of light that can focused on a very small area and can treat very specific types of cells. The laser heats the cells in the area treated until they “burst.” There are many types of lasers. Each laser has specific uses.
The laser excision may removed:
- Benign or premalignant skin lesions
- Warts
- Moles
- Sunspots
- Hair
- Small blood vessels in the skin
- Tattoos
Why the Shave Excision procedure performed
It can done to improve a person’s appearance, or if the injury is causing irritation or discomfort.
Your doctor may recommend that an injury removed if you have:
- Benign neoplasms
- Warts
- Moles
- Cutaneous papillomas
- Seborrheic keratosis
- Actinic keratosis
- Squamous cell carcinoma
- Bowen’s disease
- Basal cell carcinoma
- Molluscum contagiosum
- Melanoma
- Other skin conditions
Risks
The risks of a skin excision can include:
- Infection
- Scar (keloids)
- Bleeding
- Changes in skin color
- Poor wound healing
- Nerve damage
- Reappearance of the lesion
- Blisters and ulcers, which cause pain and infection
Before the Shave Excision procedure
Tell the doctor:
- About the medications you are taking, including vitamins and supplements, herbal remedies, and over-the-counter medications
- If you have any allergies
- If you have bleeding problems
Follow your doctor’s instructions on how to prepare for the procedure.
After the procedure
The area may be tender for a few days after the procedure.
Taking proper care of the wound will help your skin look its best. Your provider will talk with you about your options:
- Let a small wound heal on its own, as most small wounds heal well on their own.
- Use sutures to close the wound.
- Skin graft, during which the wound covered using skin from another part of your body.
- Apply skin flaps to cover the wound with the skin next to it (the skin near the wound is the same color and texture).
Expectations Shave Excision (prognosis)
Injury removal works well for many people. Some skin lesions, such as warts, may require treatment more than once.