Many patients come to see me about a mole that worries them, a lump that has grown or a lesion that catches on clothing or when shaving. In most cases it can be removed in clinic with minor surgery: quick, and done under local anaesthetic.
What can be removed?
- Moles (naevi) that have changed, look uncertain on dermoscopy or are frequently rubbed.
- Epidermoid cysts (the typical lump under the skin).
- Small lipomas.
- Skin tags on the neck, armpits or groin.
- Seborrhoeic keratoses and other benign lesions that are bothersome or bleed.
Diagnosis comes first
Before removing anything, I examine the lesion with dermoscopy. This tells me whether it is benign or shows any warning signs, and helps me choose the right technique. If a mole looks suspicious, the priority is to remove it completely and have it analysed.
How is it done?
The area is numbed with local anaesthetic, so the procedure does not hurt. Depending on the lesion, I use one of these techniques:
- Excision with stitches: the whole lesion is removed and the skin closed with fine sutures. This is the technique of choice when the lesion needs to be analysed.
- Shave removal: for raised, benign lesions; no stitches needed.
- Electrosurgery (or cryotherapy, Gibraltar only): for skin tags and small superficial lesions.
Most procedures take 15 to 30 minutes and you can get back to normal activities the same day.
Analysing the lesion
When appropriate, the lesion is sent to the laboratory (histopathology) to confirm the diagnosis. I will let you know the result as soon as I receive it.
Aftercare
- Keep the wound clean and dry for the first 24 to 48 hours.
- Stitches are removed after 7 to 14 days, depending on the area.
- Protect the scar from the sun for several months so it heals as discreetly as possible.
Will there be a scar?
Any surgery leaves a scar, but with good technique and by following the natural lines of the skin it is usually fine and hard to see. I will explain what to expect in your particular case.
If you have a mole or skin lesion that worries you, book an appointment and we will take a look.
This article is for information only and does not replace a medical consultation.
