A skin lesion is an area of skin that differs from the rest of the body. This could be a bump, a sore, or an abnormal patch of skin. It could also turn into a kind of skin cancer. A procedure to remove a lesion from the skin is known as skin lesion removal. The most of lesion removal procedures can be done in your doctor’s office. Your primary care practitioner, a dermatologist, or a surgeon may be needed in some cases. The procedure you receive is based on the location, size, and type of lesion you have. Usually, the removed lesion is submitted to a lab to be studied under a microscope. Before the procedure, you may also be given a numbing drug (anesthetic)1. The various types of superficial skin lesion removal techniques are described below.
Simple Scissor Excision1:
Skin lesions that rise above the skin or are in the upper layer of skin are treated with this technique. Doctor grabs the skin lesion with small forceps and gently pull up then uses small, curved scissors to carefully cut around and under the lesion. Any remaining parts of the lesion may be cut with a curette (a device used to clean or scrape skin). Stitches are rarely needed after this method of skin lesion removal. To stop any bleeding, medication is applied to the area at the end of the procedure. Alternatively, the area may be treated with cautery to close the blood vessels.
Skin Excision (Full Thickness):
This method involves removing a skin lesion from the deeper layers of the skin all the way down to the fatty layer under it. To ensure that the lesion is free of any possible cancer cells, a small amount of normal tissue surrounding the lesion may be removed. It is more likely to be done when there is a concern about a skin cancer. Stitches are used to seal the area afterwards this method of superficial skin lesion removal. if larger area is removed, a skin graft or flap of normal skin may be used to replace the skin that was removed.
There are certain risks involved in skin excision, they are:
- Change in skin color
- Recurrence of the lesion
- Scar (keloids)
- Nerve damage
- Blisters and ulcers, following pain and infection
- 1.National Library of Medicine. Skin lesion removal. medicineplus.gov. https://medlineplus.gov/ency/article/007673.htm