Do I Need Surgery to Remove My Skin Lesions? - Dermatology

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Do I need surgery?


Dr.
Huang: Hello! I would like to ask you about a slightly raised mole on the corner of my eye and another on my back (they are not very large).
I want to have them removed; will I need surgery? Is it dangerous, and will there be any scarring afterwards? Thank you!

yuki, 20~29 year old female. Ask Date: 2004/04/17

Dr. Huang Ruiyun reply Dermatology


1.
Need 2.
Will not 3.
Has scars

Reply Date: 2004/04/17

More Info


When considering the removal of skin lesions, such as moles or other growths, it's essential to understand the various factors involved in the decision-making process. Based on your description of having slightly raised moles near your eyes and on your back, here are some insights and recommendations.

1. Evaluation by a Dermatologist:
Before proceeding with any surgical intervention, it is crucial to have a thorough evaluation by a dermatologist. They can assess the lesions to determine their nature—whether they are benign (non-cancerous) or potentially harmful. This evaluation often includes a visual inspection and, in some cases, a biopsy to rule out skin cancer or other conditions.

2. Surgical Options:
If the dermatologist recommends removal, there are several methods available:
- Excision: This is a common surgical procedure where the mole is cut out along with a margin of surrounding skin. This method is often used for larger or suspicious lesions and may require stitches.

- Shave Removal: For smaller, raised moles, a shave excision may be performed. The mole is shaved off at the skin level, which typically does not require stitches.

- Laser Removal: Some lesions can be treated with laser therapy, which may be less invasive and result in minimal scarring. However, not all types of lesions are suitable for this method.

3. Risks and Considerations:
Every surgical procedure carries some risks, including:
- Infection: Any surgical site can become infected, so proper aftercare is essential.

- Scarring: While most procedures aim to minimize scarring, some degree of scarring is inevitable. The extent of scarring can depend on various factors, including the size and location of the lesion, your skin type, and how well you follow post-operative care instructions.

- Recurrence: In some cases, the lesion may recur, necessitating further treatment.

4. Post-Operative Care:
Following the removal of a skin lesion, proper care is vital to promote healing and minimize scarring. This includes:
- Keeping the area clean and dry.

- Following your dermatologist's instructions regarding wound care.

- Avoiding sun exposure on the healing area, as UV rays can darken scars.

- Using sunscreen to protect the area once healed.

5. Alternatives to Surgery:
If the lesions are benign and not causing any discomfort or cosmetic concerns, you may choose to monitor them rather than pursue removal. Regular check-ups with your dermatologist can help ensure that any changes in the lesions are promptly addressed.

6. Conclusion:
In summary, whether or not you need surgery to remove your skin lesions depends on a thorough evaluation by a dermatologist. They will guide you through the risks and benefits of the various removal methods available. If surgery is recommended, understanding the procedure, potential risks, and aftercare will help you make an informed decision. Always prioritize your skin health and consult with a professional for personalized advice.

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