Electrosurgery for Mole Removal: Tips and Care

Regarding electrosurgery for mole removal?

Hello Doctor: I had a mole on my face treated by a beautician.
After the last treatment, most of the mole healed well, but a small part that was treated with electrosurgery grew back.
So, I went back to the beautician for another electrosurgery treatment.
This time, the wound feels much deeper than the last time.
After the procedure, the beautician gave me a small jar of "beauty water," just like last time, and instructed me to apply it to the wound once in the morning, once in the afternoon, and once before bed to help it heal slowly.
She advised me to let the scab fall off on its own and not to use towels from home.
She also provided me with a cloth that resembles gauze and told me to be careful when cleaning and to avoid touching the wound.
However, I often accidentally touch the wound, and I would like to ask the doctor if it is possible to use artificial skin for protection? How often should I change the artificial skin?

A-Hong, 20~29 year old female. Ask Date: 2007/10/02

Dr. Huang Ruiyun reply Dermatology

Please be reminded that deep wounds are likely to leave scars in the future.
If you intend to use artificial skin, ensure that the wound shows no signs of redness, swelling, heat, or pain before application.
Additionally, prepare sterile cotton swabs (available at pharmacies) and sterile saline solution (contact lens solution can also be used) for cleaning the wound.
Do not touch the wound directly with your hands.
Gently clean the wound with a cotton swab moistened with saline solution, then use a dry cotton swab to gently pat it dry, and apply the artificial skin.
The artificial skin will absorb tissue fluid and swell; if it becomes so swollen that it is about to leak at the edges, it is time to change it.
Initially, you may need to change it two to three times a day, and as the wound heals, the intervals can lengthen to every two to three days.

Reply Date: 2007/10/02

More Info

Electrosurgery is a common method used for the removal of moles and other skin lesions. It utilizes high-frequency electrical currents to cut tissue and coagulate blood vessels, which can minimize bleeding during the procedure. While this technique is generally safe and effective, it does come with certain considerations for post-operative care and healing.

Understanding Electrosurgery
Electrosurgery involves the use of a specialized device that generates electrical currents. These currents can be used to precisely cut through skin tissue or to cauterize (seal) blood vessels, which reduces bleeding. The procedure is typically performed under local anesthesia, and while many patients report minimal discomfort, some may experience sensations similar to a mild electrical shock during the procedure.

Post-Operative Care
After undergoing electrosurgery for mole removal, proper care of the wound is crucial to ensure optimal healing and to minimize the risk of complications such as infection or scarring. Here are some tips for post-operative care:
1. Keep the Area Clean: It is essential to keep the surgical site clean to prevent infection. Use mild soap and water to gently cleanse the area, but avoid scrubbing or using harsh chemicals.

2. Avoid Touching the Wound: As you mentioned, it’s easy to accidentally touch the wound. Try to avoid this as much as possible, as touching can introduce bacteria and lead to infection.

3. Use of Dressings: Your beautician provided you with a special dressing, which is likely designed to protect the wound. If you are considering using artificial skin (such as hydrocolloid dressings), it can be beneficial as it provides a protective barrier and can help keep the area moist, which is conducive to healing.
4. Changing Dressings: If you opt to use artificial skin, it’s generally recommended to change it every 3 to 5 days or when it becomes wet or soiled. However, always follow the specific instructions provided by your healthcare provider or beautician.

5. Moisturizing the Area: After the initial healing phase (usually a few days post-procedure), applying a gentle moisturizer can help keep the skin hydrated and promote healing. Avoid using products with strong fragrances or irritants.

6. Avoid Sun Exposure: Protect the healing area from sun exposure, as UV rays can cause pigmentation changes and increase the risk of scarring. Use a broad-spectrum sunscreen with at least SPF 30 once the wound has healed sufficiently.

7. Monitor for Complications: Watch for signs of infection, such as increased redness, swelling, warmth, or discharge from the wound. If you notice any of these symptoms, contact your healthcare provider promptly.

When to Seek Medical Advice
If you notice that the mole has regrown or if you have concerns about the healing process, it is important to consult with a dermatologist or your healthcare provider. They can assess the area and determine if further treatment is necessary.

Conclusion
Electrosurgery is an effective method for mole removal, but it requires careful post-operative care to ensure proper healing. Using protective dressings, keeping the area clean, and avoiding unnecessary contact with the wound are key steps in the recovery process. If you have any doubts or experience unusual symptoms, do not hesitate to reach out to a medical professional for guidance.

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