Classical skin surgery

Surgical removal of changes on the skin usually involves smaller interventions performed under local anesthesia.

The process of removing changes in the skin is usually conducted as follows:

Local anesthetic Lidocaine 2% is applied in the zone around the area we wish to remove. After 10 minutes an elliptic incision is made (scaphoid skin cutout) around the change and sutures are placed.

Are interventions painful?

Interventions last for twenty minutes including the wait for the anesthetics to work and they are completely painless. First bandage changing is a day after the intervention and the suture threads are removed after 7 to 14 days depending on the region of their placement.

Are there scars on the skin?

There is always a scar and it is usually linear. On the face, they usually completely disappear in a year, while in the region that are under tension (the back, the abdomen) they are often stretched as wide as the excision.

What changes are usually removed surgically?

Surgeons remove all pigment changes that have an atypical structure, the so called dysplastic moles, all changes larger than 1 cm which need a pathohistological verification, lipomas and atheromas larger than 5 millimeters.

What is the difference when compared with removing the changes in the skin by radio waves?

Unlike the radio wave intervention, a surgical intervention enables the pathologist to clearly see the resection edge and the cells on it, that is why it is important to always remove risky changes surgically. A decision on how risky the change on the skin is, is always made by the dermatologist.

Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade