Excision of benign lesions

Most types of skin lesions can be directly excised under local anaesthetic in the outpatient clinic. These procedures typically take about half an hour. If the lesion is large or where a skin graft is required, it can take up to one hour. There are three possible ways in which these procedures are carried out, e.g.:- by direct closure, split skin graft or a full thickness skin graft.

Direct Closure

Direct closure allows the lesion to be removed and sutured. When the sutures are to be removed (if they are not dissolving) depends on the site of the wound (e.g. on the back ten-fourteen days, on the arm five-seven days, and on the face three to five days).

Skin coloured surgical tape is applied for minimum two weeks to help support the scar.

The scar will need moisturising (with a bland moisturiser) and massaging for at least one month to help with the final result.

Minimal discomfort may be experienced which can be easily controlled with painkillers.

Bathing/showering is allowed so long as care is taken not to get the dressings wet.

Sun block should be worn for eighteen to twenty four months over the affected areas as they will be prone to burning.

Split Skin Graft

Split skin grafts involve taking a thin layer of skin from an area near the lesion (to achieve a better skin tone match).

This skin is held in place with sutures (either with or without a pressure pad) for seven to fourteen days and then inspected.

If healed the grafted area may be left exposed and moisturiser applied to help with maturation and the final result. If not healed, the graft will be redressed and left for another five to seven days.

The donor site usually heals in seven to fourteen days rather like a graze.

Full Thickness Skin Graft

The full thickness sking graft involves taking a piece of skin from an area near the lesion (again to achieve a better skin tone match).

This skin is held in place with sutures (either with or without a pressure pad) for seven to fourteen days and then inspected.

If healed the grafted area may be left exposed and moisturiser applied to help with maturation and the final result. If not healed, the graft will be redressed and left for another five to seven days.

The donor site usually heals in seven to fourteen days as it is directly closed.

Bathing/showering is allowed so long as care is taken not to get the dressings wet.

Sun block should be worn for eighteen to twenty four months over the affected areas as it will be prone to burning.

Next Steps

For further information please contact Miss Patel to arrange a consultation.

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