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Trusted Skin Care

Excisions

SurgicalJ Moore


 

What is meant by an excision of a skin lesion? 

Excisions are performed to remove skin cancers, abnormal moles and other abnormal lesions.

After discussing the type of lesion to remove and the reason to remove it, a consent form will be signed to indicate that you understand and agree to the surgical procedure.

Your medications (particularly aspirin, clopidogrel, dabigatran and warfarin, which could make you bleed more), allergies, medical conditions, will be reviewed.  Your past history of artificial heart valves, or artificial joints or history of pacemaker/defibrillator will be reviewed.  If you must take antibiotics prior to dental visits, the same is true for skin excisions. Remember, to tell your doctor about any over-the-counter supplements or herbal remedies as a number of these can also lead to abnormal bleeding. 

The area to be excised is marked. A local anesthetic injection will rapidly numb the area of skin involved and keep it numb during the procedure. You may feel pressure and movement but the procedure is not painful. 

The lesion is removed with an appropriate margin.  The specimen removed is sent to the dermatopathologist to evaluate for diagnosis and/or clear margins.  We will give the results to you. 

If there is bleeding, cautery is used to stop bleeding.  This does not hurt but you may hear a buzzing sound. 

The open wound is most often closed in two layers with deep sutures that dissolve over weeks to months.  The top layer is closed with sutures that are removed in 7 - 14+ days depending on the location and tension on the wound.  Sometimes dissolving outer sutures are used. 

Wound dressings may include steristrip tapes, ointments, pressure bandages.  Specific care instructions will be given to you for your site.  It is imperative that you follow the instructions carefully to prevent infections or the stitches from popping. 

Your wound may be tender 1-2 hours after the excision when the local anesthetic wears off.  Intermittent ice packs, Tylenol and Advil in appropriate doses may be advised.

Leave the dressing in place for 24 hours or as advised by your My Dermatologist.  Avoid strenuous exertion and stretching of the area until the stitches are removed and for some time afterwards. Do not lift or strain or pull the surgery site until the sutures are removed.  The wound strength at 3 months is only 50% and only ever reaches 80% of the previous strength of normal skin.

Suture removal is not painful. The suture is gently clipped on one end and gently removed.  Steristrips may be reapplied to protect the new wound.

We recommend being in town and not traveling while you are healing. 

Do not swim in pools, oceans, lakes or submerge the area in bath water while the wound is healing.

If there is any bleeding, press on the wound firmly with a clean folded towel without removing the existing dressing or looking at it for 20 minutes. If it is still bleeding after this time, seek medical attention.

Keep the wound dry for 24 hours. You can then gently wash and dry the wound. A small amount of pinkness and tenderness to touch around the wound edges is normal but, if the wound becomes increasingly red or painful, consult My Dermatologist promptly – it could be infected and need a course of antibiotics.

The scar will initially be red and raised but usually reduces in color and size over several months. It is impossible to cut the skin without scarring in some way, so you will always have some sort of scar. Some people have an abnormal response to skin healing and these people may get larger scars than usual (keloid or hypertrophic scarring). If this occurs, we have techniques to improve the scar. 

 

Please contact My Dermatologist for any questions at

appointments@mydermtc.com

612-621-8888.

 

 

Lesions

SurgicalJ Moore

 

What is a benign lesion?

A Benign skin lesion is non-cancerous and non-spreading abnormal tissue that is generally not threatening to your health. These skin lesions may still need to be removed due to their location, size and appearance.

What is a malignant lesion?

A malignant lesion has been determined to be cancerous after a biopsy and is characterized by progressive and uncontrolled growth (especially of a tumor). This lesion would be dangerous to your health and thus would need to be surgically removed. Continued Below...

Mohs

SurgicalJ Moore

 

Mohs Overview

My Dermatologist will help schedule your appointment as medically necessary. Feel free to contact us with any questions or concerns.

 

Mohs Surgeon

Doctor Christopher Dolan is a Commander in the United States Navy and currently works at the Fort Belvoir Community Hospital in Alexandria, Virginia, where he serves as the Mohs Surgeon for their division of dermatology.

Doctor Dolan completed his undergraduate training at Bucknell University, where he majored in Biology and graduated Summa Cum Laude.  He then attended medical school at Georgetown University School of Medicine, graduating in 1999.

Doctor Dolan has practiced medicine in the Navy for almost 17 years including being a veteran of Operation Iraqi Freedom. After completing his internship in Internal Medicine at the Naval Medical Center San Diego, he spent several years as a Naval Flight Surgeon taking care of Navy and Marine pilots and was the Navy’s Test Wing Flight Surgeon of the year for 2002 and 2003.  In 2008 he completed his residency in dermatology at Walter Reed National Military Medical Center and was selected to stay on as a staff dermatologist training future Navy and Army dermatologists.  In 2013, Doctor Dolan returned to postgraduate training at the Icahn School of Medicine at Mount Sinai Hospital in New York City to complete a Procedural/Mohs fellowship.  During this intensive fellowship Doctor Dolan performed over 2000 procedures, which included over 1000 Mohs excisions for skin cancer and numerous laser therapy and cosmetic procedures.

Dr. Dolan is a board certified diplomat of the American Board of Dermatology and is designated as a fellow of the American Academy of Dermatology as well as an associate member of the American College of Mohs Surgeons.

5565 Blaine Avenue East, Suite 200 Inver Grove Heights, MN, 55076
651-621-8888