This is when a mole is sliced off at the base. This is the simplest and quickest way to remove a mole that is raised up from the skin. It may well be the best option where there is little spare skin to enable a wound to be closed without distortion (for example on the nose). Of course, this technique leaves a scar that is the same size and shape as the footprint of the mole; this might not be a problem and can easily be covered with makeup. Because the base is not removed, there is a chance of the mole re-growing in the future.
This is where the mole, and the skin beneath it, is completely removed, usually with a very narrow margin around the edge, with the aim of preventing it ever coming back. The resulting wound is usually elliptical in shape and is closed with stitches. This gives a straight-line scar, which is positioned in the best possible orientation to ensure that it is as hard as possible to notice once it has healed.
Skin cancer removal
Skin cancers are usually removed with a margin of normal skin around them: this is tailored to the diagnosis, taking into account the site on the body and the patient’s wishes. Once the tumour is removed, a reconstruction may be required. Options include skin grafting and ‘flap’ reconstruction. Mr Wilson will discuss what is required and recommend the appropriate options for you.
Curettage and cautery
Some superficial skin lesions are removed in this way; they are carefully ‘scraped’ from the surface with a special instrument, and the resulting wound is cauterised to prevent bleeding leaving a graze type wound. It is then treated with antiseptic ointment and heals well in a week or two.