Surgical Lesion Removal
Mole, Cyst or Skin Tags
At Strathearn Glasgow Clinic moles, cysts and skin tags are surgically removed by our fully qualified UK and GMC registered surgeon using local anaesthetic.
Moles, skin tags and cysts are normally completely harmless but can be troublesome and unsightly. They can cause discomfort. At Strathearn Glasgow Clinic our surgeon surgically removes lesions under local anaesthetic, after which stitches are applied. The procedure is fairly straight forward and can take 45 minutes from start to finish. The procedure is carried out in our Glasgow clinic in a clean sterile room using sterile one use surgical equipment.
What is Surgical Removal?
The lesion been surgicaly removed. Lesions are lumps or bumps such as moles, cysts, skin tags (fatty lumps). Most are benign (non-cancerous).
Do I require local anaesthetic?
Yes, your minor surgery is performed using a local anaesthetic, which means that the area around your skin lesion will be numb but you will be awake. This is done, by injecting a local anaesthetic around the lesion.
What is if i'm taking medication?
Tell the surgeon if you are taking any medication, or if you have any allergies or medical conditions like the following.-
- If you are taking aspirin you may be asked to stop taking it one week before the surgery as it increases the risk of bleeding during and after the procedure. The surgeon will advise you of this at the clinic.
- If you are on Warfarin or any other medicines to thin your blood, please make sure the clinic surgeon knows this before your minor surgery.
- If you smoke it is best to avoid smoking on the day of the operation and while the wound heals as smoking reduces blood flow to the skin as well as other organs.
- If you have any drug or skin allergies.
What happens before, during and after the procedure?
- The surgeon will explain the procedure to you during your consultation and before minor surgery; the medical staff will also explain the procedure to you. You will be asked to sign a consent form if you have not already done so in clinic.
- You will be taken through to the surgical room whereby the medical assistant will explain the procedure while the surgeon is preparing for the minor surgery
- You will have a vital monitor attached to you so we can check your BP and pulse.
- The surgeon may require to look at your lines in your skin under magnifying lamp before the procedure so the resulting scar runs parallel with existing skin creases thus helping to reduce the scarring.
- Once the surgeon has prepared and sterilised the lesion area he will inject some local anaesthetic into the area surrounding the skin lesion to be treated (this causes a tingling or stinging sensation which will last only a few moments). This will make the area go numb so no pain should be felt during the procedure. You may feel a pushing or pulling sensation as the lesion is removed, but this should no pain.
- There will be some bleeding in the area from where the lesion has been removed. The surgeon may coagulate the blood vessels with diathermy. This can make a hissing sound and a burning smell.
- The wound will then be sewn together by bringing the wound edges together. The stitches will need to be removed in 5-14 days depending on the area of the lesion,
- You will be given a date and time to return to have the stitches removed if necessary.
- During and after the procedure the medical assistant will also go through with you the aftercare. You will also be given a hard copy of the aftercare.
Will I have any pain after surgery?
Pain after the surgery may occur but often very little. Your wound may become painful 1-2 hours after the removal when the local anaesthetic wears off. Large wounds or those on areas subject to pressure (e.g. foot) or a lot of movement (e.g. shoulder) may be more uncomfortable. Paracetamol (2 tablets) can be taken every 4-6 hours as required (a maximum of 8 tablets in 24 hours).
Where do I get the stitches removed?
If your stitches required to be removed you will be given a date and time to return to the clinic to have them removed. Once stitches have been remove there maybe some inflammation, this will subsided. You will be advised on how to keep the area clean while the wound is healing over.
Lab testing lesion:
Our surgeon will also discuss with you about testing the lesion including costs for this service. All lesions when required are tested at an independent Lab in Edinburgh. After the consultation you can decide if you still wish to have the lesion removed and when.
Are there any complications to the minor surgery?
Yes, surgery to remove skin lesions is usually a quick and straightforward procedure. However anyone having surgery needs to be aware of the possible complications. Some complications can be any of the following.-
- Scarring.- It is impossible to cut the skin without scarring in some way. For the majority of people the scar will be red and raised for the first few weeks but can last up to 3 months but usually reduces in colour over time.
- Keloids or hypertrophic scarring.- Some people have an abnormal response to skin healing and these people form scars that are usually red and raised.
- Nerve damage.- All surgery to the skin inevitably cuts small nerves. Occasionally, numbness or pins and needles around the wound may follow surgery and last for some weeks or, occasionally months but recovery almost always occurs.
- Bleeding.- can occur during or soon after the minor surgery.
Developing an infection Signs of infection may include.-
- The wound becoming more painful.
- The wound becoming red swollen and inflamed.
- Unpleasant smell or leakage of fluid from the wound.
- Unexpected reaction to the local anaesthetic.
Some after care advice.
- Head and facial lesion removal wounds are often left uncovered.
- If a dressing is applied after surgery the surgeon will inform you how long you have to leave it on.
- Keep the wound area clean and dry. You can wash around the area.
- Slight post-operative bleeding may occur this is not unusual and requires very little action, place a clean dressing on the area to clean it. If however, persistent bleeding occurs, apply a clean dressing with firm pressure on the area for 20 to 30 minutes without looking at it. If it is still bleeding after this time, seek medical attention.
- Do not shave over the stitches if they are around the beard area.
- You should not apply make-up to the operation site until healed.
- Avoid clothing that is going to rub on the wound area.
- If the wound area becomes red and inflamed, increasingly painful, bleeds persistently or starts to come apart or any discharge occurs seek medical advice from either your GP or hospital.
- Surgery around the eye or forehead can sometimes result in bruising (black eye). This requires no treatment and will disappear after approximately a week. To minimize the bruising place a few extra pillows under your head in bed at night.
- Avoid damage to the wound. If the wound is in an area where it might be stretched, try to avoid strenuous exercise for approximately two to three weeks after the operation. Avoid public baths, saunas, bending down and lifting weights if head or neck lesion, while wound is healing.