It is a minimally invasive procedure which is recommended in case of big scars. It enables not only to get rid of an unwanted/disturbing change, but more importantly enables histopathologic examination of the attained material in order to specify its character properly.
various types of skin excrescence: big fibroids, dermal changes, sebaceous cysts, epidermal cysts
active viral infections (e.g. herpes) and bacterial ones in the area subjected to treatment
in case of taking blood thinning medications ( Polocard, Acenocumarol), it is recommended, if only possible, to phase them out for 5-7 days
using oral form of vitamin A (isotretinoin, acitretin), in view of its ability to impair healing
A surgical treatment of removing skin changes is performed in topical anaesthesia. A change is cut out with a small piece of healthy skin with the use of a scalpel and then stiches and dressing are put. In order to define the character of the change and to eliminate cancerous process every removed material is sent to histopathologic examination. It shall also be remembered that in a place of a change removal may remain a more or less visible scar.
Complications: an infection of the treated place, dehiscence of a scar
Convalescence time:7-10 days
Time: 20-30 minutes
Anaesthesia: yes (local e.g. lignocaine)
Until stiches are removed, it is necessary not to take baths but shower only. After taking a shower the wound must be dried, disinfected with Octanisept and then a dressing must be put. Additionally, in order to make a wound heal better, it is recommended not to make any sudden movements, especially stretching. It is best to resign from any physical exercises in post treatment period. If it is necessary, the patient shall come for a visit to remove stiches in the time stated by a doctor.
lek. med. Katarzyna Gotfryd-Bugajska
specjalista chirurgii ogólnej
lek. med. Anna Aseńko
chirurg plastyczny
lekarz medycyny estetycznej
lek. Michał Pasiński
specjalista chirurgii ogólnej
lekarz medycyny estetycznej
lek. Karolina Małek-Stelmachowska
specjalista chirurgii plastycznej
lekarz medycyny estetycznej