Removal of pigmented marks, moles, raised rough areas, skin tags, cysts and fatty lumps (lipomas) is carried out under local anaesthetic on an outpatient basis in most cases. If sedation is required, this can be given too.
Raised lesions can be shaved off or scraped off (curettage) level with the adjacent skin and the raw surface left to heal by itself over 10 to 14 days. However, many lesions either require an incision to get at them (cysts and lipomas) or are best completely removed which leaves a gap in the skin itself.
Usually it is possible to simply to close this gap directly*. Whilst tissue glue can be used, the most accurate repair involves some stitches. In some parts of the body, these can be dissolveable, but, especially on the face, stitches that are removeable (very fine stitches are used on the face) are best in order to avoid stitch marks. Facial stitches are removed after one week and elsewhere on the body at 10 to 14 days as healing takes longer.
Mending is not magic: the plastic surgeon is just trying to produce the best result possible. The surgical scar will take 9 to 12 months to settle and fade in an adult and slightly longer in a child.
Mr Matthews has over 25 years’ Consultant experience in managing these sort of problems for both adults and children.
* For more complex forms of repair, please see the section on Skin Cancer.