Benign Skin Lesion Removal

Benign skin lesions are non-cancerous growths that arise from the skin or its underlying structures. They are extremely common and most people will develop several during their lifetime. Common types include melanocytic naevi (moles), skin tags (acrochordons), seborrhoeic keratoses, viral warts, dermatofibromas, syringomas and milia.

Removal is usually straightforward and carried out as a day case under local anaesthetic. Mr Singh will carefully examine each lesion prior to treatment and, where appropriate, send the specimen for histological examination to confirm the diagnosis and provide peace of mind that the lesion is indeed benign.

• Cosmetic improvement: Removal of unsightly lesions from visible areas such as the face, neck and hands can significantly enhance appearance and confidence.
• Symptom relief: Lesions that catch on clothing, jewellery or during shaving can cause recurrent bleeding, irritation and discomfort which is resolved by removal.
• Definitive diagnosis: Histological examination of the excised tissue provides certainty about the nature of the lesion and rules out any unexpected malignancy.
• Reassurance: Removal of a changing or atypical lesion offers peace of mind, particularly for patients with a history of skin cancer or a strong family history.
• Prevention of complications: Some lesions become inflamed or infected repeatedly and removal eliminates this ongoing problem.
• Day-case procedure: Most removals are performed quickly under local anaesthetic with minimal disruption to daily life.

The technique used depends on the type, size and location of the lesion, as well as whether a histological diagnosis is required. Mr Singh will explain the most suitable option for you during your consultation.

• Excision biopsy: The lesion is removed in an ellipse of skin with a small margin of surrounding tissue and the wound is closed with sutures. This is the gold standard technique when a histological diagnosis is needed.
• Shave excision: Raised lesions such as some benign moles or seborrhoeic keratoses can be shaved flush with the surrounding skin using a fine blade, avoiding the need for sutures.
• Curettage and cautery: Lesions such as viral warts, seborrhoeic keratoses and pyogenic granulomas can be scraped away with a curette and the base treated with electrocautery.
• Local anaesthetic: Almost all procedures are performed under local anaesthetic infiltrated around the lesion, ensuring you remain comfortable throughout.
• Closure: Where sutures are needed, fine absorbable or non-absorbable stitches are used to optimise the cosmetic result.

Wound Care

• Dressings: A simple adhesive dressing is usually applied and is robust enough to survive gentle showering thereafter.
• Cleaning: Gentle cleaning with mild soap and water is encouraged and may be done from day 1, washing over the dressings. They are robust enough to survive this and once finished should be patted dry and then left to air dry.
• Sutures: Non-absorbable sutures are typically removed 7 to 14 days following the procedure depending on the area; facial sutures come out earliest and those on the back or legs latest.
• Activity: Most normal activities can be resumed immediately, but heavy lifting and vigorous exercise should be avoided for 1 to 2 weeks to reduce wound tension.

Scar Advice

• Scar Care Products: Use moisturisers or silicone sheets/gels once the wound has fully healed to help minimise scarring.
• Sun Protection: Protect the scar from sun exposure for the first 6–8 weeks, using a high factor sunscreen or covering with clothing, to prevent pigmentation changes.
• Massage: Once the wound is fully healed, gentle scar massage can help to soften and flatten the scar.

• Suture Removal: Where non-absorbable sutures have been used, you will be seen by the practice nurse or your GP to have them removed at the appropriate time.
• Histology Review: If the lesion was sent for histological examination, you will be contacted with the result, usually within 2 weeks.
• Scar Check: A review appointment at around 3 months is offered to check the scar and discuss any concerns.
• Long-Term Care: Mr Singh remains available for any concerns or further follow-up as required.