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Treatment Options
Skin Surgery
There are different types of skin surgery:-
Surgical excision: The lesion is removed by cutting and stitching. The scar will usually be at least three times as long as the length of the lesion.
Curettage and cautery: The lesion is removed by scraping and electrocautery (burning).
Shave biopsy: A part of the lesion is removed with a blade parallel to the surface of the skin.
Shave excision: The entire lesion is removed with a blade parallel to the surface of the skin.
Punch biopsy: A part of the lesion is sampled by removing a small core of tissue (usually about half a centimetre) for analysis under local anaesthetic. A stitch is used to close the defect.
Depending upon the procedures performed, risks include bleeding, haematoma formation (blood clot under the surface which rarely needs to be drained surgically), dehiscence (the wound may come apart requiring a longer period of healing), infection, pain (which rarely may be persistent), damage to nerves or blood vessels, unsightly scar which may be keloid, raised, dipped or different in texture or colour (lighter, darker or redder compared to the adjacent skin), numbness or burning and the need for further treatment according to the results of pathology. Please read the consent form (link below) for a full list of risks.
Important information about skin surgery
In most cases, a dressing will be in place after the surgery for 48 hours. You should buy a new tub of Vaseline which you will apply after the dressing has been removed.
If non-dissolvable stitches are used then you will need to attend 7-14 days after surgery for stitch removal. Stitch removal will usually be performed by a nurse.
You should avoid scheduling surgery within 2 weeks of travel or important events.
You should avoid vigorous exercise and swimming or hot tubs for at least one week or until the wound is fully closed.
Depending upon the site you may need to be careful with heavy exercise or lifting for a number of weeks/months to prevent stretching of the scar.
Avoid exposing the wound to direct sunlight. Once the wound is healed, use sunscreen with an SPF of 30 or higher to protect the area for at least six months.
You will always be informed of the results of the biopsy even if it is benign. If you have not received results within 2 weeks of the date of surgery you should contact the practice management team.
When you attend for surgery you will be asked to sign a consent form (see link below). All surgery carries risks and it important that you read this carefully before the procedure so that you can weigh the risks versus benefits of the procedure.
You should also carefully read the following postoperative instructions (see link below).
Booking and fees
You will be provided with procedures codes for all planned procedures. To book the procedure please contact my practice management team (contact details below). If you are using medical insurance you should first get authorization for these procedure codes.
In addition to the fee charged by Dr Lynch there will be a separate fee (usually substantially more) that is charged by the clinic/hospital for use of the theatres +/- pathology.
If you are paying for treatment yourself, it is important to be sure that you understand the fees due to Dr Lynch and for theatre usage +/- pathology prior to the procedure. If you are using medical insurance it is essential that you have confirmation before the procedure that they have agreed to fund all procedures and fees otherwise you will be liable for these fees.
All surgery can have complications that may require additional treatments. The costs of any additional treatments are not covered by the fees for this procedure. They will often be covered by medical insurance providers, however you should check this in advance.
Book Consultation
To book an in person consultation, enter your details below and my practice management team will contact you to schedule the appointment. Alternatively call
0203 389 6076 (calls are answered during working hours) or email: contact@drmagnuslynch.com.
