At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.
Excision is a minor dermatological surgery designed to remove suspicious, bothersome, or cosmetically unappealing skin lesions. This technique involves surgically cutting out the lesion along with a small margin of surrounding healthy skin to ensure complete removal. It is typically performed under local anaesthesia in a clinical setting and is both safe and highly effective.
Commonly used to treat moles, cysts, skin cancers, and other growths, excision offers a definitive solution, especially when a lesion is changing in shape, size, or colour, or if it causes discomfort. In many cases, the excised tissue is sent for laboratory analysis to confirm a diagnosis or rule out malignancy.
When performed by experienced hands, excision not only addresses the skin concern at its root but also ensures careful wound closure, helping to achieve optimal cosmetic outcomes.
The procedure typically begins with a careful assessment of the lesion in question. After cleansing the area, a local anaesthetic is administered to numb the skin. The dermatologist then uses a scalpel to surgically remove the lesion, along with a margin of normal skin to reduce the risk of recurrence or incomplete removal.
Once the lesion is excised, the wound is meticulously closed using fine sutures. These stitches may be absorbable or require removal, depending on the location and depth of the excision. In some cases, layered closure is used to reduce tension and improve healing.
The excised tissue is typically sent to a pathology lab for microscopic examination, especially if there is concern about malignancy, such as basal cell carcinoma, squamous cell carcinoma, or melanoma.
Some of the advantages that excision offers are:
Excision is commonly recommended for the removal of:
Undergoing minor skin surgery can feel daunting, especially if it is your first time. That is why we aim to make the process as seamless and reassuring as possible. From the initial consultation to post-procedure care, every step is designed with your comfort, safety and cosmetic outcome in mind.
Before the procedure
Your journey begins with a detailed consultation, where our dermatologist will assess the lesion, explain the rationale for excision, and determine whether the procedure is necessary. You may be asked about your medical history and current medications, especially if you are taking blood thinners or have a tendency to scar.
During the procedure
The treatment area will then be cleansed and numbed with a local anaesthetic to ensure a pain-free experience. Once the skin is fully anaesthetised, the dermatologist will carefully remove the lesion using a scalpel, along with a margin of surrounding tissue. The wound will then be closed with fine sutures and dressed appropriately. The entire process typically takes 20 to 45 minutes.
After the procedure
You may experience mild redness, swelling, or tightness around the excision site, but these are usually short-lived. You will be given specific instructions on wound care and advised on when to return for suture removal or review. A follow-up appointment is usually scheduled within one to two weeks.
Additionally, to ensure that you have a smooth healing experience, our dermatologist will advise you to follow the following aftercare guidelines:
Excision offers not just medical clarity but also long-term reassurance and cosmetic refinement. Once the lesion has been successfully removed, most patients experience both physical relief and peace of mind, especially when the excised tissue is cleared of any malignancy by pathology.
In terms of aesthetic outcome, the treated area may initially appear red or slightly raised, but with time, the scar typically softens and fades. When performed by a skilled dermatologist and paired with good post-operative care, excision can leave behind a fine, discreet scar that blends well with the surrounding skin.
For benign growths or moles removed for cosmetic reasons, many patients are pleased with the smoother and clearer appearance of the skin. For more medically necessary removals, the greatest result is the elimination of abnormal tissue, often preventing further complications.
For most lesions, excision is a one-time treatment. However, you will need to return for a follow-up visit, usually within 5 to 14 days, to remove sutures and ensure the wound is healing properly. If pathology results suggest further treatment, our dermatologist will guide you on the next steps.
At Livingstone Dermatology, our experienced dermatologists are skilled in performing precise excisions that combine clinical excellence with aesthetic care. Whether you have a concerning mole or a bothersome skin lump, we are here to provide a safe, tailored solution.
Contact us today to schedule a consultation and take the first step towards clearer and healthier skin.
Is excision painful?
No. The procedure is performed under local anaesthesia, so you should not feel pain during the excision. Mild soreness afterwards is expected and manageable with over-the-counter pain relief.
Will I have a scar?
Yes, any surgical removal will leave a scar. However, our dermatologists use fine suturing techniques and provide scar management advice to ensure the best possible cosmetic outcome.
Can the lesion come back after excision?
In most cases, excision removes the lesion completely. However, certain conditions, such as cysts or aggressive skin cancers, may recur. Our dermatologist will discuss this with you during your consultation.
How long does it take to heal?
Initial healing typically takes 1 to 2 weeks. Full scar maturation may take several months. Good wound care and sun protection help optimise recovery.
Is excision suitable for cosmetic removal?
Yes. Many patients choose excision for cosmetic reasons, such as removing prominent moles, lumps, or skin tags. We always assess suitability and provide a realistic outcome for aesthetic goals.
Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin.
Schedule an appointment today and experience the Livingstone standard of care in a welcoming, professional environment.
