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Surgical Mole/Wart Excision

Surgical excision with pathology for definitive treatment

Duration
30-60 min
Downtime
7-14 days
Sessions
1 sessions (複数病変は複数 sessions)

About This Treatment

Surgical mole/wart excision uses scalpel under anesthesia to remove lesion completely and submit for pathological examination. Beyond removal, histological confirmation of malignancy status is major advantage. Recommended for large, irregular, or darkly pigmented lesions. Suturing minimizes scarring; multiple follow-ups improve scar appearance.

Mechanism of Action

Local anesthesia (1% lidocaine) injected to numb epidermis-shallow dermis. Lesion excised completely with 5mm normal skin margin in wedge or spindle shape. Hemostasis achieved; absorbable sutures approximate dermis, non-absorbable for epidermis. Suture removal at 5-7 days. Specimen sent to pathologist for malignancy assessment.

Indications

General indication (see detailed description)

Expected Results

Complete removal in single session. Minimal scarring (1-2mm with surgeon's skill). Pathological safety confirmation. Even large moles removed beautifully.

Clinical Evidence

Marghoob AA, Usatine RP, Jaffe H (2009)
Dermoscopy and the management of skin cancer. Dermatol Ther
Clinical improvement was reported in this study (see original paper for details).
Thomas L, Phan K, Kasper R (2016)
Excision of benign skin lesions in daily dermatologic practice. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Mild anesthetic injection discomfort. Post-operative pain/swelling (3-7 days). Infection risk (minimized with proper care). Scarring (minimized by surgeon skill). Caution in keloid-prone patients.

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