Mole reconstruction surgery -- what you need to know

Dr Shefali Trasi Nerurkar explains in detail about types of mole reconstruction surgery.

If you are planning to undergo a mole reconstruction surgery, then you need to know about the different types of surgeries and what suits your needs. Also, you need to consult a dermatologist or a plastic surgeon once you decide as the expert might accordingly decide how to remove your mole. As far as the surgery is concerned, mole reconstruction is a day care procedure, meaning it can be done in a single day and does not need a hospital stay. Unlike punch excision method which is followed by sutures, shave excision is usually performed in the case of a flat mole. Dr Shefali Trasi Nerurkar, MD Skin, Consultant Dermatologist, Dr Trasi s Clinic & La Piel explains about different types of mole reconstruction surgery.

Punch excision method: In this, a punch biopsy excision instrument is placed over a mole to be removed. The instrument is put over a mole and punched inside the skin to remove a mole. Once done, the skin that is punched has the mole, but it has to be removed completely from the skin, which is done with the help of a forceps. Once the mole is taken, it is taken into a specimen bottle for lab analysis (to check for any precancerous cells as a prevention measure). Once a mole is removed, the area has to be sutured surgically so that the hole is completely sealed giving it a natural appearance. After the mole is removed and the skin is sutured, the area around is cleaned with hydrogen peroxide to clear any debris and then a bandage or dressing is done. The patient is advised take care of the area while taking a bath and report any skin symptoms near the area like itching and bleeding if any to a dermatologist. Here is everything you need to know about skin cancer or melanoma.

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Shave excision method: As the name suggests, it is a simple procedure in which a mole (preferably a flat one) is removed using a sharp razor. In this, the surgeon applies a local anaesthesia around the area and then cuts off the growth with the help of a razor. Usually, multiple horizontal cuts are done which causes a pushing sensation on the site. Next, with the aid of small dermal electrodes, the edges of the wound are shaped. Known as electrosurgical feathering, it helps in removing cells around the site and also aids in blending the edges of want to minimise the scarring appearance. The surgical site is cleaned with antibiotic ointments which also encourages healing. Finally, the wound is covered with a sterile bandage to lower the risk of bacterial infection if left open. Just like punch excision method, the removed growths are sent for laboratory analysis to rule out any cancerous growth. Unlike punch excision method, shave excision method is comparatively expensive. However, the fact that it produces less noticeable scar as compared to the punch excision method is what gives it an added advantage. You might also like to read about dos and don ts of getting an artificial mole.

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