Superficial skin lesions or lump localized in the sub-cuticular space usually consists with cystic lesions or benign tumor such as most commonly lipomas (fat tissue masses) or c. Such lesions are usually removed surgically with small incisions according to the lesion size. These types of procedures, unless lesions are very large, are usually performed in the office under local anesthetic. Excision or biopsy of lymph nodes mainly at the groin site are more commonly done under general anesthesia in the OR depending on the size of the lesion. When the procedure is done in the office, loocal injection of anesthetic is given and it allows a perfect control of pain during the procedure. Once the lesion is removed is preserved into a special fluid and sent for histopathology examination. Results usually become available 5-7 day after the procedure. The closure of the skin after the lesion or the cyst is removed happens with absorbable suture material without any external stitching which need to be removed after later stage. This type of skin suturing allows for the best cosmetic results and also minimizes the patient discomfort, as there is no requirement of removing suture material at later stage. These types of procedure are usually very safe and with low complication rate. Cyst or lesions localized on the scalp don’t usually require preoperative hair removal and the patient will barely notice the presence of the suture at the surgical site after surgery. In the vast majority of the circumstances special glue called Dermabond is applied instead of the traditional dressing. This glue seals perfectly the surgical wound and allows the patient to have shower without any compromising the integrity of the suture line. Depending on the anatomical location of the surgical site, physical activity may be resumed immediately after surgery or instead after short period of interruption, as per doctor’s recommendations.
Any other condition not listed above, which requires specific intervention, will be discussed with the patient at the time of the consultation and further instruction will be provided accordingly.