Skin  Surgeries

Examples of Skin Lesions on the Face and Body

VERRUCOUS WART

A viral wart is a very common benign lesion caused by infection with human papillomavirus (HPV).

They usually appear as small, rough, raised bumps on the skin and may appear anywhere on the body, including the hands, feet, and genitals.

SEBORRHOEIC KERATOSIS

Seborrhoeic Keratosis is a benign tumor characterized by the presence of brown or black scaly or warty patches on the skin.

This condition generally does not cause pain or discomfort, unless symptoms such as itching, ulceration, or bleeding occur, treatment might be needed.

SYRINGOMA

Syringoma is a common skin condition characterized by the presence of small, round cysts or papules on the skin.

It typically occurs on the eyelids, face, neck, and groin area. It is caused by the proliferation of cells in the sweat ducts.

SEBACEOUS HYPERPLASIA

Sebaceous Hyperplasia is characterized by the presence of small, raised bumps or papules over face, particularly on the nose, forehead, and chin area.
It is caused by an overgrowth of sebaceous glands.

MOLES

Moles are common small spots or patches on the skin that typically appear as brown or black in color.
They are formed due to the accumulation of pigment in the skin cells and can occur on any part of the body.

Most moles are benign and generally do not cause pain or discomfort.
It is advisable to consult a doctor for evaluation if a mole has change in shape, size, or color or if symptoms such as itching, pain, or bleeding occur.

SKIN TAGS (FIBROEPITHELIAL POLYPS)

Skin tags, also known as acrochordons, are small, benign skin growths that appear as soft, fleshy protrusions.

They often have a narrow stalk and can vary in size, ranging from a few millimeters to a few centimeters in diameter. Skin tags are commonly found in areas where the skin folds such as the neck, armpits, groin, and under the breasts.

EPIDERMAL CYST (SEBACEOUS CYST)

Epidermal cyst is a benign skin growth that typically arises from the hair follicles or sebaceous glands.
It forms as a result of the blockage or damage to the follicles, leading to the accumulation of keratin and sebum beneath the skin.

Epidermal cysts appear as round, firm bumps beneath the skin's surface and are usually painless unless they become inflamed or infected.

Common Skin Surgeries

LASER /- LTP ABLATION

CO2 laser produces light at a 10,600nm wavelength, causing the evaporation of the affected tissue.
The Low Temperature Plasma (LTP) enables to precision ablation of particularly small lesions, and is safer to use on the eyelids.

EXCISION REMOVAL BY ELLIPTICAL METHOD (OPTION 1)

Option 1 is the traditional surgical option. It is the best option for suspected cancer lesions. It allows the removal all the lesion and go deep to the dermis.

PUNCH EXCISION (OPTION 2)

Option 2 is suitable for smaller lesion, or removal of a part of the lesion for pathological examination. The benefit is that it is quick, and allows the whole thickness of skin to be examined by the pathologist.

NON-STITCH SHAVE EXCISION (OPTION 3)

Option 3 is the approach only for lesions that do not look malignant. It allows the shallow removal of the lesion without hurting the deep skin. The bleeding is minimal ; wound can heal with less scarring.

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