Shave Excision Treatment Brighton
Excisions and Flap and Graft Repair in Brighton
Dr DeGiovanni is an experienced dermatological surgeon. Smaller skin lesions seen in the clinic can be treated with cryotherapy, curettage or shave excision. These can sometimes be carried out on the same day as the consultation if the insurance company has authorised treatment. For larger lesions and treatment of some areas on the head and neck it is sometimes necessary to perform a more complicated repair and these usually need to be booked in. Current treatment times are 1-2 weeks.
Dr DeGiovanni will recommend the best treatment for you depending on the nature of the lesion to be treated and will plan your procedure to ensure the best cosmetic outcome. Unfortunately complications can occur after any surgical treatment and Dr DeGiovanni will discuss these thoroughly with you during the consenting process.
Where possible Dr DeGiovanni will leave a simple line shaped scar. This is frequently 3-4 times as long as the initial lesion. This is necessary to ensure that the scar lies flat ensuring a better cosmetic result.
If it is not possible to get a good result with a simple closure Dr DeGiovanni may need to borrow some skin adjacent to the wound to close the area. This is called a flap repair and will result in a larger unusual shaped scar. If the skin is borrowed from a different site it will leave a round scar the same size as the wound however this scar will be dipped and noticeable. This is called a graft repair. The donor site is either stitched together leaving a linear scar or left as a graze on the skin which will heal over the next 4-6 weeks. The chance of complications are higher with these complex procedures and antibiotics are usually prescribed for the first week after treatment. You will be asked to attend for a wound check and stitch removal at one week. Further appointments may be required depending on how you are healing.
It is important to rest after an excision, flap or graft repair as excessive exercise can cause bleeding or stretching of the scar leading to a poorer result. The majority of the scar formation occurs within the first 6 weeks. If you are intending on travelling in the 6 weeks after your treatment please let Dr DeGiovanni know.