Treatment of Benign Lesions

Benign skin conditions are extremely common and mainly of cosmetic concern. Occasionally these can be painful, but generally don’t cause discomfort. These include moles, warts, corns and callouses, and benign cysts.

Treatment details

Treatment depends on various factors including size, type of lesion and location. Lesion removal is usually performed under local anaesthesia. During your consultation, we will discuss with you the best options for you.

Our technique

Shave excision:
This technique is suitable for some skin conditions, such as skin tags, actinic keratoses and some moles. It is often combined with cautery (a device which passes an electrical current to your skin to stop bleeding). It is better suited to skin-coloured lesions. A patch of skin is left to heal by itself, but because the deeper layer is left intact it usually does so within 1-2 weeks, often ultimately without a scar.

Complete removal (excisional biopsy):
This is used for larger moles or those which are pigmented, and for any lesions which could be cancerous in order to ensure none is left behind. Your wound will then be stitched closed, leaving a scar.

Freezing (cryotherapy):
Cryotherapy involves freezing off lesions with liquid nitrogen. A blister will form after the treatment, and the lesion will eventually fall off with the blister. It is suitable for selected skin lesions.

Scooping away (curettage):
This method of removal can be used for warts. I will use a surgical instrument to gently scoop away the lesion. This may be combined with cautery or cryotherapy.

Fulvio's advice

Before embarking on cosmetic surgery always do your research and find a reliable surgeon with a good local reputation. Developing a rapport with your surgeon is essential. A consultation usually takes at least half an hour and it should be with the surgeon rather than a nurse or patient coordinator. I like to meet twice before surgery so you can ask all the questions you’ve thought of between meetings. If necessary I would prefer to meet more than twice before surgery than for you to have unanswered questions going into the operation. 

Aftercare
  • Analgesia (pain relief) – Ibuprofen and paracetamol
  • Surgical skin tapes should be left in place for the first week and replaced thereafter
  • The hospital or surgeon should be contacted if you develop a temperature, bleeding or rapid swelling
  • Wounds will be checked at 1 week, and I usually then see you at 1, 3 and 6 months.
  • Swelling reduces after a few weeks
Procedure statistics

Local (usually) or General

Reasonably mobile: Immediately

Hospital stay: Day case or Outpatient procedure

Washing: Keep dressing dry until review

Surgery time: 30 minutes

Driving: Next day

Time off work: 1 day (or back the same day if you are keen)

Exercise: Following wound review

  • I would like to express my thanks for the care and kindness you have shown me. It has made such a difference in what has been a difficult time. Many thanks

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  • To Dr Urso-Baiarda and wonderful team. Thank you for looking after me and making this journey for me. I am so happy with my results!

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  • Hi Fulvio, Thank you again for everything, not only the fantastic results (I’m beyond thrilled) but also the level of care you have shown. I would love to see what can be achieved, and if the photo can help, that is great. Take care of yourself, and happy changing people‘s lives, one surgery at the time. See you in a year.

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  • Dear Fulvio and team, Thank you so very much for performing my operation and all the care that I received post operation too. You are an expert with in your field, I feel exceptionally lucky that you were my surgeon. My experience is nothing short of outstanding. You have an exceptional bedside manners are kind and a good sense of humour to boot. Never underestimate the difference you make to your patients.

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