Surgical Skin Lesion Removal
Excision, shave removal, and destruction of benign and suspicious lesions—performed by a surgeon with decades of experience in tissue excision, wound closure, and scar minimisation.
Professor MacKenzie is a trained surgeon—she has performed thousands of skin lesion removals using surgical principles developed over 30 years: proper excision technique with adequate margins, layered wound closure for optimal healing, tissue handling that minimises scarring, histopathological assessment when indicated, scar revision techniques for optimal cosmetic outcome.
Most aesthetic practitioners only perform superficial lesion removal and lack the experience to know when a lesion may be malignant. Professor MacKenzie provides comprehensive surgical excision when needed—differentiating benign from concerning lesions, determining appropriate excision depth and margins, performing layered closures that respect tissue tension lines, managing complex locations (eyelids, nose, ears) requiring surgical expertise.
Lesion types treated: Benign lesions (e.g. seborrheic keratoses, skin tags, lipomas, cysts, dermatofibromas), suspicious lesions requiring excision and pathology, cosmetically concerning moles or growths, scar revision.
Surgical approach: Assessment determines technique—shave excision for non-hairy raised lesions, elliptical excision for suspicious or deep lesions with layered closure, curettage and cautery for seborrheic keratoses, punch excision for small deep lesions. The correct technique is selected based on lesion characteristics, location, and cosmetic goals.
Scar minimisation: Professor MacKenzie's surgical training ensures optimal cosmetic outcomes—planning incisions along relaxed skin tension lines, using layered closure techniques (deep dermal sutures, fine surface sutures), providing wound care protocols from surgical practice, offering scar revision if needed. Wounds after removal of lesions on the body can be closed with dissolving stitches.
Multiple lesions can be removed at the same sitting.
SPF 50 MUST be used until the scar has matured.
WHAT TO EXPECT
Local anaesthesia.
Comfort
When appropriate
Pathology submission
If required, 5-14 days depending on location,
Suture removal
extremely low recurrence rate. Progressive scar maturation to become white over 6-12 months, but much faster using our post op protocols.
Results
Stage 1
Redness appears occasionally and is often triggered by hot drinks, spicy food, or exercise.
Stage 2
Redness becomes more consistent. Small visible blood vessels (telangiectasia) may appear.
Stage 3
Acne-like breakouts begin, without blackheads. Skin may feel sore or sensitive.
Stage 4
Skin may thicken, particularly around the nose (rhinophyma).
Stage 5
In rare cases, severe rosacea - called phymatous rosacea - can lead to the development of rhinophyma - a bulbous enlargement of the nose, most common in men. Rosacea can also be ocular when it is located on the eyelids, conjunctiva and cornea, manifesting itself as red, watery and very dry eyes.
Diferentes etapas de la rosácea:
