Treatments in plastic surgery

Treatments in plastic surgery

Excision

An excision is the surgical removal of a skin abnormality or swelling. This method usually takes place on an outpatient basis under local (local) anaesthesia. This can be the case of cysts, birthmarks and certain forms of skin cancer, for example.

In most cases, especially when skin cancer is suspected, the removed piece of skin is sent to the pathologist. The pathologist examines the piece of skin. For skin cancer, the pathologist looks at whether the edges of this piece of skin are free of tumour tissue and whether the excision was complete. In some cases, based on his findings, the pathologist recommends a second excision.

After excision, the remaining wound can be treated in a number of ways. It is often preferable to close the wound immediately to leave a straight scar. If this is not possible, it may be opted to use a small skin graft or turn a surrounding piece of skin into the wound (transposition). It is also possible to leave (part of) the wound open whereby it then heals on its own. This prevents more scarring in other parts of the body.

Each technique has advantages and disadvantages. Together with your plastic surgeon, you can discuss what is the best option for you.