DERMATOSURGERY AND SURGERY
Dermatosurgery - surgical removal of nevi and skin lesions at Dr. Jagielska's Clinic
Dermatosurgery is a field of medicine that combines the knowledge of dermatology and surgery. At Dr. Jagielska's clinic in Warsaw, dermatosurgical procedures are performed by experienced specialists using modern and safe methods. Patients can count on comprehensive care - from diagnosis and dermatoscopy, to precise surgical removal of skin lesions, to control of the healing process. In this article we explain what dermatosurgery does, what skin lesions are worth removing, what the procedure looks like step by step, and why it is worth entrusting it to doctors from Dr. Jagielska's Clinic.
What is dermatosurgery?
Dermatosurgery is a specialty that combines dermatology and surgery - it includes procedures involving the removal of skin lesions, both benign and suspiciously cancerous. It is a field of medicine that requires a high degree of precision, dermatological knowledge and surgical technical skills.
Dermatosurgery procedures are performed by a dermatologist or surgeon, who evaluates the nature of the lesion and selects the safest method of removal. In many cases, the removed tissue is submitted for histopathological examination, which makes it possible to determine unequivocally whether the lesion was benign or cancerous.
At Dr. Jagielska's clinic, dermatosurgical procedures are performed by a team of specialists with years of experience in dermatology and cosmetic surgery. Their goal is not only to effectively remove the lesion, but also to achieve the best possible cosmetic result.
Why remove moles and other skin lesions?
Nevi, moles, fibromas or piglets are common lesions found on the skin. Although most are benign, some may require removal for health or aesthetic reasons. Dermatosurgery makes it possible:
- prevention of skin diseases, including melanoma - through early removal and examination of lesions of concern;
- aesthetic comfort when the lesion is in a prominent location, such as on the face or neck;
- Increased patient safety - each lesion removed is evaluated under a microscope;
- Removal of lesions that cause irritation - such as those snagged on clothing, jewelry or irritated by shaving.
It is worth remembering that nevus removal is safe, and that an early procedure minimizes the risk of scarring and avoids health complications.
What skin lesions are removed by dermatosurgery?
The clinic performs procedures to remove a wide range of skin lesions, including:
- Pigmented and atypical nevi (commonly known as "moles");
- Fibroadenomas, pigmented piglets, cysts and lipomas;
- Seborrheic warts, viral warts, yellow tufts (jaundice);
- Epidermal cysts and other subcutaneous lesions;
- Scars (keloids) and lesions after injuries
- lesions of a cancerous or precancerous nature
Each lesion is carefully evaluated for type and nature. If necessary, the doctor performs a dermatoscopy or biopsy, and then qualifies the patient for the appropriate method of removal.
What is the consultation and diagnosis before the procedure?
The first step is a consultation with a dermatologist or dermatosurgeon, during which the doctor:
- Takes a history and evaluates skin lesions with the help of a dermatoscope,
- qualifies the lesion for removal (surgical, laser or other method)
- discusses the course of the procedure, the method of anesthesia and possible recommendations after the procedure
Typically, digital dermatoscopy is used to assess the structure of the nevus and compare lesions over time. For lesions suspected to be cancerous, a margin excision is always performed and the specimen is submitted for histopathological examination.
What does surgical removal of skin lesions involve?
Surgical removal of nevi is the most common and accurate method. The procedure is performed under local anesthesia and usually takes 20-40 minutes. The doctor, using a scalpel or radiosurgical knife, removes the lesion along with a margin of healthy tissue, and then applies sutures and a dressing. The section is transferred to a laboratory for histopathological examination.
After the procedure, the patient can return to daily activities. The sutures are removed after about 7-14 days, depending on the incision site. Surgical removal of lesions is a completely safe and effective method - it provides the greatest certainty of complete excision of the lesion, which is crucial in case of lesions of uncertain nature.
What other methods are used in dermatosurgery?
Depending on the type of lesion, its location and indications, other less invasive methods are also used at Dr. Jagielska's clinic:
- Cryosurgery - freezing the lesion with liquid nitrogen, used for viral warts or seborrheic lesions, among others
- Electrocoagulation - a method that uses high-frequency current, effective for fibromas, prosacchia and hemangiomas;
- Laser lesion removal - using CO₂ or Er:YAG laser energy to precisely vaporize the lesion with minimal damage to the skin.
The choice of method is always preceded by a thorough diagnosis and consultation with the doctor, who selects the procedure individually, taking into account the cosmetic effect and safety of the patient.
Cosmetic surgery - blepharoplasty and otoplasty
Dr. Jagielska's clinic also has a team that specializes in cosmetic surgery. In addition to dermatosurgical procedures, plastic surgery procedures are performed, including:
- Blepharoplasty - surgery of the upper and lower eyelids, allowing to rejuvenate the look, improve the field of vision and reduce excess skin;
- Otoplasty - correction of protruding auricles, performed under local anesthesia, often in adults and adolescents.
These procedures require surgical experience and precision to maintain a natural result and minimize the visibility of scars. The team at Dr. Jagielska's clinic combines expertise in surgery, dermatology and aesthetic medicine to provide patients with a consistent and safe therapeutic and aesthetic result.
What is the healing and aftercare like?
After the procedure, the doctor gives the patient recommendations for wound care and a follow-up visit. The most common recommendations are:
- Avoiding sun exposure and using creams with SPF 50;
- Daily dressing changes and the use of preparations that accelerate healing;
- Avoiding saunas, swimming pools and intense exercise until the stitches are removed;
- The use of silicone creams on the scar at a later stage.
The final result depends on the individual predisposition of the patient, the location of the lesion and the way it heals. At Dr. Jagielska's clinic, not only the medical aspect is taken care of, but also the aesthetic appearance of the skin after the procedure.
Recommended surgical and dermatosurgical procedures
Removal of nevi
Precision surgical removal of nevi under local anesthesia with the possibility of histopathological examination - safe, effective and with care for the appearance of the skin.
Surgical consultation
During the surgical consultation, the doctor evaluates the nature of the skin lesion and qualifies for the appropriate method of removal, taking care of safety and aesthetic result.
Eyelid plastics
Eyelid plasty is a surgical procedure to correct drooping eyelids and remove excess skin and fatty tissue. (The patient looks younger after the procedure. In some cases, the field of vision is also improved.)
Otoplasty
Otoplasty, or ear plasty, is a surgical procedure to improve the shape of the ears and correct their position. The operation provides a long-lasting and reliable result.
Cryosurgery
Cryosurgery, otherwise known as cryotherapy, is a non-invasive procedure for removing diseased tissue by freezing it. It is used for: warts, fibromas, and subtle precancerous lesions.
Surgical procedure
The surgical procedure allows precise excision of the skin lesion along with a margin of healthy tissue, providing full diagnostic control and minimal scarring.
Treatment of scarring with steroid
Steroid injection therapy reduces the hypertrophy and hardness of scars, restoring smoothness and elasticity to the skin.
Removal of fibromas/prostomas
A minimally invasive procedure performed by electrocoagulation or laser, which effectively and aesthetically removes small skin lesions such as fibromas and pig iron.
Histopathological examination
After surgical removal of the skin lesion, the extracted specimen is submitted for histopathological examination, which allows to precisely determine the nature of the lesion and exclude a neoplastic process.