Surgical Removal of Skin Lesions

Surgical excision of skin lesions at AESTHGERY Plzeň is performed by plastic surgeon MUDr. Kamila Šormová with emphasis on safety, precise technique, and the best possible aesthetic outcome. It suits larger lesions (over 5–6 mm), suspicious or atypical moles requiring histological diagnosis, repeatedly irritated or bleeding growths, and fibromas, warts, cysts, or lipomas not removable by gentler methods. The outpatient procedure takes 15–40 minutes under local anaesthesia: the lesion is excised with a margin into healthy tissue, the wound closed with fine layered sutures, and the tissue sent for histology. Sutures come out after 7–14 days; scars fade to become discreet or nearly invisible within months. Each removal is preceded by a dermatological examination including dermatoscopy.

Removing a skin lesion surgically — rather than burning or freezing it — has two advantages: the complete lesion is available for histological examination, giving a definitive diagnosis, and in the hands of a plastic surgeon the closure can be planned for the best possible scar. At AESTHGERY both motivations meet: the procedure is performed by MUDr. Kamila Šormová, a plastic surgeon with more than 30 years of operative experience. **When surgical excision is the right method:** Suspicious or atypical pigmented moles where histology is required to rule out melanoma; larger lesions above 5–6 mm; growths that repeatedly inflame, bleed, or catch on clothing; and lesions in visible locations where the aesthetic outcome matters. The technique covers a wide range of skin findings: pigmented naevi, atheromas and epidermal cysts, viral warts resistant to other treatment, fibromas and papillomas, seborrhoeic keratoses, lipomas, keratoacanthomas, and xanthelasma. **The procedure:** Performed on an outpatient basis under local anaesthesia, taking 15–40 minutes depending on size and location. The surgeon marks the area, infiltrates local anaesthetic, excises the lesion with an adequate margin into healthy tissue, and closes the wound with fine sutures in thin layers — the plastic-surgical closure technique that produces the most discreet scars. The removed tissue is routinely sent for histological examination, with the result discussed with the patient. **Healing:** Patients receive detailed home-care instructions, including sun protection of the healing scar and recommended healing preparations. Sutures are removed after 7–14 days depending on the body site. The scar is initially pink or red, fades over weeks, and becomes substantially less noticeable within months; for smaller lesions the final scar is often nearly invisible. **Pathway:** Each excision is preceded by a dermatological assessment including dermatoscopy (arranged with the clinic's dermatology partner), so that the removal method is matched to the lesion type. Pricing is individual, according to the size, site, and number of lesions removed.