Skin Lesion Removal — CO2 Laser

MUDr. Pavel Pacák performs CO2 laser removal of moles, fibromas, skin tags, xanthelasmas, and basal cell carcinomas at ILK. The CO2 laser vaporises lesion tissue precisely, achieving haemostasis simultaneously — no suturing is required and the wound heals via secondary intention over 2–4 weeks. Local anaesthetic is administered before each removal. Histopathological examination of removed tissue is available and recommended, particularly for any pigmented or changing lesion. The per-lesion pricing model is transparent: 1,500 Kč for the first lesion removed, 1,000 Kč for each additional, with 400 Kč per specimen for histopathology.

CO2 laser skin lesion removal at ILK is performed by MUDr. Pavel Pacák, the clinic's lead physician for laser dermatosurgery. The CO2 laser beam is absorbed by the water content of tissue cells, causing localised vaporisation of the lesion at the point of contact. Because the CO2 wavelength has a very short tissue penetration depth, energy absorption is concentrated at the surface without deep scatter, allowing the surgeon to vaporise the lesion layer by layer with millimetre precision. Simultaneous thermal coagulation of blood vessels as small as 0.5 mm in diameter provides effective haemostasis, meaning the procedure is virtually bloodless and no sutures are needed — a significant recovery advantage compared with surgical excision. After vaporisation, the treated area heals by secondary intention: a scab forms immediately and is left undisturbed; the underlying epithelium migrates from the wound edge over 2–4 weeks as the scab separates naturally. This produces a flat, barely perceptible scar in most cases, though individual healing varies. Lesion types removed at ILK by CO2 laser include: melanocytic naevi (moles) — after dermatoscopic confirmation of benign characteristics; fibromas and skin tags; xanthelasmas (cholesterol deposits on the eyelids, 3,000 Kč); and superficial basal cell carcinomas (BCC, 3,000 Kč). More complex or deeply invasive BCCs may require surgical excision. Histopathological examination of removed tissue is strongly recommended for all pigmented or clinically uncertain lesions — the 400 Kč fee covers laboratory processing and provides a definitive tissue diagnosis within a few days. Local anaesthetic injection is administered before each removal. The consultation before the first session involves dermatoscopic review of each lesion to confirm appropriateness for laser removal.