Skin Lesion Excision (including Histology)

OK Medical performs minor surgical excision of skin lesions under local anaesthesia, including mandatory histological analysis of every removed specimen. This distinguishes the service from cosmetic mole removal offered at many aesthetics clinics where no histology is taken — at OK Medical, the excised tissue is submitted to a pathology laboratory after every procedure so that malignant or pre-malignant changes can be detected if present. Common indications include benign moles (naevi), fibromas, cysts, and other surface lesions. MUDr. Kim Štěpánková approaches each case from the combined ophthalmological and aesthetic medicine perspective — particularly relevant for periorbital and facial lesions where precision and cosmetic outcome matter equally. Surgical referrals to external plastic surgeon Dr. Tomáš Votruba are arranged when lesion type or location requires more complex surgery.

Skin lesion excision at OK Medical is a minor surgical procedure performed under local anaesthesia in the clinic's treatment room. The procedure is relevant for patients with moles, fibromas, sebaceous cysts, dermatofibromas, or other cutaneous lesions that are symptomatic, cosmetically bothersome, or showing features that warrant removal and histological assessment. The critical differentiator in OK Medical's offering is mandatory histology — every excised specimen is submitted to a pathology laboratory for microscopic analysis. This is not standard practice at aesthetics clinics or laser removal providers, where lesions may be vaporised or removed without any tissue being preserved. Histological assessment is the only method that definitively confirms or excludes dysplasia (atypical cell changes) or malignancy, including melanoma in pigmented lesions. At OK Medical, this diagnostic step is included in the procedure cost — it is not an optional add-on. MUDr. Kim Štěpánková's dual specialisation in ophthalmology and aesthetic medicine is particularly relevant for excision of periorbital lesions (around the eye area), where anatomical knowledge of the orbital structures, lacrimal system, and eyelid margin is essential for safe and cosmetically accurate closure. For more complex lesions — large, deeply invasive, or in locations requiring reconstructive flaps — the clinic arranges referral to associated plastic surgeon Dr. Tomáš Votruba (consuo.cz). Procedure: the lesion and surrounding skin are cleaned and local anaesthetic injected around the base. The lesion is excised with a margin of normal tissue using a scalpel; the wound is closed with fine sutures appropriate for the anatomical site. The excised specimen is placed in formalin and labelled for pathology submission. Sutures are typically removed 7–14 days post-procedure depending on location. Pricing covers one lesion excision and histology (5,000 Kč), two lesions (9,000 Kč), or three lesions (12,000 Kč) in a single appointment. Four or more lesions are assessed at consultation. Post-treatment: keep the wound clean and dry for 48–72 hours. Antibiotic ointment and a dressing are applied; patients receive wound care instructions. Avoid sun exposure to the excision site for three months and apply SPF 30+ when outdoors. Contraindications: anticoagulant therapy (requires management with the prescribing physician), active infection at the excision site, and known allergy to local anaesthetic agents.