Name of the Procedure:

Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms, or Legs (Lesion Diameter 0.5 cm or Less)

Common name(s): Skin lesion shaving, Lesion removal.

Summary

This procedure involves the removal of a small skin lesion (0.5 cm or less in diameter) from areas such as the trunk, arms, or legs by shaving it off at the skin level.

Purpose

The procedure addresses benign skin lesions that may be of concern due to their appearance, potential for irritation, or uncertain diagnosis. The goal is to remove the lesion for cosmetic reasons, to alleviate symptoms, or to obtain a sample for further examination.

Indications

• Presence of a benign mole or birthmark.
• Skin lesions causing irritation or discomfort.
• Concerns about the appearance of the skin lesion.
• Need for biopsy to rule out malignancy.

Preparation

• No specific fasting required.
• Review of medication, especially blood thinners.
• Local anesthesia is usually applied, so no major pre-procedure preparation is needed.
• A diagnostic evaluation of the lesion might be done.

Procedure Description

1. The area around the lesion is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. Using a sterile blade, the physician shaves the lesion at skin level.
4. The area is then cleaned, and a bandage may be applied to cover it.

Tools: Sterile blade, antiseptic wipes, local anesthetic (e.g., lidocaine), bandages.

Duration

Typically, the procedure takes about 15-30 minutes.

Setting

The procedure is usually performed in an outpatient clinic or dermatology office.

Personnel

• Dermatologist
• Nurse or medical assistant

Risks and Complications

• Bleeding at the site of removal.
• Infection.
• Scarring.
• Temporary pain or discomfort.
• Allergic reaction to anesthesia.

Benefits

• Removal of an unsightly or irritating lesion.
• Quick and minimally invasive.
• Immediate cosmetic improvement.
• Provides tissue for diagnostic biopsy if needed.

Recovery

• Keep the area clean and dry.
• Follow instructions for changing dressings and applying ointment.
• Avoid heavy physical activity for a few days.
• Monitor for signs of infection and report any issues.
• Most patients can return to normal activities within a few days; full healing may take 1-2 weeks.
• Follow-up appointment to check the healing process and, if necessary, discuss biopsy results.

Alternatives

• Cryotherapy (freezing the lesion).
• Laser removal.
• Surgical excision.
• Electrosurgery.

Each alternative has its pros and cons regarding healing time, scarring potential, and effectiveness.

Patient Experience

• Mild discomfort during the application of local anesthesia.
• Pressure or a slight sensation during the shaving but no pain due to numbness.
• Post-procedure, some soreness or minor pain which can be managed with over-the-counter pain relievers.
• Generally, minimal downtime and a quick return to daily activities.