Name of the Procedure:

Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms, or Legs; Lesion Diameter 1.1 to 2.0 cm

Summary

In simple terms, this procedure involves removing a small area of skin growth, such as a mole or wart, from the trunk, arms, or legs. The area of skin removed measures between 1.1 to 2.0 centimeters in diameter.

Purpose

This procedure addresses skin lesions that may be bothersome, unsightly, or potentially harmful. The goal is to remove the lesion for cosmetic reasons or to send it for further examination to rule out skin cancer.

Indications

• Skin lesions that have changed in size, shape, or color
• Persistent irritation or bleeding from a lesion
• Cosmetic concerns
• Diagnosis of lesions that are suspected to be pre-cancerous or cancerous

Preparation

• Clean the area thoroughly before the procedure.
• Avoid taking aspirin, NSAIDs or blood-thinning medications, if instructed.
• Diagnostic assessment of the lesion, possibly including a dermatoscopy or skin biopsy.

Procedure Description

1. The area around the lesion is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. Using a surgical blade, the lesion is carefully shaved off at the skin level.
4. The area may be cauterized to stop any bleeding.
5. An antibiotic ointment is applied, and the area is covered with a bandage.

Duration

The procedure typically takes around 15 to 30 minutes.

Setting

This procedure is often performed in an outpatient clinic or a doctor's office.

Personnel

• Dermatologist or surgeon
• Nurse or medical assistant for preparation and post-procedure care

Risks and Complications

• Minor bleeding
• Infection at the site
• Scar formation
• Recurrence of the lesion
• Rarely, allergic reactions to anesthesia

Benefits

• Removal of bothersome or suspicious skin lesions
• Potential early detection of skin cancer
• Improved cosmetic appearance of the skin

Recovery

• Keep the wound clean and covered with a bandage.
• Apply antibiotic ointment as instructed.
• Avoid strenuous activities that might affect the treated area.
• A follow-up appointment may be scheduled to check healing.

Alternatives

• Cryotherapy (freezing the lesion)
• Laser therapy
• Excisional biopsy
• Observation, if the lesion is not harmful or symptomatic

Patient Experience

During the procedure, the patient might only feel minor discomfort from the injection of local anesthesia. Post-procedure, the area may be slightly tender and sore, but pain can usually be managed with over-the-counter pain medication. Proper wound care is important to ensure a smooth recovery.