Name of the Procedure:

Shaving of Epidermal or Dermal Lesion, Single Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter 0.6 to 1.0 cm

Summary

This procedure involves using a blade or razor to remove a lesion from the skin's surface. The lesion can be located on the scalp, neck, hands, feet, or genital areas, and it typically measures between 0.6 to 1.0 cm in diameter. This is a quick and minimally invasive technique.

Purpose

The goal of this procedure is to remove a single epidermal or dermal lesion that may be causing discomfort, aesthetic concerns, or potential health risks. It can also allow for the lesion to be examined further to rule out any malignant conditions.

Indications

• Presence of skin lesions that are suspicious or bothersome.
• Lesions located on sensitive areas such as the scalp, neck, hands, feet, or genitalia.
• Lesion size between 0.6 to 1.0 cm that necessitates removal for diagnosis or treatment.

Preparation

• The patient may need to avoid certain medications, such as blood thinners, prior to the procedure.
• The treatment area should be clean and free of any products.
• Diagnostic tests like a biopsy may be performed if malignancy is suspected.

Procedure Description

1. The affected area is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. A surgical blade is used to shave off the lesion at the level of the surrounding skin.
4. The area is then treated with an antiseptic, and a bandage is applied.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure is usually performed in an outpatient setting, such as a dermatologist's office or a minor surgical suite.

Personnel

• Dermatologist or specialized medical surgeon.
• Nurse or medical assistant.

Risks and Complications

• Bleeding at the site of removal.
• Infection.
• Scarring.
• Temporary or permanent changes in skin color at the site.

Benefits

• Removal of potentially harmful lesions.
• Improved appearance and comfort.
• Minimal recovery time, with benefits usually seen immediately after healing.

Recovery

• Keep the site clean and dry.
• Follow any prescribed wound care instructions.
• Avoid strenuous activity for at least 24 hours.
• Full recovery typically occurs within a week.

Alternatives

• Cryotherapy (freezing off the lesion).
• Laser therapy.
• Topical treatments.
• Each alternative carries its own set of benefits and risks.

Patient Experience

During the procedure, the patient will feel the initial prick of the anesthesia injection but should not feel pain during the shaving process. Post-procedure, the area may be slightly sore, which can be managed with OTC pain relievers and following aftercare instructions.