Name of the Procedure:

Shaving of Epidermal or Dermal Lesion (1.1 to 2.0 cm) on the Face, Ears, Eyelids, Nose, Lips, and Mucous Membrane

Summary

This procedure involves the removal of a single skin lesion (1.1 to 2.0 cm in diameter) from delicate areas such as the face, ears, eyelids, nose, lips, or mucous membranes. The lesion is shaved off using a specialized tool.

Purpose

This procedure is done to remove benign, precancerous, or minimally suspicious skin lesions that may cause discomfort, cosmetic concerns, or potential health issues. The goal is to safely remove the lesion with minimal scarring and quick recovery.

Indications

• Presence of a raised or irregular skin lesion.
• Cosmetic concerns or discomfort due to the lesion.
• Potential for the lesion to become cancerous.
• Patient desire for removal after consultation with a healthcare professional.

Preparation

• Evaluation of medical history and current medications.
• Local anesthesia application area may be numbed.
• No significant fasting or restrictive preparations are typically required.

Procedure Description

1. The skin around the lesion is cleaned and sterilized.
2. Local anesthesia is applied to numb the area.
3. A specialized blade or razor is used to carefully shave the lesion off the skin's surface.
4. The area is cleaned again and may be covered with a dressing or bandage to promote healing.

Duration

The procedure typically takes 15-30 minutes.

Setting

The procedure is commonly performed in a dermatologist’s office, outpatient clinic, or minor procedure room.

Personnel

• Dermatologist or trained medical professional
• Nurse or medical assistant to assist

Risks and Complications

• Minor bleeding or infection
• Scarring or changes in skin color
• Rarely, incomplete removal requiring further treatment

Benefits

• Removal of the lesion and relief from associated symptoms.
• Improved cosmetic appearance.
• Reduced risk of the lesion becoming more problematic.

Recovery

• Keep the area clean and dry.
• Follow specific wound care instructions provided by the healthcare provider.
• Most patients can resume normal activities immediately.
• Follow-up visit may be scheduled to check the healing process.

Alternatives

• Observation: Monitoring the lesion without immediate removal.
• Excisional biopsy: Surgically removing the lesion along with some surrounding tissue.
• Cryotherapy, laser treatment, or topical medications. Each alternative has its own risks, benefits, and recovery considerations.

Patient Experience

Patients may feel a mild sting during the anesthesia application but typically no pain during the procedure itself. Some discomfort or mild pain may occur post-procedure, easily managed with over-the-counter painkillers. Healing usually proceeds smoothly with minimal scarring, especially with proper care and follow-up.