11444 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm

Name of the Procedure:

Excision of Benign Lesion (Face, Ears, Eyelids, Nose, Lips, Mucous Membrane) with excised diameter 3.1 to 4.0 cm

Summary

This procedure involves the surgical removal of a benign (non-cancerous) lesion located on the face, ears, eyelids, nose, lips, or mucous membranes. The excised area, including margins, measures between 3.1 to 4.0 cm in diameter.

Purpose

The goal of this procedure is to remove non-cancerous growths that may cause discomfort, potential for future complications, or aesthetic concerns. The procedure aims to completely excise the lesion and a small margin of healthy tissue to prevent recurrence.

Indications

• Presence of a benign lesion that is growing or changing appearance.
• Lesions causing functional issues or cosmetic concerns.
• Patient experiencing discomfort or irritation from the lesion.

Preparation

• Patients might be advised to avoid eating or drinking for a certain period before the procedure, especially if sedation or general anesthesia is used.
• Medication adjustments may be necessary, particularly for blood thinners.
• Pre-procedure assessments might include blood tests and imaging studies.

Procedure Description

1. Administration of local anesthesia to numb the area; general anesthesia may be used depending on lesion size and patient comfort.
2. Surgeon makes an incision around the lesion, ensuring clear margins.
3. The lesion and a small margin of surrounding tissue are removed.
4. The incision is closed with sutures, and a sterile dressing is applied.
5. The excised tissue is sent to pathology for examination.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the size and location of the lesion.

Setting

This procedure is usually performed in an outpatient clinic, surgical center, or hospital.

Personnel

• Surgeon or dermatologic surgeon
• Surgical nurse
• Anesthesiologist, if general anesthesia is required

Risks and Complications

• Infection
• Scarring
• Bleeding
• Pain at the incision site
• Adverse reaction to anesthesia
• Rare cases of recurrence of the lesion

Benefits

• Removal of potentially bothersome or unsightly lesions
• Reduced risk of future complications from the lesion
• Pathological examination for accurate diagnosis

Recovery

• Keep the incision site clean and dry.
• Follow post-operative care instructions, including changing dressings and taking prescribed medications.
• Avoid strenuous activities for a few days post-procedure.
• Sutures usually removed within 5 to 14 days.
• Minimal discomfort, with full recovery typically within a few weeks.

Alternatives

• Watchful waiting for any changes in the lesion.
• Non-surgical options like cryotherapy or laser treatment (depending on the lesion type and location).
• Each alternative varies in effectiveness, risk, and potential for recurrence compared to surgical excision.

Patient Experience

• Mild discomfort during local anesthesia administration.
• Sedation or general anesthesia used if necessary for patient comfort.
• Some post-procedure soreness, manageable with over-the-counter pain relief.
• Gradual improvement in appearance and discomfort levels over weeks following the procedure.