Skin lesion removal in Calgary

Lesion Excisionsat Rejuvenation Dermatology Calgary South.

A lesion excision removes a growth from the skin under local anaesthetic and sends it to a pathologist. Moles that have changed, lumps that catch or bleed, growths that cannot be named by looking, and lesions that simply bother you are all removed this way, in a single visit. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, examines every lesion first, chooses the technique for the best scar, and performs the procedure himself.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

Shave, punch or ellipse, and always pathology.

Three techniques cover almost every lesion. The choice depends on what the lesion is, how deep it goes, and where it sits.

Shave excisionA raised lesion is shaved level with the skin with a fine blade. No sutures; a small flat pale mark. For raised moles, seborrhoeic keratoses and skin tags, where the lesion sits in the upper skin.
Punch excisionA small round blade removes a full-thickness core, closed with one or two sutures. For small deep lesions and for biopsy of anything uncertain.
Elliptical excisionThe lesion and a small margin are removed as an ellipse to the fat and closed in layers. For flat moles, dermatofibromas, anything that needs a margin, and any lesion where a pathologist must see the whole thing.
Excision or something else

Cryotherapy, cautery, laser and leaving it alone.

Excision is chosen when the lesion needs a name, needs a margin, or needs to be gone completely. Other lesions have gentler options.

Harmless, superficial

Cryotherapy and cautery

Skin tags, warts and small keratoses are frozen or cauterised in seconds with no sutures. No specimen, so only for lesions whose diagnosis is certain.

Wart and milia removal
Harmless, cosmetic

CO2 laser

Seborrhoeic keratoses, xanthelasma and skin tags vaporised with the finest scar. Never used for moles.

CO2 laser lesion removal
Moles for appearance

Cosmetic mole removal

The same techniques, chosen for the scar rather than the margin, after dermoscopy confirms the mole is benign.

Cosmetic mole removal
Sometimes

Leaving it alone

A stable, benign lesion that does not bother you needs no procedure. Dr. Kuzel says so when that is the answer.

Skin checks
Why a dermatologist

The lesion is named before it is removed.

Removing a growth is easy. Knowing what it is, whether it needs a margin, and how to leave the least scar is the specialist part.

Dermoscopy firstEvery lesion is examined under magnification. A lesion that might be a melanoma is excised whole with a margin, never shaved, so the pathologist can measure its depth.
Technique for the siteA shave on the face leaves almost nothing; an ellipse on the back leaves a line. Dr. Kuzel chooses the technique and orients the incision for the scar you will live with.
Every specimen to pathologyIncluding cosmetic removals. Occasionally a lesion that looked harmless is not, and the report is the safety net.
Reading the reportDr. Kuzel reads every result himself and calls you if anything needs a further step.
What is excised

Moles, keratoses, dermatofibromas and growths.

Anything on or in the skin that needs removing, on any part of the body.

Commonest

Moles

Changing, new, irritated or simply unwanted. Examined with a dermatoscope, then shaved or excised with a margin depending on what is seen.

Freckles and moles
Uncertain

Suspicious lesions

Any growth that could be a skin cancer is biopsied or excised whole for diagnosis, and treated definitively on the result.

Skin cancer
Firm

Dermatofibromas

Firm brown nodules on the legs and arms that dimple when pinched. Excised with a small margin when they catch or bother you.

Waxy

Seborrhoeic keratoses

Stuck-on brown growths of age. Shaved, frozen or lasered after examination, because a few mimic melanoma.

Under the skin

Cysts and lipomas

Lumps beneath the surface are removed whole through a small incision, on a separate page.

Lipoma and cyst removal
Other

Cherry angiomas, milia, skin tags, warts

Small harmless lesions removed by cautery, extraction, cryotherapy or laser in minutes.

Wart and milia removal
Your visit

Examination, removal, and the report.

Most lesion excisions are performed at the first visit and take ten to thirty minutes.

ConsultationThe lesion, how long it has been there, whether it has changed, and your medications and allergies.
ExaminationDermoscopy of the lesion, and a full skin check if you wish. The technique and the scar are explained; cosmetic removals are priced.
ProcedureLocal anaesthetic. Shave, punch or ellipse. A dressing and written wound care. You drive yourself home.
SuturesIf sutures were used, out at five to seven days on the face and ten to fourteen on the body. Shave sites need no return visit.
ReportThe pathology result is reviewed with you. Anything needing a further step is arranged.
Aftercare

Wound care by technique.

Shave wounds heal like a graze; sutured wounds heal like a cut. Both are simple.

After the procedure

  • Shave sites: keep moist with ointment under a small dressing for seven to ten days; do not let a scab dry out; expect a pink mark that fades over months
  • Sutured sites: dressing on for twenty-four to forty-eight hours, then daily washing and ointment until sutures are out
  • Avoid stretching or exercise that pulls on a sutured wound until the sutures are out
  • Simple analgesics if needed; most people need none
  • Silicone gel on the scar from two weeks and SPF 50 for six months
  • Contact the clinic for bleeding that does not stop with pressure, spreading redness, pus, or a wound that opens
  • Blood thinners are continued; tell Dr. Kuzel what you take

Booking and fees

Removal of a suspicious, changing, bleeding, painful or catching lesion is medical and covered by Alberta Health Care with a referral. Removal of a harmless lesion for appearance is cosmetic and priced per lesion, quoted at consultation.

Referrals by fax to (403) 225-2914. Call (403) 286-6888 for current pricing.

What to expect

The scar and the report.

A shave leaves a flat, slightly pale mark the size of the lesion that fades over six to twelve months. An ellipse leaves a fine line about three times the lesion's width, pink for a few months and pale by a year. Scars on the face heal best; the chest, shoulders and back heal widest.

The pathology report returns in one to two weeks and confirms what the lesion was. For most patients it confirms a benign growth and the matter is closed. Where a lesion turns out to need a margin, the site is re-excised.

Shaved moles occasionally regrow pigment at the base; this is harmless but is examined if it appears. A mole excised in full does not return.

1Visit for most removals 10 to 30Minutes 100%Specimens sent to pathology
Questions

Questions about lesion removal, answered.

How much does mole or lesion removal cost in Calgary?

Medical removal is covered by Alberta Health Care with a referral. Cosmetic removal is priced per lesion by size and site and quoted at consultation. Call (403) 286-6888 for current pricing.

Will it leave a scar?

A shave leaves a flat pale mark; an excision leaves a fine line. Both fade over a year. Dr. Kuzel chooses the technique for the smallest scar the lesion allows.

Does it hurt?

The anaesthetic injection stings for a few seconds. The procedure is painless. Most people need no pain relief afterward.

Can it be done at the first visit?

Usually, yes. Most lesions are examined and removed in the same appointment.

Is everything sent to pathology?

Yes, including cosmetic removals. A lesion that looks harmless occasionally is not, and the report is the safety net.

Can moles be lasered instead?

No. Laser destroys the tissue a pathologist needs and can hide a melanoma. Moles are shaved or excised. Skin tags, keratoses and similar growths can be lasered.

Will the mole come back?

A fully excised mole does not. A shaved mole occasionally regrows some pigment at the base, which is harmless and is examined if it appears.

Do I need a referral?

For medical removal, a referral from your family physician allows Alberta Health Care to cover it. For cosmetic removal, no referral is needed.

How many lesions can be removed at once?

Several, depending on their size and site. Dr. Kuzel plans the session at consultation.

Who performs the removal?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, examines every lesion and performs every excision personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. A referral covers medical removal; none is needed for cosmetic removal.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.