Mole, Cyst & Benign Lesion Removal
Many benign skin lesions can be removed for cosmetic, functional or diagnostic reasons. Common examples include moles, cysts, lipomas and congenital pigmented lesions.
Introduction
When considering removal, it is important to understand that the procedure replaces the lesion with a scar. In most cases, the aim is for the scar to become less noticeable than the original lesion. While this is the expected outcome for most patients, all scars heal differently and no scar can ever be completely invisible.
THE PROCEDURE
Following assessment, the most appropriate technique is selected based on the size, location and nature of the lesion.
Most benign lesions are removed through a small elliptical incision, allowing the lesion to be completely excised and the wound closed with meticulous layered suturing. This approach is commonly used for facial moles and other benign skin lesions, with careful attention paid to scar placement and the natural contours of the face.
Larger congenital pigmented lesions, particularly on the face, may sometimes be best managed with serial excision. Rather than removing the entire lesion in a single operation, this technique removes it gradually over two or more procedures. This allows the surrounding skin to stretch naturally between operations, often producing a shorter scar and a more favourable cosmetic outcome than would otherwise be possible.
Cysts are removed with their lining to reduce the chance of recurrence. If a cyst has become infected, it may first require drainage and a period of healing before definitive removal can be safely performed.
Lipomas are benign fatty lumps beneath the skin that can usually be removed through a small incision. They are commonly excised because they are enlarging, uncomfortable or cosmetically noticeable.
THE PROCESS
Your consultation includes assessment of the lesion and discussion of whether removal is recommended, appropriate or likely to achieve the outcome you are hoping for.
Most benign lesions can be removed comfortably in the clinic under local anaesthetic. Larger lesions, multiple lesions or procedures involving young children may be more appropriately performed in a private hospital under sedation or general anaesthetic.
Where there is any uncertainty regarding the diagnosis, the lesion is routinely sent for pathological examination following removal.
Following surgery, our experienced nursing team provides ongoing wound care, monitors healing and guides you through the recovery process, including scar management where appropriate. Should any concerns arise during your recovery, I remain closely involved in your care.
THE RECOVERY
Most patients are able to shower immediately after surgery. Wounds are usually covered with simple tape dressings or ointment rather than bulky dressings, allowing normal daily activities to continue.
Swimming, prolonged water submersion and strenuous activity should be avoided until the wound has healed and sutures have been removed. Facial sutures are usually removed within the first week, while sutures on other parts of the body may remain in place a little longer.
Scars continue to mature over many months and may take up to 12 to 18 months to achieve their final appearance. During this time, they gradually become flatter, softer and less noticeable.
Treatment Risks
Removal of benign lesions carries potential risks, including:
Pricing
The cost of benign lesion removal depends on the size, location and number of lesions being treated, and whether the procedure is performed in the clinic or in a private hospital.
Many benign lesions can be removed under local anaesthetic in the clinic, while larger or more complex procedures may require treatment in a private hospital.
As a general guide:
- Clinic procedures under local anaesthetic – from approximately $1,200 out of pocket
- Hospital-based procedures – from approximately $2,500 out of pocket
These figures are intended as a guide only. Following your consultation, you will receive a personalised written quotation outlining all anticipated costs before proceeding with treatment.
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