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Surgical removal of skin lesions

Many of us have minor lumps and bumps that, whilst not medically worrying, can be annoying or unsightly. These are usually referred to as ‘benign’ or ‘non-worrying/ non-cancerous lesions’.

We are aware that it can be difficult to have these removed on the NHS, as they can be classed as ‘cosmetic’ if there are no medical grounds. For this reason our trained doctors are at hand to help to provide personalised and specialist advice.

What does the treatment of benign skin lesions involve?

Treatment will depend on the size of the lesion, how deep it is and where it is on your body. Benign skin lesion removal takes place under local anaesthetic and can be done with one of the following procedures:

  • Partial removal, where your surgeon ‘layers’ the lesion off at its base so it is at the level of the surrounding skin. This method is used for lesions such as keratosis, skin tags and flatter moles.
  • Complete removal, where the entire lesion is surgically removed. Your surgeon will remove the lesion and some of the tissue around it and you may need stitches afterwards. This is a technique used for more giant moles or lesions of concern.

Cryotherapy, also known as freezing,  involves freezing off the lesion with liquid nitrogen. This treatment can be used to remove warts, skin tags and keratosis.

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    Frequently asked questions

    Common lumps and bumps such as:

    • Warts
    • Veruccas
    • Skin tags
    • Actinic keratoses
    • Seborrheic keratoses/warts
    • Benign moles including mole checks
    • Lipomas
    • Cyst

    You will be seen by your clinician who will review your skin condition/lesion and advise you on your treatment options. If it is a lesion that you would like to have removed, the risks will be discussed in depth.

    We aim to offer certain treatments to be carried out during your consultation appointment itself, e.g. cryotherapy, for your time and convenience, should you would wish to commence. Patients who require minor operation (e.g. surgical excision or biopsy) will be booked into our minor operation theatre suite under controlled conditions.

    There are a few side effects that may occur as a result of surgical removal of lesions, including the following:

    • Infection
    • Pain
    • Bleeding
    • Bruising
    • Swelling
    • Scar
    • Return to theatres

    We send all our lesions to the laboratory to confirm diagnosis. In rare cases, extension of the lesion may be seen on a microscope that cannot be seen with the naked eye, so may require another visit for a bigger area to be taken.

    You will feel a small sting which can last for a few minutes after the treatment. Occasionally, a blister may form and persist for a few hours.

    Cryotherapy works on all skin tones. We recommend repeated treatment at 2-week intervals for patients with darker skin.

    There are a few side effects that may occur as a result of cryotherapy treatment, including the following:

    • Changes in pigment (hypopigmentation or hyperpigmentation).
    • Nerve damage, particularly in areas such as the fingers, wrists and behind the ears.
    • Minor fragments of ice may be expelled, that will thaw on contact with healthy skin.
    • Hair follicle damage and permanent hair loss.

    Our Doctors will discuss the different options available to you, and advise the most cost-effective options.

    If a follow up appointment is require post procedure this is free of change.

    Surgical Consultation Fee: £60

    Wart & Verruca Treatment using Cryotherapy

    £100 for the first lesion.

    £50 for any extra lesions.

    Skin Lesion Removal using the ‘shave method’

    <4mm – £140

    4mm – < 6mm – £190

    6mm – <8mm – £250

    >8mm- £310

    Any extra lesions on the day would cost £100

    Mole Excision (cut & stitch Method)

    < 1cm – From £400

    1cm – <2cm – From £500

    >2cm  – From £550

    Any extra lesions on the day would cost £150

    Multiple Skin lesions (including warts, verrucas, moles, skin tags)

    If there are multiple lesions to be treated, we can usually treat these in one appointment (the method of removal will be discussed during your consultation).

    In these cases, a cost-effective package price is offered which is based on the doctor’s time. 

    Up to 15 minutes: £200

    Up to 30 minutes: £300

    Up to 45 minutes: £400

    Up to 60 minutes: £500

    Cyst / Lipoma Excision (Cut & Stitch Method)

    Small – £450

    Medium – £550

    Large – £650

    Any extra lesions on the day would cost £200

    Keloid Scar Treatment Steroid injection

    Small – £160

    Medium – £250

    Large – £450

    Additional scars from £100

    Histology

    £180

    We recommend all lesions removed are sent to the lab to confirm diagnosis.; your doctor can discuss this with you during your initial consultation.  

    We do not make any profit on histology samples, as we recognise the importance of ensuring these tests are as accessible as possible. 

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