Skin lesions

Skin lesion removal is a procedure to remove an abnormal area of skin. In children, common reasons for removing a skin lesion include:

  • Moles (especially if changing or raised)

  • Cysts or skin tags

  • Birthmarks, including vascular lesions

  • Warts or other growths

  • Lesions that are itchy, bleeding, painful, or bothering the child

  • To obtain a diagnosis (biopsy) if the nature of the lesion is uncertain

 

Most skin lesions in children are benign (non-cancerous), but if there’s any concern about the diagnosis, the lesion will be sent for laboratory analysis (histology).

Mr Eccles will assess the lesion and discuss the most appropriate treatment, which may include:

  • Shave excision – for superficial raised lesions

  • Full excision – for deeper or suspicious lesions, closed with fine stitches

  • Laser or cautery – sometimes used for small vascular or superficial lesions

    • The procedure is usually done under local anaesthetic for small or single lesions

    • For younger children, multiple lesions, or sensitive areas, general anaesthetic may be advised

    • Most surgeries are day case procedures – your child can go home the same day

    • The area will be covered with a small dressing, and stitches (if used) may be dissolvable or removed after 5–10 days

    • Mild soreness or swelling around the site is common and usually settles within a few days

    • Paracetamol or ibuprofen can be used if needed

    • Keep the area clean and dry for the first few days

    • Avoid swimming and rough play until the wound has fully healed

    • If stitches need removing, this will usually be done in 5–10 days, depending on the location

    • You’ll be advised on how to care for the scar – this may include silicone gels, sun protection, or scar massage after healing

    • Your child can usually return to school or nursery within a day or two, depending on the site and extent of surgery

  • All procedures carry some risks. For skin lesion removal, these may include:

    • Bleeding, bruising, or mild infection

    • Scarring, which can vary depending on the lesion size, location, and your child’s healing

    • Incomplete removal, especially in benign but deep or irregular lesions

    • Recurrence of the lesion over time

    • Changes in sensation around the scar

    If the lesion is sent for histology, results are usually available within 1–2 weeks, and Mr Eccles will follow up to explain them.

    • Most skin lesions do not grow back once fully removed

    • However, some moles or cysts may recur if small cells are left behind

    • Scars will fade gradually over time, although this varies between individuals

    • As your child grows, the appearance of the scar may change slightly

    Mr Eccles will guide you on the best long-term care for the area and advise if any further treatment is needed.

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