Do you remove warts?
No. we will send you to a respected dermatologist to help you with this matter.
How do I know that what I have is not a skin cancer?
There are certain guidelines that can help you decide the likelihood if something you see on your skin is a skin cancer. Remember that these are only guidelines and should never replace a formal consultation and evaluation. A simple mnemonic can be helpful: ABCD. These letters refer to the nature of the skin lesion that may indicate a cancerous lesion. A stands for asymmetry in that the shape of the skin lesion is not purely round or symmetrical on all sides. B refers to the border of the lesion being partly or completely ill defined or irregular in nature. C stands for the color being very light or very dark or having undergone a change in color to become lighter or darker. D refers to the dimensions of the lesion being increasing in size over time. Other helpful clues relate to any bleeding or other changes that you may have noticed over the past few months or longer period of time.
How do you remove my mole?
A mole, or more properly a nevus (the scientific term), should be entirely excised rather than shaved off. A mole generally has depth, i.e., extends deeper into the skin than a shave or burning off technique can capture ,meaning that these shallower methods of removal almost always lead to a recurrence. We also do not believe that liquid nitrogen is a good treatment option for two reasons. First and foremost, the uncontrolled thermal injury that liquid nitrogen imparts can lead to an undesirable blanching or whitening of the skin color. Second, the depth of injury of liquid nitrogen is imprecise leading to a high failure rate in many cases. Instead, in most circumstances, we prefer an excisional removal of a mole. Excisional removal of a mole requires a physical skin incision and one that extends beyond the borders of the mole in a fusiform shape.
Fig .1 A fusiform incision is mandatory to permit the incision to heal flat and not bunch up
A fusiform incision is mandatory to permit the incision to heal flat and not bunch up ( fig .1 ), which would make the result more obvious instead of less so. Remember that you are trading off the unsightly presence of a mole for a fine and (if done right) imperceptible line in most cases. Another very important principle of proper mole removal is following the so-called relaxed skin-tension lines (RSTLNs) that represent the way that collagen bundles are arranged on your face. ( fig.2 ) By following the RSTLNs, the incision closure has very little tension and follows lines of skin tension so that the incision heals well instead of poorly. For example, if a mole is on the chin, the common thinking is to make a horizontal incision to hide the incision along the jawline. However, making an incision along this directional line will lead to a very bad scar. Understanding the RSTLNs is a prerequisite in a seamless removal of a mole.
Fig.2 RSTLNs
our method of mole removal is based on sound and meticulous surgical principles. During the procedure, we ensure that the incision closes without any tension so that your incision line will become barely perceptible. In addition, care instructions will be given to you so you know how to take care of the area for the week following the procedure. we offer and encourage careful follow up to make sure that your incision heals perfectly. There is no extra cost for this follow-up care. we will send out what we remove for pathologic inspection to make certain of the diagnosis of what was removed.