Surgical excision removes a lesion together with an appropriate margin and closes the wound with stitches. Assessment covers the reason for removal, likely scar, histology and whether the procedure is suitable for a clinic setting.
What the pathway covers
Clinical assessment, marking and consent
Local anaesthetic, excision and wound closure
Specimen handling, dressing, aftercare and suture plan
Before your appointment
Provide medication, allergy, bleeding and previous scar information
Plan for wound protection, activity limits and suture removal
Arrange support if the site may affect driving or normal movement
Understanding surgical skin excision
Surgical excision removes a skin lesion through a planned incision, usually with a margin selected for the clinical reason and the lesion’s location. It can be used to remove certain lesions completely or to obtain tissue for diagnosis. Assessment comes first: the clinician must decide whether excision is appropriate and explain the likely scar.
The procedure
The skin is cleaned and numbed using local anaesthetic. The lesion is removed and the wound is usually closed with stitches. Tissue may be sent to a pathology laboratory for microscopic examination. The length and direction of the wound depend on the lesion, its position and the need to bring the skin edges together safely.
Scarring, aftercare and results
Every surgical excision leaves a permanent scar. Early redness and firmness can be normal, with maturation continuing for months. Other recognised risks include bleeding, infection, wound separation, altered sensation, delayed healing and recurrence. Before consenting, patients should understand the reason for removal, alternatives, aftercare, result arrangements and whether further treatment could be needed.
Disclose blood-thinning medicines, allergies and previous problems with scarring
Plan around exercise, swimming or work restrictions advised by the clinician
Follow the dressing and stitch-removal instructions precisely
Important to know
Some lesions, locations or medical risks require referral to a hospital or specialist surgical service.
Next step
Ask about Surgical Excision.
Tell the team you are enquiring about Surgical Excision so they can direct you to the correct appointment.