Scars, Moles, Cysts
Scars occur for many different reasons, but all leave a permanent visible mark or blemish on the injured skin. In general, flaws of the scar appear worse when they are:
- Too wide, worse lies perpendicular to natural resting line
- Too long, worse continues from one facial subunit to next
- Too thickened or hypertrophied or worse, keloid
- Too shallow or atrophied, or worse, ice-pick
- Too red
Scar can never be erased, but can be revised or reconstructed so they appear as flaw”less” as possible. Sometimes it is achieved in one setting and sometimes it can take many staged settings. Laser assisted dermabrasion and/or redness reduction laser or IPL is often combined with the surgical procedure. In certain cases, only the laser is recommended.
Unfortunately not all scars are amenable to satisfactory repair process for many reasons, so a comprehensive consultation is an absolute must so that you and the physician can come to an understanding as to how much improvement can be achieved. In general if a 50% or greater improvement can be achieved with the scar repair, you physician will offer the procedure to you.
Most moles are shaped like a pellet where half is exposed outside the skin and the other half is embedded below the skin surface. Complete removal of the mole will leave a visible defect on the skin and therefore closure of the defect is recommended following the mole removal for optimal scar appearance. Many patients initially get laser removal to the exposed portion of the mole above the skin level and if the outcome is unsatisfactory, proceed to complete surgical removal.
Cysts are usually epidermoid or sebaceous in nature and have a small punctum through which sebaceous contents can be expressed. Best time to excise the cyst is when there is no associated inflammation. When excising the cyst, the whole cyst lining needs to be removed to assure the best chance that the cyst will not recur. Rarely, dermoid cysts can be encountered which has no associated punctum.