Electrosurgery and Curettage

Applications :

Mole

Skin Tag    

Sebaceous Cyst

Skin tags or Melanocytic Nevus (mole) on the skin are common benign skin blemishes on the face, often overlooked until they accumulate and become increasingly noticeable, affecting skin quality and appearance. Generally, these benign skin blemishes can be effectively treated early on, minimizing the risk of scarring. Although most of these blemishes are harmless, it is advisable to consult a doctor for a thorough examination before removal. With years of experience in removing skin tags and lesions, we use various techniques to eliminate these excess benign skin blemishes, giving you flawless skin.

Electrosurgery and curettage is a minor skin treatment procedure that utilizes electrosurgical energy to destroy the affected skin area, followed by scraping with a sterilized surgical curette. Local anesthesia is typically injected into the affected area beforehand to ensure a pain-free procedure. This method is suitable for larger, deeper warts, skin tags, sebaceous cysts, and other benign skin blemishes.

Plasma electrosurgery represents the latest technology in minor skin treatment procedures. Plasma is a new state of matter consisting of free electrons and charged ions, and the energy released can quickly and accurately vaporize and destroy targeted tissue while leaving surrounding tissue unaffected. When plasma comes into contact with the skin, a small electrical arc (plasma arc) is generated, releasing energy that focuses on heating and coagulating the selected skin tissue. The unique bipolar vaporization effect allows for simultaneous vaporization and hemostasis, ensuring that tissues outside the treatment area remain unaffected. Compared to traditional surgery, the advantages of electrosurgery and curettage include a shorter recovery time, no need for stitches post-operation, and natural healing of the wound.

Electrosurgery and Curettage for the Removal of Mole

Melanocytic Nevi (commonly known as moles) are common proliferations of skin melanocytes, usually appearing brown or black. These moles can occur individually or in groups on any part of the skin, with most appearing during childhood and before the age of 25, typically totaling between 10 to 40 moles by adulthood. Melanocytic nevi often change slowly over time, becoming raised and altering in color, and sometimes even growing hair. Some moles may show no changes, while others may gradually fade over time.

For those wishing to remove moles, laser mole removal is one option. Laser treatment is generally used for smaller, flat moles, while larger and deeper raised moles can be removed using electrosurgery and curettage. During the electrosurgery and curettage process, energy is directed to the melanocytic nevus, heating and vaporizing (thermolysis) the cells within the mole. A surgical curette is then used to completely “root out” the mole, minimizing the chance of recurrence. The heat vaporization also stimulates the production of new collagen, aiding in faster healing and rejuvenation of the skin.

Electrosurgery and Curettage for Skin Tags

In addition to removing moles, electrosurgery and curettage can effectively eliminate other unsightly and bothersome skin blemishes, such as milia, sebaceous gland hyperplasia, and syringomas. The procedure targets only the affected skin areas, resulting in minimal trauma and low risk of scarring, making it superior to traditional surgical methods for treating these skin lesions. Plasma energy evaporates and destroys infected tissue or removes skin tags, allowing for easy adjustment of the laser beam’s size and depth according to the treatment area, ensuring safe and precise removal of these skin lesions.

Milia are epidermal cysts formed in the sebaceous glands of hair follicles, primarily due to an imbalance in oil secretion, leading to the accumulation of keratinized debris. When old dead skin is trapped beneath the epidermis, milia form, typically appearing as white or light yellow bumps, mostly found on the cheeks, around the eyes, and on the forehead.

Sebaceous gland hyperplasia is a common benign condition in middle-aged or older adults. It occurs when the cells in the normal sebaceous gland wall grow excessively, forming small yellow or skin-colored round bumps with a central depression.

Syringomas are chronic benign tumors caused by the small sweat gland ducts in the skin, typically appearing as round lesions that are the same color as normal skin. They are often found on the eyelids and can easily be confused with oil seeds.

Currently, the exact causes of milia, sebaceous gland hyperplasia, and syringomas remain unclear, but they are harmless and primarily cosmetic issues. However, professional medical methods are usually required for their removal.

Electrosurgery and Curettage for Sebaceous Cysts

Sebaceous cysts, commonly known as epidermoid cysts, occur when the ducts of the sebaceous glands become blocked, causing a buildup of sebum and forming a cyst. These are common skin issues that are benign and typically grow in areas with a high concentration of sebaceous glands, such as the face, scalp, chest, or back. Larger cysts generally require surgical excision to completely remove the cyst wall, resulting in slower healing and potential scarring.

For cysts not exceeding 2 cm², electrosurgery and curettage can create an incision at the top of the cyst to completely remove the cyst wall, preventing the recurrence of sebum and keratin buildup. Compared to using a scalpel, this method results in less bleeding and quicker recovery, with no need for cutting or suturing as in traditional surgery.

If a sebaceous cyst becomes inflamed, it can develop into a skin abscess. A skin abscess (also known as pus-filled lesion) is a painful, pink or red nodule or lump with elevated temperature at the periphery, caused by bacterial infection and inflammation of the skin and subcutaneous tissue. The abscess is filled with pus and may enlarge and rupture over time.

Using electrosurgery and curettage, an incision can be made for drainage and debridement, allowing for the removal of unhealthy and infected tissue. The energy from the plasma can kill the bacteria responsible for inflammation and other skin issues. This method helps abscess patients avoid unnecessary prolonged wound cleaning and dressing, speeding up the healing process, and generally allowing them to return to school or work shortly after the procedure.

Pre- and Post-Operative Care Instructions

Our doctors can apply anesthetic cream or inject local anesthetic before treatment to ensure a completely painless procedure. If necessary, we may send the excised tissue to a laboratory for analysis to confirm the diagnosis.

After the procedure, small wounds typically heal completely within 7 to 10 days. This treatment can be performed on an outpatient basis, allowing patients to resume their daily activities immediately afterward. It is essential to use topical medications and specially formulated repair products to help reduce skin redness and promote wound healing after the procedure. For two months after treatment, avoid direct sunlight exposure and use a sunscreen with SPF 50 PA+++ to protect the newly healed skin from UV damage.

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