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Many of the patients referred to Aspire Care Clinic are coming to have lesions assessed. These lesions include moles, cysts, skin tags, warts, seborrheic keratosis, and actinic keratosis. If your doctor has any concerns with these lesions after examining them, a biopsy will done and the sample will be sent to the lab for further analysis. With all lesion removals, the nursing staff will go over after care with you and provide you with a wound care handout.
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Moles, also known as melanocytic nevi, are benign skin lesions that can be present at birth or develop over time. While their exact cause is unknown, factors like genetics, sun exposure, and immune status play a role. Moles can be flat or protrude, varying in color from skin-toned to dark brown. Shave biopsy is a common method for mole removal, involving a quick, local anesthetic-induced superficial shave without sutures. If a mole appears suspicious, it is sent to the lab for further analysis
Cysts are also very commonly removed in the clinic. These occur under our skin’s surface and normally present as palpable, mobile spheres. Unless the cyst is infected, the skin above them is a healthy layer of unbroken tissue. For this procedure, you will be given local anesthetic and then a small excision is done to expose the cyst itself. Once the cyst is removed, a few sutures are put in place to close the site. Wound care instructions are given and you will be advised on when to return to have your sutures removed.
Skin tags are another common skin issue dealt with at Aspire. Skin tags are harmless lesions that tend to hang off of our skin. The procedures for the removal of skin tags can involve cauterization and the other involves cryotherapy. If skin tags need to be cauterized, you will be given local anesthetic and then the tag is cauterized off. If cryotherapy can be used, the affected area is sprayed with liquid nitrogen (essentially very cold air).
Warts, common benign skin lesions caused by HPV, often affect school-aged children and individuals with dermatitis. Spread through skin-to-skin contact or self-inflicted through picking or itching, warts can develop on the skin’s surface or under nails, resembling cauliflower-like areas. Treatments at the clinic include cryotherapy (liquid nitrogen), cantharone (topical agent), and skin shaves, with multiple sessions often needed for effective removal due to their stubborn nature.
Seborrheic keratosis, a harmless wart-like spot, commonly develops in older adults, with around 90% of those over 60 years experiencing them. These lesions, often a sign of aging skin, can emerge after sunburn, dermatitis, or repeated skin friction. With a smooth, waxy or wart-like surface, they come in various colors such as skin-tone, yellow, grey, brown, and black, adhering to the skin like barnacles. Removal options include cryotherapy (liquid nitrogen) and skin shaves. While often diagnosed visually, if resembling skin cancers, a sample is sent for further lab analysis.
Actinic keratosis, a precancerous lesion on sun-damaged skin, appears as scale-like or wart-like formations, often flat or as thickened plaques. Common in sun-exposed areas like the face and hands, they can be white to yellow and may be tender. Diagnosis is typically visual, with occasional small skin biopsies. Treatment options include cryotherapy (liquid nitrogen), skin shaves, or excisions.
At Aspire Care Cosmetic Clinic, scheduling a cosmetic consultation is hassle-free, and no referral is needed. However, if your concern leans towards a medical issue, we may guide you to our Skin Clinic. It’s important to note that for consultations with Dr. Wang in our Skin Clinic, an Alberta Health Services (AHS) requirement may necessitate a referral from a licensed medical professional. Examples of such professionals include medical doctors, audiologists, registered midwives, chiropractors, podiatrists, dentists, optometrists, physical therapists, and nurse practitioners. Additionally, please be aware that AHS may require a referral, and it may expire if you haven’t seen Dr. Wang within a year.