Surgical Excision
An excision biopsy (removal biopsy) is a minor surgical procedure performed under local anaesthesia to remove a suspicious or diagnostic skin lesion. The tissue is sent to the lab for microscopic analysis—allowing us to confirm whether it is benign, pre-cancerous, or malignant.
Why It’s Performed
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Clear, accurate diagnosis of uncertain or changing skin lesions
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Allows tissue-level analysis to guide further treatment
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Minimally invasive and typically performed in clinic with stitches
Common Indications
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Lesions with unclear diagnosis or suspicion of change—such as atypical moles, evolving lumps, or recurrent lesions
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Lesions previously treated (e.g., by freezing) without adequate histology
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Areas that do not respond to topical treatments or cryotherapy
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Any lesion with uncertainty—better to remove than miss a diagnosis
Who May Not Be Suitable
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Large lesions requiring referral to surgical services
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Active local skin infection or inflammation
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Patients on anticoagulants or with bleeding disorders (must inform the doctor beforehand)
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Certain lesions in highly sensitive areas may need ophthalmology or surgical referral
The Process: What You Can Expect
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Consultation & Consent – our doctor assesses your lesion, your medical history, and explains the plan. Photos may be taken for records.
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Preparation & Anaesthesia – skin is cleansed and numbed with local anaesthetic.
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Excision – the lesion is removed with a small margin using a scalpel.
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Closure & Dressing – the wound is stitched (usually dissolvable sutures), cleaned, and dressed.
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Postoperative Advice – written instructions provided, including follow-up for suture removal if needed.
Typically, this procedure takes 10–30 minutes depending on size and location.
