Mole Removal Procedure

Mole / Skin Lesion Removal Information & Consent Form.

If you have skin tags, a small birthmark, or another bothersome skin lesion, it can probably be removed easily with minimal discomfort and minimal scar by Doctor. The most important determination is to be sure the abnormality is not skin cancer. If it has been present with little or no change for a long period of time, chances are it is benign. If the lesion has been growing or changing in appearance, please inform the doctor. Signs of skin cancer are changing size, color, or texture, variable coloration, skin flaking, open wound, and others.

The area to be treated will be anesthetized (numbed) in advance. Plastic Surgery techniques for removal include laser, radiofrequency ablation, or direct excision. These options will be discussed beforehand. Usually, one method is preferable depending on your desires and the characteristics of the lesion. often Doctor performs these procedures under magnification for precision. Sometimes, very small stitches are needed. If so, you will be asked to return in 7-10 days for their removal. Skin care after the procedure involves daily gentle cleansing, no bandages, twice daily application of antibiotic ointment such as Polysporin® , Neosporin® , bacitracin, or an equivalent. Sometimes, Doctor covers the area with specialized adhesive skin tapes. If your closure is covered with tape, no specific care will be required. Avoid rubbing, scraping, or otherwise traumatizing the area to allow uncomplicated healing. Any problems (bleeding, worsening pain, drainage, unanticipated trauma, etc.) should be reported to Doctor.

You can expect a good result from plastic surgery if these instructions are followed. Possible complications include development of new lesions or recurrence of the excised lesion. If the lesion recurs, it may be cancer and should be brought to the attention of a physician immediately. If Doctor believes the lesion may be cancer, he will send it to a laboratory for examination. This will add expense to your procedure that may or may not be paid by insurance. If the lesion turns out to be cancer, further treatment may be required. Sometimes a scar or discoloration may develop at the site of excision, but these usually resolve with the passage of time. If a bothersome scar persists, it may need to be revised in a second minor surgical procedure at additional cost. The scar may represent an unpredicted permanent deformity, especially if the initial lesion was in a prominently Visible area of your face. With knowledge and understanding of the above, I request mole/skin tag removal by the Doctor, including photographs for documentation.

I understand and agree that I am financially responsible for the payment I made for that any amount I paid for the sessions or procedures I booked it will only be valid up to 3 months from the date I made the payment. I understand that I need to utilize the sessions or procedures within 3 months period. I agree that my payment made is non-refundable or non-transferable post this period.

I declare that I have read and fully understood all points in this consent and that all of my questions were answered to my satisfaction and I take the full responsibility of my decision in this consent.