Services
Surgical dermatology
Outpatient procedures on skin and nails — from benign lesions to clarification of suspicious moles, with clear counselling before any procedure.
What is surgical dermatology?
Surgical dermatology covers outpatient procedures on skin, subcutis, and nails. This includes removal of benign lesions (e.g. warts, cysts, lipomas, fibromas), excision of suspicious moles for histology, and — where indicated — removal of malignant skin lesions. Corrections for ingrown nails and selected injection procedures can also belong to this focus area.
Not every visible finding needs surgery. Some changes can be observed, treated locally, or addressed with non-surgical methods. The decision depends on clinical findings, dermoscopy, location, size, history, and your level of concern — and is made after examination and counselling.
This page offers general orientation and does not replace an individual indication. Emergency or heavily bleeding findings should be assessed promptly in person and not judged from website text alone.
Who should consider a visit?
A visit is advisable for growing, itching, bleeding, or cosmetically bothersome lesions, for suspicious moles after screening or self-checks, for recurrent cysts, or for painful ingrown nails. After an excision recommended elsewhere, you can also seek a second opinion and planning at the practice.
If you feel anxious about a procedure, there is space for calm explanation: what will be removed, how local anaesthesia works, which factors affect scarring, and what to expect afterwards. Expectation management is part of counselling — without cosmetic or oncological promises of success.
Selected aesthetic-surgical topics (e.g. facial wrinkle therapy within applicable rules) and injections such as autologous PRP or measures for hyperhidrosis are discussed only when medically and legally appropriate and suited to your findings.
Our approach at the practice
At the practice of Dr. Mahitab Khalifa-Paruch, careful assessment comes before every procedure: diagnosis, differential diagnosis, and alternatives. Suspicious moles are evaluated dermoscopically; the recommendation may be observation, follow-up, or excision with histology.
Procedures are outpatient and usually under local anaesthesia. Incision, suture technique, and aftercare are adapted to the finding and site — for example differently on the face than on the trunk. For malignant or unclear findings, histology is discussed and further steps (follow-up interval, further care if needed) are defined. Guarantees of healing or scar-free results are not given.
What to expect
In the consultation we record history, medication (especially blood thinners), allergies, and prior procedures. The finding is explained, indication and alternatives are discussed, and you decide after counselling. Please mention uncertainties or fears early.
On the day of the procedure, local anaesthesia, removal or correction, and — where needed — suturing or wound care follow. You receive guidance on rest, dressing changes, sport, sauna, and sun exposure. Histology results are reviewed once available.
Aftercare and wound healing
Aftercare means wound checks, suture removal if required, and discussion of the tissue result. Scarring is individual and depends on site, skin type, tension, and aftercare. For signs of infection, marked swelling, or secondary bleeding, contact the practice promptly.
Longer-term checks can be useful — especially after removal of suspicious or malignant lesions. Website text does not replace acute assessment of complications.
Frequently asked questions
Does a skin excision hurt?
The procedure is usually done under local anaesthesia. The injection and a brief burning of the anaesthetic can be felt; during the actual removal the area should be numb. Afterwards, pressure or mild pain for a few days is possible.
When is histology needed?
For suspicious or unclear findings, tissue examination is standard to distinguish benign from lesions that need treatment. Whether histology is required is decided after the clinical and dermoscopic picture.
Will there be a scar?
Every incision leaves a scar. How noticeable it becomes depends on many factors. The aim is a discreet, low-tension closure — an “invisible” result cannot be promised across the board.
Can I exercise right afterwards?
Temporary rest is usually wise, especially with sutures under tension or on the face. Specific advice depends on the procedure and is given individually.