The lesion you’ve been postponing. Removed properly, examined properly, healed properly.

Yes. Every excised lesion at Palazzo Manzoni is submitted to histopathology, regardless of how confidently it looked benign during examination. The result is reviewed with you at suture removal.

No. Local anaesthesia — an injection of anaesthetic beneath the lesion — makes both the excision and the suturing painless. You will feel some pressure, but no pain.

Most lesion excisions and scar revisions take between 15 and 60 minutes, performed under local anaesthesia in a procedure room. You go home the same day, in most cases within an hour of the start.

Yes — every excision leaves a scar. The aim of a plastic-surgical approach is to make that scar as inconspicuous as possible: oriented along the regional skin tension lines, closed with the technique appropriate to the body region, and managed afterwards with individualised scar care. Scars mature over 6 to 12 months and become much paler than they look in the early weeks.

It means the healthy tissue around the excised lesion contains no lesion cells. If the lesion was malignant, it was removed completely. If it was benign, it is a further confirmation of benignity. “Positive margins” means the lesion extends to the edge of the specimen — for a benign lesion this is usually not a problem; for a malignant one, a further excision may be recommended.

The system is built for this. The result is reviewed with you in plain language, the implications are explained, and the next step — re-excision with wider margins, referral to a multidisciplinary team, oncological coordination — is arranged and supported by the same team that performed the original excision. You do not navigate this alone.

Any pigmented lesion that has changed in size, colour, border irregularity, or sensation, or that bleeds spontaneously, deserves a clinical assessment. Most changed moles are benign. Clinical examination and dermoscopy are quick, the next step — observation, photographic documentation, or excision — is decided on what is found, and the whole process is undramatic.

Yes. A benign mole that catches on clothing, that repeatedly becomes inflamed, that is in a shaving area, or that you simply prefer not to have can be removed cosmetically. The plan and consent are the same as for any excision: appropriate technique, oriented closure, histopathology, follow-up.

A lipoma is a benign fatty tumour beneath the skin, usually slow-growing, painless, and movable. Removal is indicated when the lipoma is growing, painful, cosmetically bothersome, or in a location where it interferes with clothing or movement. A small, stable, asymptomatic lipoma can be observed if you prefer.

A hypertrophic scar stays within the boundaries of the original wound and tends to flatten over time. A keloid extends beyond the original wound, grows, and often recurs after excision unless adjuvant treatment is added. The two require different plans, and the distinction is made on clinical grounds during consultation.

Most scars improve substantially over 6 to 12 months without any intervention. Revision is usually planned after this maturation phase, unless there is a specific functional reason to revise earlier, such as a joint contracture or an exposed unhealed area. The consultation includes whether watchful waiting is the right next step.

Cost depends on the lesion or scar, the technique, and the body region. Most single-lesion excisions are in a defined and modest fee range. Scar revisions and complex multi-lesion plans are quoted in writing after consultation. Histopathology is included.