1. What is the course of dermatological consultation?
During the consultation of our patients, the dermatologist takes a detailed history: signs of the disease, causes of onset or exacerbation, time of onset, previous methods of treatment. The specialists of our clinic carry out a visual examination of the entire skin of the patient and a dermatoscopic analysis of individual areas of the skin. The dermatologist evaluates the clinical form of the disease, the degree of activity and severity of the process, which further affects the choice of treatment.
2. Who performs the dermatoscopic examination?
Dermatoscopic examination is performed by experienced doctors of our clinic, who specialize in dermatovenerology and dermato-oncology, have been trained in this technique in leading foreign clinics in Europe, and most importantly, they have many years of experience in using this method and are recognized experts in this field.
3. Are there any contraindications for dermatoscopy?
There are no contraindications for the dermatoscopy method. The study uses an optical system, a source of polarized light and, if necessary, a special liquid (immersion). The contact surface of the dermatoscope is placed on the surface of the neoplasm, after which the digital dermatoscopic image is fixed. Dermatoscopy is absolutely harmless for a pregnant or lactating woman. Some researchers note the activation of the growth of moles during or after childbirth, which proves the need for screening examinations in women during such periods of life.
4. Should I examine a child?
The development of melanoma in childhood is extremely rare. However, provided there is a congenital pigmented nevus (birthmark), a sebaceous gland nevus, it is necessary to conduct a dermatoscopic examination once a year for dynamic control over the formation. Also, dermatoscopic examination in childhood is recommended for trauma and rapid changes in the properties of a mole.
5. What diagnostic equipment is used in your clinic?
To carry out photographic documentation of dermatological cases and diagnose skin neoplasms, our clinic uses modern diagnostic equipment FotoFinder Medicam 1000, which allows us to make the clearest images in video dermatoscopy in the review mode and macro photographs. The patient and the specialist can see full resolution directly during the screening process.
6. Is removal of a mole a painless procedure? What methods of anesthesia do you use?
For the correct implementation of dermatosurgical intervention, anesthesia is indicated. Its choice is discussed individually with each patient and depends on the volume and depth of the removal. When removing benign skin lesions, the specialists of our clinic perform infiltration anesthesia by intradermal injection of an anesthetic drug, the action of which begins quickly - after 30 seconds, the patient is conscious. Application anesthesia is performed with topical anesthetics in the form of a cream or gel. It is used if there are a large number of formations on the skin, for example, multiple papillomas measuring 1–2 mm in diameter.
7. What are the advantages of the removal method performed in your clinic?
Removal of moles and other neoplasms may be recommended for medical reasons or for aesthetic purposes. In our clinic, for the removal of benign skin lesions, the method of radio wave excision is used, which is considered to be the safest and most effective method with a well-predicted aesthetic effect. The advantage of the method is that it does not need stitching and in most cases does not leave scars and thermal damage, since the removal is performed using high-frequency waves and a radio wave incision is performed without physical injury and tissue heating. Healing using this method happens several times faster than after removing the neoplasm by other methods.
8. What are the features of the wound healing period after removal of neoplasms?
The area of the lesion, the depth and method of removal, as well as the peculiarity of skin healing determine the features of the postoperative period, including the duration of wound healing after surgical treatment of the neoplasm, which usually occurs in the range from five days to two weeks.
9. Can a scar remain after the neoplasm has healed?
Replacement of a skin defect with connective (scar) tissue after removal of the neoplasm primarily depends on the individual tendency to scar formation, the depth of the nevus, and also on the method of removal. In the case of removal of a superficial formation (removal of papillomas, keratomas, warts, molluscum contagiosum), no scars remain.
10. In what cases is a histological examination of a mole necessary?
According to the standards for dermatosurgical treatment of skin neoplasms, indications for histological examination are determined during a dermatoscopic examination and, after excision, in most cases is subject to histological examination.