Procedures
Skin Excision for Cyst / Wart / Skin Tag
Skin irregularities such as cysts, warts, and skin tags can be both a source of physical discomfort and aesthetic concern. These growths, while often benign, can have a significant impact on your daily life. For instance, cysts can become tender and inflamed, causing pain and sometimes leading to infections if not treated properly. Warts, caused by the human papillomavirus (HPV), can be particularly stubborn, spreading to other parts of the body or even to other people through direct contact. Skin tags, though typically painless, can catch on clothing or jewellery, leading to irritation and bleeding.
These conditions might not always pose a serious health risk, but they can certainly affect your comfort and self-consciousness. The presence of these growths, especially in visible areas, can make you feel uneasy about your appearance, impacting social interactions and self-esteem. They can also interfere with your daily routines, such as shaving, dressing, or even walking, depending on their location.
One effective solution to address these issues is excision, a common medical procedure designed to remove these skin imperfections safely and efficiently.
At a glance
Smooth skin surface
30 minutes
Local anaesthetic
24 hours
Table of Contents
What is Cyst/Wart/Skin Tag Excision?
Cyst, wart, and skin tag excision is a medical procedure that involves the surgical removal of these benign skin growths. Each of these conditions has distinct characteristics:
- Cysts: Cysts are closed sacs that can form beneath the skin, containing fluid, pus, or other material. They can develop on any part of the body, ranging in size from a few millimetres to several centimetres. Although often painless, cysts can become inflamed or infected, causing discomfort and necessitating medical intervention.
- Warts: Warts are small, rough growths caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the hands, feet, and genital area. Warts are contagious and can spread through direct contact or shared surfaces. They can be unsightly and sometimes painful, particularly plantar warts on the soles of the feet.
- Skin Tags: Skin tags are small, soft, benign growths that commonly occur in areas where the skin folds, such as the neck, armpits, groin, and eyelids. They are usually flesh-coloured and can vary in size. While generally harmless and painless, skin tags can become irritated by friction from clothing or jewellery, leading to discomfort.
Excision is usually recommended when these growths cause pain, irritation, or aesthetic concerns. The procedure involves removing the growth and, in some cases, the surrounding tissue to ensure complete eradication and prevent recurrence.
Who Needs Cyst/Wart/Skin Tag Excision?
Excision is generally suitable for individuals experiencing discomfort or inconvenience due to cysts, warts, or skin tags. Here are some specific scenarios where you might consider this procedure:
- Persistent Pain or Discomfort: If the growth causes ongoing pain or interferes with daily activities, excision can provide relief.
- Infection: Cysts and warts, in particular, can become infected, leading to further complications. Removal can help prevent such issues.
- Aesthetic Concerns: Many people opt for excision to improve their appearance, especially if the growths are in visible areas.
- Interference with Normal Function: Skin tags in areas prone to friction, such as the underarms or neck, can cause irritation. Similarly, warts on the soles of the feet can be painful when walking.
- Growth Changes: If you notice changes in the size, shape, or colour of a cyst, wart, or skin tag, it’s important to consult a healthcare professional to rule out any serious conditions.
Consulting with Anca can help determine whether excision is the best option for your situation.
Benefits of the Excision Procedure
The excision of cysts, warts, and skin tags offers advantages, contributing to improved physical comfort and appearance. Some of the main benefits include:
- Relief from Discomfort: Removing these growths can alleviate pain and irritation, especially if they are located in areas prone to friction or pressure.
- Prevention of Infections: Excision helps prevent the risk of infections, particularly for cysts that may rupture or warts that can spread.
- Enhanced Appearance: The procedure can lead to a more aesthetically pleasing appearance.
- Simple and Quick Procedure: The excision process is usually straightforward, performed under local anaesthesia, and completed relatively quickly.
- Minimal Downtime: Most people can resume their normal activities shortly after the procedure, with minimal recovery time.
- Low Risk of Recurrence: Proper removal reduces the likelihood of recurrence, particularly if the entire growth and its root are excised.
Types of Excision Procedures
Conventional Wide Excision
Conventional wide excision is the most complex surgical approach for tackling larger and potentially problematic cysts and warts. This method is usually reserved for growths that have either infiltrated deeper layers of the skin or are situated in critical areas where precise and thorough removal is essential to prevent recurrence. The procedure involves an incision that encompasses not only the growth but also a margin of healthy tissue around it, ensuring that any potentially malignant or recurring cells are removed. The resultant wound is then carefully sutured to promote optimal healing. While this method is more invasive and may lead to a more pronounced scar, its effectiveness in completely eradicating larger growths makes it a preferred option in more complex cases.
Minimal Excision
Minimal excision offers a conservative surgical option that is ideal for removing smaller cysts, warts, and skin tags with reduced cosmetic impact. Unlike conventional wide excision, this technique involves a much smaller incision, aimed at minimising damage to the surrounding healthy tissue while still effectively removing the growth. This approach is particularly advantageous for growths located in cosmetically sensitive areas, such as the face or neck, where a large scar would be undesirable. The smaller incision not only reduces scarring but also facilitates a quicker recovery and less postoperative discomfort. Minimal excision is a preferred method for patients seeking a balance between effective removal and aesthetic preservation.
Punch Biopsy Excision
Punch biopsy excision is a precise and minimally invasive technique used primarily for smaller skin lesions, including cysts, warts, and skin tags. This method employs a cylindrical tool known as a punch, which is used to “core out” a circular piece of tissue encompassing the entire growth and a small margin of surrounding healthy tissue. This technique is not only therapeutic, removing the lesion, but also diagnostic, as the excised tissue can be sent for histopathological examination. Punch biopsy excision is particularly valuable for potentially malignant lesions or those whose nature is uncertain. It leaves a small, round scar that is generally less noticeable and heals quickly compared to other excision methods.
How is the Excision Procedure Performed?
The excision procedure follows these steps:
- Consultation: During your initial consultation, Anca will examine the growth and discuss your medical history, including any allergies and medications you are taking.
- Preparation: On the day of the procedure, the area around the growth will be cleaned and sterilised. Local anaesthesia is then administered to numb the area, ensuring you remain comfortable throughout the process.
- Removal: The specific technique used for excision depends on the type of growth. For surgical excision, Anca will make an incision around the growth and carefully remove it along with some surrounding tissue. For cryotherapy, liquid nitrogen is applied to freeze the growth. Other methods such as electrosurgery or laser therapy involve burning or vaporising the growth.
- Closure: If surgical excision is performed, the wound may be closed with stitches. In other methods, the wound is usually small and heals on its own.
- Aftercare Instructions: You will receive instructions on how to care for the wound to promote healing and prevent infection. This may include keeping the area clean and dry, applying antibiotic ointment, and avoiding activities that could irritate the wound.
The entire process usually takes between 15 minutes to an hour, depending on the size and location of the growth.
There are different methods for excising cysts, warts, and skin tags, depending on the type and size of the growth, as well as its location on the body.
Recovery After Cyst/Wart/Skin Tag Excision
Recovery following excision is generally straightforward, with most people experiencing minimal discomfort. Here are some points to keep in mind during the recovery period:
- Immediate Post-Procedure Care: It’s normal to experience some redness, swelling, or mild pain at the excision site. Over-the-counter pain relievers can help manage any discomfort.
- Wound Care: Follow Anca’s instructions regarding wound care. This often includes keeping the area clean, changing dressings as needed, and applying any prescribed ointments.
- Avoiding Irritation: Refrain from activities that could irritate the wound, such as heavy lifting or strenuous exercise, until it has healed completely.
- Monitoring for Infection: Keep an eye on the excision site for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider promptly.
- Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure the wound is healing properly and to remove stitches if necessary.
Most people can return to their regular activities within a few days, with complete healing taking a few weeks. The exact recovery time will depend on the size and location of the excised growth and your overall health.
Reviews
Patient satisfaction is the top priority for Anca. You can find how patients feel about her work below.
Absolutely superb from the very first call to Ms Anca’s secretary. A short time later I had a thorough and informative consultation to discuss the removal of moles from my face and neck. Professional and friendly treatment from the admin and theatre staff at the Nuffield Hospital. A great overall experience I only wish I had gone sooner!
Wish I’d Done It Sooner! I am so pleased with the results
After searching and deliberating for a long time, I consulted Anca regarding the removal of 3 lipomas. From start to finish, she was fantastic! One of the lipomas was on my forehead and I have to search for the scar! I am so pleased with the results of all and the one regret is that I didn’t find her sooner. I wouldn’t hesitate to recommend her
Miss Breahna removed a cancerous nodule from my forehead in March 2021. I was quite nervous when I arrived at the hospital, but when I was greeted by a member of her team I started to feel calmer as they were so professional and friendly.
Once inside the theatre Miss Breahna and her team helped me to feel relaxed and comfortable throughout, the team atmosphere was friendly and upbeat during my operation and I was looked after wonderfully. I would recommend Miss Breahna and her team to anyone requiring this type of surgery.
Kate Hodson
How Much is Cyst/Wart/Skin Tag Excision in the UK?
The cost of cyst, wart, and skin tag excision can vary widely based on several factors, including:
- Type of Procedure: Different excision methods have different costs. Surgical excision tends to be more expensive than cryotherapy or electrosurgery.
- Location: The cost may vary depending on where the procedure is performed. Prices can differ significantly between clinics, regions, and countries.
- Healthcare Provider: The experience and expertise of the healthcare provider can also influence the cost. Specialists in dermatology or cosmetic surgery may charge higher fees.
- Complexity: The size, number, and location of the growths can affect the overall cost. More complex cases requiring additional time and resources will typically be more expensive.
- Insurance Coverage: In some cases, the procedure may be covered by health insurance, particularly if the growths are causing medical issues. It’s important to check with your insurance provider to understand what is covered and what out-of-pocket expenses you may incur.
On average, the cost for cyst, wart, and skin tag excision can range from £100 to £500 per growth. It’s advisable to consult with Anca’s team for an accurate estimate based on your specific situation.
Further Reading
- Read Anca’s Blog on Recovery after Cyst Removal
- Read Anca’s Blog on Recovery after Skin Tag Removal
- Read Anca’s Blog on Recovery after Mole Removal
- Read Anca’s Blog on Treatments and Solutions for Skin Lumps and Bumps
Procedure
Frequently asked questions
Am I suitable for minor skin surgery?
Your concerning lesion will be discussed at a comprehensive consultation.
Miss Breahna will recommend the most suitable excision procedure for you, explaining the details of the surgery and any associated risks.
Is the procedure painful?
Cyst, wart, and skin tag excision procedures are generally performed under local anaesthesia, which numbs the area and prevents pain during the procedure. You may feel some pressure or discomfort but should not experience pain. After the anaesthesia wears off, there might be mild soreness or tenderness at the excision site, which can usually be managed with over-the-counter pain relievers and proper aftercare.
What are the risks associated with Cyst/Wart/Skin Tag Excision?
While cyst, wart, and skin tag excision is generally safe, there are some risks associated with the procedure. These can include infection, bleeding, and scarring at the excision site. Additionally, there may be a risk of an allergic reaction to the local anaesthesia used during the procedure. In rare cases, there might be nerve damage, particularly if the growth is located near a nerve. It is important to follow post-procedure care instructions to minimise these risks and ensure proper healing.
When will I see the results?
Results are very quick with an excision procedure. Once the wound has healed, within 1-2 weeks, you will be able to see a smoother surface of the skin. Any scarring will fade in tone and may be less noticeable in time.
How long does the excision procedure take?
The duration of the excision procedure can vary depending on the size and location of the growth, but it usually takes between 15 minutes to an hour. Most cyst, wart, and skin tag removals are relatively quick and can often be completed in a single office visit. Anca will apply local anaesthesia, perform the excision, and provide aftercare instructions to ensure a smooth recovery.
Will the procedure leave a scar?
The possibility of scarring depends on several factors, including the size and location of the growth, the method used for excision, and individual healing tendencies. While surgical excision may result in a small scar, techniques such as laser therapy and cryotherapy often leave minimal scarring. Anca will discuss the potential for scarring and provide recommendations to minimise it, such as proper wound care and the use of topical treatments.
How soon can I return to normal activities after the procedure?
Most people can resume their normal activities within a day or two after the excision procedure. However, it is important to avoid strenuous activities, heavy lifting, and any actions that might irritate the excision site until it has healed. Anca will give you specific instructions on how to care for the wound and when it is safe to return to your regular routine. Full healing occurs within a few weeks, depending on the patient and the extent of the excision.
Medical References about Cyst/ Wart/ Skin Tag Excision
- Skin Lesions – Cleveland Clinic
- Dermatology – Excision of Skin Lesion – NHS
- Skin lesions: Types and When to See a Doctor – Medical News Today
- Skin Lesion Removal – MedlinePlus
- What are skin tags? Causes and treatment options – Medical News Today
