Skin lesions requiring excision encompass a wide range of benign, pre-malignant, and suspicious growths that develop on the skin and underlying tissues. These lesions may arise due to genetic factors, sun exposure, chronic irritation, infections, or age-related skin changes. While many skin lesions are harmless, some require surgical removal to establish a definitive diagnosis, prevent progression, relieve symptoms, or improve cosmetic appearance.

Common lesions that may require excision include moles (nevi), cysts, lipomas, dermatofibromas, sebaceous lesions, and skin tumors with concerning features such as rapid growth, color change, irregular borders, bleeding, or ulceration. In certain cases, lesions may cause discomfort, recurrent infection, functional impairment, or psychological distress due to their location or visibility.

Assessment begins with a detailed clinical examination, focusing on lesion size, shape, color, texture, location, and duration. Patient history, including changes over time, family history of skin cancer, and prior trauma or sun exposure, is critical. When malignancy cannot be ruled out clinically, surgical excision with histopathological examination is the gold standard for diagnosis.

Excision is performed with careful planning to ensure complete lesion removal while preserving surrounding healthy tissue. In plastic surgery, attention is given to incision placement, tension lines, and closure techniques to achieve optimal functional and cosmetic outcomes. This is particularly important for lesions on the face, neck, hands, or other visible areas.

Post-excision care focuses on wound healing, scar minimization, and monitoring for recurrence or complications. In cases where pathology reveals malignancy or incomplete excision, further treatment or referral may be required.

Skin lesion excision serves both diagnostic and therapeutic purposes. When performed by trained plastic surgeons, it ensures accurate diagnosis, effective treatment, and aesthetically acceptable results, providing patients with reassurance and long-term skin health.