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Dermatologic Surgery

What is it?

Dermatologic surgery is a procedure used to repair or improve the skin. A dermatologic surgeon performs dermatologic surgery.

Who needs this procedure?

People need dermatologic surgery to treat diseases of the skin, such as skin cancers and non-cancerous (benign) or malignant skin growths. They may also seek dermatologic surgery for cosmetic purposes, such as to repair damage caused by age or the sun, or to improve appearance.

What types of procedures are performed?

Dermatologic surgery can be invasive, which requires an incision, or non-invasive, which means the skin is not penetrated in any way. The most common types of dermatologic surgery include:

Biopsy: The removal of a tissue sample for study under a microscope. Used to diagnose diseases of the skin.

Cosmetic surgery: Surgery for the purpose of improving the appearance. Dermatologic cosmetic surgery may include the removal of wrinkles around the face and neck (rhytidectomy); injections to reduce or eliminate spider or varicose veins (sclerotherapy); removal of loose skin and tissue around the upper and lower eyelids (blepharoplasty); microdermabrasion to remove fine lines, tattoos, discoloration, scars, and wrinkles; chemical peels to treat acne, lines, and wrinkles; soft tissue augmentation, such as collagen, to fill in wrinkles and scars; removal of fat deposits under the skin (tumescent liposuction); laser therapy to remove unwanted hair and reduce the appearance of scars; and hair transplant or replacement surgery.

Cryotherapy: The use of liquid nitrogen to freeze a growth off the skin. Used to treat warts, actinic keratoses, seborrheic keratoses, birthmarks, certain skin cancers, and other growths.

Curettage and electrodessication: The process of using a sharp tool called a curette to scrape away cancerous cells and tissues as well as short, high frequency electric impulses to destroy any remaining cancerous cells and tissues. Used to treat skin cancers, such as squamous cell carcinoma. Electrodessication alone may be used to remove growths on the surface of the skin.

Debridement: Surgical removal of dead or contaminated tissue, or removal of dirt or debris from a wound. Used for certain types of bacterial skin infections that usually occur as a result of puncture wounds or lacerations, or for burns.

Excision: The removal of a growth by cutting. Used to treat cancerous and non-cancerous growths, such as cysts, moles, warts, and tumors.

Laser surgery: A laser is a device that emits a very thin, intense beam of light. Can be used to remove skin growths, such as hemangiomas, destroy tumors, break up spider and varicose veins, remove tattoos, and remove birthmarks, such as port wine stains.

Micropigmentation: The process of implanting pigment into the skin. Skin pigment, called melanin, is what gives color to the skin. Used to treat conditions that result in hypopigmentation, such as vitiligo, or where skin grafts or burn scars result in a loss of pigment.

Mohs’ microscopically controlled surgery (also called Mohs’ micrographic surgery): This procedure involves removing a cancerous tumor, then continuing to remove the edges of tissue around the tumor site. After each bit of tissue is removed, it is examined under a microscope for signs of malignant cells. The doctor continues removing tissue around the tumor site until there is no longer any sign of malignant cells. Used to treat skin cancers.

Skin graft: A procedure in which healthy skin is transplanted to a damaged area. Used to replace burned skin, dead tissue caused by infection, or where large areas of skin have been lost to disease or surgery.

Tissue expansion: A procedure in which some type of expander, usually a silicone balloon, is inserted under the skin in the area that needs to be repaired. The balloon is gradually filled with salt water so that, over time, the skin stretches. Used when surgery leaves a large wound because large amounts of tissue must be removed, as well as to treat skin damaged by births defects or injury. May also be used as a treatment for baldness.

Many types of dermatologic surgery can be performed in your doctor’s office or in an outpatient facility. However, some types must be performed in a hospital and require that you stay in the hospital until discharged by your doctor.

What can I expect after the procedure?

Risks and recovery depend upon the type of procedure performed. Your dermatologic surgeon will provide you with the information you need to prepare for and recover from your surgery. Always follow your doctor’s recommendations for post-operative care and follow-up examinations.

Self-care tips

Always make sure your procedure is performed by a Board-certified dermatologic surgeon or that a physician is supervising the procedure. This is especially important when seeking cosmetic procedures. Question the provider of the service to ensure he or she is Board certified or licensed to perform the procedure. You should have an initial consultation to make sure the treatment is appropriate for you. It may be necessary to first test a patch of skin to ensure you can tolerate the procedure. Always contact your doctor immediately if you experience unusual pain, swelling, or redness after a dermatologic procedure.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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