June 26, 2021

Anesthesia for mole removal

Reading Time: <1 minuteMany patients come to our clinic requesting mole removal.In addition to the scar after mole removal, everyone is concerned about the pain during treatment and the pain of anesthesia.For mole removal, a local anesthetic is administered.In particular, men are more vulnerable to pain than women, so we manufacture local anesthetics in-house to reduce pain during anesthesia as much as possible.Generally, the local anesthetic is performed by injecting a drug called lidocaine hydrochloride, which is called xylocaine, into the mole removal site with a syringe.Most of the concentrations of xylocaine used in cosmetic surgery are XNUMX%, XNUMX%, and XNUMX%. It seems that the pain caused by the local anesthetic is very strong.At our hospital, we adjust the concentration of xylocaine, which contains a vasoconstrictor called epirenamin, to be diluted to about XNUMX%.The local anesthetic is adjusted to be neutral so that the pH of the local anesthetic is close to the pH of the living body by mixing Meiron, a bicarbonate with an alkaline pH.This greatly reduces pain during local anesthesia.Unfortunately, the knowledge of how to adjust local anesthetics is still not widespread among many cosmetic surgeons.All the cosmetic surgeons and cosmetic dermatologists I have instructed do not use local anesthetics as they are, but use Meiron to adjust the pH and dilute the concentration.Also, the thicker the injection needle, the more painful it will be when it penetrates the skin.Anesthesia is performed using ultra-thin needles of XNUMXG to XNUMXG depending on the area, so pain is significantly reduced compared to receiving local anesthesia with normal thick needles.It is also important in medical practice to consider the anesthesia method and drugs used during the procedure.Self-funded medical treatment requires advanced knowledge, skills, and delicate consideration.When removing moles for cosmetic purposes, we believe that it is essential for patients to receive the best cosmetic medical services.If you are still afraid of injecting anesthetic into your face, use a small medical vibrator or vibration oscillator that vibrates at a high speed and bring it into contact with the skin near the injection site to cause pain. Special anesthetic techniques can be performed to lower the threshold.
June 17, 2021

Need for mole resection

Reading Time: <1 minuteMoles are removed using mole excision, carbon dioxide laser treatment, and electrolysis.There are two methods for mole removal: hollowing and incision.As the name suggests, the hollowing method is a method of removing a mole by hollowing it out with a scalpel. Scar condition immediately after mole treatment This is sometimes done using an instrument called a trepan, but it is a treatment method in which the mole is excised from the edge using a scalpel and the scar is healed by swelling of the granulation and epithelialization without suturing.The advantages are that it does not require any technical skills, that it can be treated without the use of special equipment, and that the treatment can be completed in a short time, but these are all benefits for the doctor and have little benefit for the patient. .This is a treatment that should not be performed unless malignancy is suspected.The incision method involves cutting out the normal skin containing the mole in a spindle shape and suturing it.The advantages are that the mole can be completely eliminated and there is no possibility of recurrence, and pathological examination is easily possible, allowing treatment even after it is determined to be a malignant tumor.about it. Scar condition immediately after mole treatment The disadvantages are that the scar remains larger than the diameter of the mole, there is downtime, stitches need to be removed, and a hospital visit is always required.If malignancy is suspected, a pathological examination of the skin tumor removed using this treatment is performed to confirm that it is not malignant and to confirm the pathological diagnosis.Currently, screening to diagnose whether a mole is malignant or benign is performed using dermoscopy, and if a possibility of malignancy is suspected, the tumor must be removed and a pathological diagnosis performed.Because it is outsourced, it will take approximately one week for the test results to be confirmed. Scar condition immediately after mole treatment
June 16, 2021

Anesthesia for mole removal

Reading Time: <1 minuteIn principle, the anesthetic used for mole removal is lidocaine hydrochloride, or xylocaine. https://www.kegg.jp/medicus-bin/japic_med_product?id=00000332-003is used.Xylocaine, which contains a vasoconstrictor called epirenamin, is used.Epilenamine has the effect of constricting blood vessels to control bleeding and prolonging the effective time of her xylocaine during treatment.Medical school textbooks state that it is contraindicated for use on the tip of the nose and fingertips, but currently clinically there are almost no problems. (It was thought that skin necrosis may occur due to vasoconstriction.) Concentrations of XNUMX% to XNUMX% formulations are often used. XNUMX% is a sufficient concentration and there is no problem in use.At our hospital, we use xylocaine, but as the name of xylocaine lidocaine hydrochloride suggests, it has an acidic PH of XNUMX to XNUMX. It causes sexual pain.For this reason, in order to adjust the pH, he mixes an alkaline agent called Meiron to further lower the concentration, and he adjusts the pH to about XNUMX, which is as close to the living body as possible.In actual use, compared to traditional Xylocaine injections, he was far less painful and less burdensome on the patient.Also, the needle used for the injection is XNUMXG to XNUMXG, which reduces the pain considerably.When removing a large number of moles, injections are required for the number of moles, so pain relief care is always required during anesthesia for the patient.Even if the amount of anesthesia required for mole removal is small and simple, pain can be alleviated with careful injections.At our hospital, we remove moles by using ultra-fine needles and using our own PH-adjusted xylocaine anesthetic.

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