2021 January 11

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.
2021 January 11

Mole removal Care based on wound healing theory

Reading Time: <1 minuteCare after mole removal is more important than the mole removal procedure.The wound will begin to heal immediately after the mole is removed.If proper care is not taken at this time, not only will healing be delayed, but scarring will likely remain.Care is required immediately after treatment, that is, immediately after mole removal.Specifically, never disinfect the wound.Do not let dry.Never apply cream-based ointments.is.Many patients receive mole removal at our clinic, but we always provide detailed explanations of the care to be taken after mole removal and carefully instruct patients to perform the procedure themselves.Wounds after mole removal are treated in the same manner as abrasions and burns.Disinfection is not only completely pointless, but also prolongs healing.Disinfection destroys the cells that promote healing.Disinfecting can also make you more susceptible to infection.At our hospital, after removing a mole, we always apply a medical wound dressing to protect the scar, and at the same time, we use moist therapy to keep the wound wet.This promotes granulation and epithelial formation.This leads to mole scars becoming less noticeable.Removing a mole means creating skin that lacks epithelium.If you protect this area and encourage epithelial formation as soon as possible, there will be no risk of infection, normal healing will be promoted, and scars will be less likely to remain.When removing a mole with a carbon dioxide laser, it is assumed that a burn has occurred and care is required after the mole is removed.The thermal energy of the carbon dioxide laser evaporates the mole tissue, but it also causes thermal damage to normal skin, causing burns.For this reason, wounds after mole removal heal more slowly than simple abrasions. You can leave the medical dressing on for XNUMX days. After XNUMX days have passed, you will be asked to remove the dressing yourself and wash the wound with tap water or a shower.Bacteria that can cause infection, such as grime and sweat, are also washed away.After that, you can apply a medical wound dressing or a commercially available wound power pad for another XNUMX days to complete healing. https://www.sakae-clinic.com/wound/p01.html?_ga=2.16767669.22389379.1637503973-1223386255.1510898913 Epithelialization on the face, which has good blood flow, can be completed after a few days of application, but on the body and extremities, especially the legs and back, blood flow is poor and epithelialization often does not occur even for a week, so it is not recommended to use the wound dressing for a long period of time. In order to delay the healing of the wound, even if it is a little sticky, you may dry it and wait for it to heal. Redness will remain for about XNUMX months, so avoid direct exposure to UV rays on the area where the mole was removed.If epithelialization is not completed when exposed to ultraviolet rays, pigmentation may occur.There is no need to take antibiotics unless there is an emergency.
2021 January 11

Mole removal raised shape

Reading Time: <1 minuteTreatment methods for mole removal vary depending on the location, size, type and shape of the mole.Naturally, if we suspect malignancy, we will remove the tissue and perform a pathological examination to determine whether it is malignant or not.Generally, if a dermascope does not show any malignant findings and all clearly benign moles are removed by excision, the scar after the excision is often more noticeable than the mole.The shape of the mole is classified as: XNUMX: Raised mole XNUMX: Slightly raised mole XNUMX: Flat mole However, raised moles can be easily removed and are less likely to leave scars.For about XNUMX years, mole removal has been performed using the evaporation method using carbon dioxide laser irradiation.When you hear the word laser, you have an image of cutting-edge technology, but the system of the carbon dioxide laser device itself is a system that was developed XNUMX years ago, and its principles have hardly evolved.The same is true in theory.Just because it's a carbon dioxide laser doesn't mean it can be removed completely.We remove moles at a low price with unlimited carbon dioxide laser irradiation.We receive many inquiries about cases where moles are not removed and only burn scars remain after being irradiated at medical institutions.Just because it's a carbon dioxide laser doesn't mean it can be removed completely.Especially for raised moles, our hospital recommends a method that uses high-frequency heat to carefully and precisely evaporate the mole tissue, avoiding post-burn scars and making the scar less noticeable.Do not use carbon dioxide laser irradiation.Of course, technically speaking, advanced techniques are required, but he can remove it very cleanly in most cases, and there are no noticeable scars after the surgery.For flat moles, the pigment extends to the deep layers of the dermis and subcutaneous tissue, so if you try to remove it completely at once, it will require evaporation treatment to the deep part, which can easily cause scarring, so it is difficult to completely remove it in one go. There are many cases.On that point, if you first evaporate the raised mole tissue until it becomes flat, the wound will heal beautifully and it will be difficult to leave a scar.If you are a specialist in moles, he will be able to diagnose which treatment is best and what care is required before surgery.
2021 January 11

Care after removing moles

Reading Time: <1 minuteMore important in mole treatment is post-treatment care than removal.No matter how clean it is removed, if care for the scars after removal of the mole is inadequate or inappropriate, there is an increased risk of scars remaining after removal.Whether it is excised, removed with a carbon dioxide laser, or removed with a high-frequency evaporation method, scratches will always occur after removing the mole.Proper care of this wound is important as it will determine if you are satisfied or unsatisfied as a result of the final mole removal.Cleanly remove moles with a carbon dioxide laser! !!I've seen an advertisement saying, is that true?Can a laser remove it cleanly?That's a pretty overstated expression.Selectively remove and eliminate pigment cells.This is the ultimate mole removal secret.A flat mole with a pigment in the deep part of the dermis. A mole called melanocytic nevus is more difficult to completely remove and has a higher recurrence rate than a raised mole.Removing with a carbon dioxide laser means that heat is concentrated on the mole tissue and the heat energy is used to evaporate the mole tissue.Since the constituents of moles can be considered to be equivalent to those of living organisms, it is assumed that they are roughly composed of XNUMX% water and XNUMX% protein.When heat is applied to this tissue, the part of the skin that comes into contact with the heat naturally becomes a burn.If the burn is in the shallow part of the dermis, granulation does not occur and epithelialization occurs rapidly, leaving almost no scars and healing.The important point of care after removing moles is how quickly care is taken to promote this epithelialization.The latest wound healing theory recommends care with hydrocolloid dressing that does not dry the wound.Naturally, disinfection of the wound is contraindicated.It is better to clean the wound every day.At our hospital, after removing the mole, a medical wound dressing is applied to the wound after applying an antibiotic ointment.Leave it as it is for XNUMX days in this state.Assuming that epithelialization progresses, after XNUMX days, remove the wound dressing and wash the wound with a shower, and then apply the wound dressing for another XNUMX days.This first care becomes very important in the process of healing the wound.Unlike the face, scars on the back and upper limbs after removing moles are significantly delayed in healing.In particular, the lower limbs need a period of time to heal more than three times as much as the face and the redness disappears.The wound process differs depending on the part of the body.From experience, the specialist understands which part of the scar heals faster or slower and gives guidance on its care. https://www.sakae-clinic.com/wound/ Mole scar care is important because it is a scar specialist.
2021 January 11

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
2021 January 11

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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