Evaluate Lesions

Evaluate Lesions

A skin lesion is a growth that develops on the skin. This may include seborrheic keratoses, moles, skin tag, lentigo and freckles. Skin lesions can be benign or malignant at times. This is why you need to get medical assistance and a complete Lesion Evaluation. Here at the Maryland Plastic Surgery pure med spa and cosmetic surgery center, we provide a comprehensive and collaborative team approach to the diagnosis and management of pigmented lesions.

My experience with Dr. Summers and his staff was superior. Everyone was very professional and helpful and all were eager to make you feel comfortable.

– Barbara F. Verified TrueReview®

Barbara F.
In line with the theme of this book, Invisible Worlds, here is our observation of the invisible and visible world created in this office. You demonstrate a love for your work and humanity, which expresses itself in the results that your patients experience. That you have a wonderful team working with you is clearly evidenced by the professional and congenial atmosphere that your staff has conveyed from the first consultation. We are grateful for all the positive changes you have brought into our lives. The good you have given to others will return to you multiplied abundantly.
David J.
Dr. Summers was recommended to me by a friend who had breast implants and a tummy tuck at the Maryland Plastic Surgery Center. She was delighted with the results. When she learned that I was interested in some facial work, she immediately told me that the best cosmetic surgeon in town is Adam Summers. She showed me the work he had done for her and I couldn’t believe how incredible she looked. I couldn’t even find her scars. I asked around some more and it turns out that Dr. Summers has quite a reputation for facelift surgery and is one of the few real experts for injections around the face. After my visit with him today, I had to let everyone know that if you are interested in any type of cosmetic procedure or surgery, you MUST visit Dr. Summers at his beautiful medical spa. He offers a complimentary appointment and was right on time. He spent an entire hour with me reviewing my concerns. Although it was late in the day and I know he had been working all day, he was kind and funny (and cute!) and made me feel very comfortable. I had some injections done and I look great. No, I look better than great! Truly, I’m thrilled with the results. This was the first time I had ever had anything done, and Dr. Summers made sure I was comfortable and that it was painless and that I looked just the way I wanted!

– Kathy S. Verified TrueReview®

Kathy S
Dr. Summers is always very meticulous and caring when treating me. He answers all of my questions and ensures the best result. He is always available for your concerns.

– Mamie A. Verified TrueReview®

Mamie Ambrose
Entire process was phenomenal! From the consult where all my questions were answered, to appointment scheduling, to the staff and nurses, to Dr. Summers compassion and exemplary skills as a surgeon.

– Christi S. Verified TrueReview®

Christi S.
I am 5’6″ tall with long blond, curly hair. I work for a real estate company in Maryland as a Lease Administrator. Prior to that, I worked for a Minnesota Senator on Capitol Hill. Even though I work out at the gym frequently, I had a few problem areas, which would not go away. Thanks to Dr. Summers’ cosmetic surgery team at the Maryland Plastic Surgery Center, I’ve had liposuction on my outer thighs, hips and stomach. Now my saddlebags are gone and I was able to buy a pair of hip hugger jeans! I’ll be 45 next month and will almost wear a size 6. I’m planning to return to have my inner thighs done very soon.

– Lynn F. Verified TrueReview®

Lynn F.
I was a size six and wanted to be at least a size four. After my laser liposuction procedure I am down to a size two! I am very happy with the results!

– Amanda J. Verified TrueReview®

Amanda J.
I have always been “shy” about my breast size…or lack there of…and had wanted implants from early on. After 3 children I still had no breasts and finally decided to “bite the bullet”. I had my procedure done in May of 2005 at the Maryland Plastic Surgery Center and loved, loved, loved the results… A couple months ago (and 4 years after my initial augmentation) I noticed some almost immediate volume decrease in my left breast. I called Dr. Summers office and his staff promptly set me up an appointment to check it out. Within less than a week I was back on the table having my implant replaced (at no cost to me) and it had turned out to be a defect in the implant valve. Dr. Summers was as amazing with my replacement implant as he was with the initial implant…which concerned me initially as I wrongly assumed that since it was covered under the warranty that I would not be as much of a “priority” as “paying” clients. I was certainly wrong about that aspect as Dr. Summers was more than willing to resolve my issue as quickly as possible. I am contemplating liposuction or maybe a tummy tuck… When I decide to do it Dr. Summers will be my first choice!! For anyone out there contemplating a procedure…set yourself up a consult with Dr. Summers…you will walk out of his office with confidence in him as your surgeon as well looking forward to a date for your procedure…what are you waiting for?– Lutisha Verified TrueReview®
I have known Dr. Stefan for over fourteen years and my experience with him and his staff has been outstanding.  I was extremely satisfied with my breast augmentation he preformed almost 14 years ago. I recently returned to Dr. Stefan to have a reaugmentation. Dr. Stefan is a very skillful, knowledgable, and caring doctor. He is absolutely amazing and does incredible work. I would highly recommend him to anyone looking for an exceptional plastic surgeon.
This wonderful doctor SAVED MY LIFE, and if it wasn’t for him… https://www.youtube.com/watch?v=VBZ_oLrKXZk

– Gayle A. Verified TrueReview®


Identifying pigmented lesions that are potentially melanoma is one of the most important and difficult tasks within dermatology.

Why should I have my skin lesions evaluated

Most skin lesions are benign; however, some concern has caused the patient to make an inquiry, and a correct diagnosis is important. The plethora of dermatologic conditions makes a correct diagnosis challenging. To combat this, the clinician must approach the evaluation of the lesion in a systematic way. In addition to the physical characteristics of the lesion, the patient’s demographics, presence of associated symptoms, related systemic disorders, and location and growth patterns of the lesion all give clues to adequately diagnose and treat.

The accurate diagnosis of any skin lesions can be made by histologic examination of a skin biopsy. However, clinicians must gain the clinical acumen to correctly identify common benign skin lesions and to distinguish those skin conditions that do need a biopsy and possible further treatment.


What to Expect

Initially, benign lesions must be differentiated from malignant lesions. This is best done by being familiar with characteristics of common malignant lesions. The clinician should try to categorize any skin lesion as one of the following: most likely benign, most likely malignant, or unclear. The last 2 categories should be biopsied. Once the benign nature of the lesions is assumed, the diagnosis must be made accurately in order to assess any future malignant potential. A critical caveat is that all benign lesions must be watched by the patient and examined by a clinician should any changes occur.

Lesion Evaluation  requires little preparation from you. If you’re having the evaluation done on an open wound or infected patch of skin, our doctors will have to remove any bandaging.

There are several ways your doctor may remove a sample of tissue. The method your doctor chooses for you will depend on the reason for the biopsy location, size, and type of your lesion or sore.

Before any type of biopsy, you’ll receive local anesthesia to numb the biopsy site. Possible methods of collecting a skin sample for biopsy include the following.

  • Shave biopsy: Your doctor will remove only the outermost layers of your skin with a special razor blade or scalpel.
  • Punch biopsy: This uses a small, tube-like instrument with a sharp end that works like a cookie cutter. Once the right sample is taken, your doctor will remove the skin sample with tweezers and close the incision with a single stitch.
  • Excisional biopsy: This is used to remove the entire lesion. Your doctor makes an incision and, going as deeply as necessary, removes the entire lesion. Several stitches are used to close the wound.
  • Incisional biopsy: This is used to remove a small part of a larger lesion. The procedure is the same as with the excisional biopsy.

If your doctor suspects that a growth is caused by the most aggressive form of skin cancer (melanoma), they will use an excisional biopsy to remove any potentially cancerous tissue along with a small border of healthy skin. The sample will then be sent to the lab for testing.

After the biopsy, the wound will be covered with gauze and other bandaging. You’ll be able to go home once the sample has been taken.



After the tissue sample is taken, it’s sent to a laboratory for testing. It usually takes about one week for the results to come back, but some tests can take longer. If it’s an emergency situation, like an aggressive infection or cancer, your doctor may put a rush on the results.

When the results of your tests are back, your doctor may discuss them with you over the phone or call you into their office for a follow-up appointment to share the results.

If your results show signs of cancer or other problems, your doctor will discuss the next course of action. This may include other tests or treatments.

Frequently Asked Questions About Evaluate Lesions:

Click on a question below to see the answer.

Q: How do I identify a suspicious lesion?

A: It is important to know your skin and what’s normal for you. This can be accomplished by monthly self-skin examinations.

Checking over your body regularly for any new growths and changes to preexisting moles is important to help identify suspicious lesions. Address any new, changing, or rapidly growing lesions with us.


Monthly self-examinations combined with routine dermatologic evaluations can greatly improve the likelihood of catching a skin cancer early and treating it effectively and efficiently.

When completing your self-examination, here is what to look for:

  • Changes in the size, shape, or color of a mole or growth.
  • A lesion that is rough, oozing, bleeding, or scaly.
  • A sore lesion that will not heal.
  • Pain, itching, or tenderness to a lesion


To get a full evaluation of your lesions do not hesitate to contact us right away for an appointment!

Q: How long will lesion evaluation take?

A: On average, a lesion evaluation  takes about half an hour.

Q: What do I do when my lesion is confirmed to be cancerous?

A: Relax, take a deep breath. We are here to help you. After the evaluation we will provide you with professional consultation and suggestions for the next steps to take.

Q: What kind of skin lesions can be removed?

A: There are many type of skin lesions. Here is a complete list of all skin lesions which can be removed:

  • Vascular Lesions
  • Telangiectasia
  • Rosacea
  • Cherry Angiomas
  • Spider Angiomas
  • Venous Lake
  • Blue Facial Veins
  • Hemangiomas
  • Port Wine Stains
  • Spider Veins
  • Neovascularization

Pigmented Lesions

  • Lentigines
  • Dermatosis Papulosis Nigra
  • Freckles

Cutaneous Lesions

  • Verruca
  • Keratoses
  • Skin Tags