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.

This was my second major procedure with Dr Summers, having had a major tummy tuck in 2005 with which I was thrilled! The breast lift and aug was as pain-free as possible, I was prepped accordingly with information, risks and self-care…and when a fear arose afterwords that I wasnt healing in the manner I THOUGHT I should be, Dr Summers put my mind at ease immediately, as did the entire staff, by giving me the facts I needed to proceed with confidence.

– Beth H. (Frederick, MD) Verified TrueReview®

Beth H. (Frederick, MD)
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.
J.F.
The staff at the Maryland Plastic Surgery Center was excellent with assisting me with all questions and concerns. Dr. Summers is very precise in his work. I would recommend him to anyone I know. They are all wonderful. Thank you. Great job!

– Joan F. Verified TrueReview®

Joan F
Dr. Summers and the MD Plastic Surgery staff were incredible. Dr. Summers made me feel very comfortable about my procedure, as I was very nervous about having it done. The staff was warm and welcoming, caring, and I could tell they were genuinely interested in my well-being, satisfaction with the results, and recovery. As for the procedure, Dr. Summers did an excellent job, my recovery and results, quite amazing! I recovered fast and now it’s been 7 months and I am SUPER happy with my neck! This procedure has allowed me to feel so much better about myself and given me a new sense of confidence. Thank you MD Plastic Surgery!

– G.D. Verified TrueReview®

G.D.
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.
I am a 33 year old mother of three and I’ve wanted to have breast augmentation surgery for several years. I went from a large C-cup size to less than a A-cup after have my third child, but two things held me back. One was the fear of things going wrong and the other was financial. One day I sat down to my computer and went online to research cosmetic surgery and I came across Dr. Summers’ website and I am very pleased that I did. Everyone I have come in contact with has been great. I am very pleased with Dr. Summers, he has been nothing short of excellent throughout the entire process. He shows how much he cares for both you and your health from day one. Every member of his staff has been excellent as well. I felt very comfortable and confident throughout the entire process, including the day of surgery. The surgery itself went great, I experienced very little pain, most was managed with Advil instead of the prescription pain killer I was prescribed. I can not say enough how smoothly all of this has gone, I am now three months post-surgery and in a D-cup, and I now have the confidence I always feel I have lacked. For any woman who has gone through what childbirth does to your body or just wants to have breast augmentation surgery, it is more than worth it and I would highly recommend the Maryland Plastic Surgery Center.

– Heather A. (Annapolis, MD) Verified TrueReview®

Heather A. (Annapolis, MD)
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 TrueReviews®

Kathy S.
Because of a terrible car crash in 1995, I have been unable to breathe correctly and I have not looked like myself for a long time. My breathing became unbearable and then I was so lucky to have found Dr. Summers. My rhinoplasty surgery has changed me so much. My breathing is so much better now and I finally have a bridge on my nose again. I used to think my lungs were not working properly. It is so amazing how much better I can breathe now. I am very happy about my nose, too. I have felt very ugly inside but never let it get me down or change me but now it feels good to look like my old self again. It’s a blessing that I met Dr. Summers and I am so very grateful that I was so lucky to have him as my surgeon. I found out that all the research I did on Dr. Summers is better than I expected…I found that he was the best around, but in my eyes’, he is the best ALL AROUND! Thank you! You have changed my life…

– Lailani R. Verified TrueReview®

Lailani R.
I had been interested in getting a breast augmentation for over 15 years but was worried about having elective surgery as well as the safety of implants. After I discovered a co-worker had implants and told me about Dr. Summers I took it as a sign. Dr. Summers and his staff were very patient and informative with all the questions and concerns I had. Never once did I feel they dismissed my concerns nor made me feel I was wasting their time with my nervousness. I determined that if I was going to undergo surgery that I would attempt laser liposuction on some stubborn areas on my abs, hips, and thighs. Dr. Summers was very professional and competent but what stood out for me was that he talked to me about diet and lifestyle changes that would be necessary to get the complete results I wanted. I was extremely pleased with the results of my augmentation and feel like the lipo gave me the kick start I needed to get me on the path to making those lifestyle changes. I can easily say I’m now in the best shape of my life! Thank you Dr. Summers!

– Jillian S. Verified TrueReview®

Jillian S.
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.

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.

 

Outcome

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