Thursday, June 6, 2013

Surgery And The Alternative - No More Moles Warts Or Skin Tags Method in Removing Undesirable Skin Moles

Background On Skin Moles Treatment

Several studies signify that skin moles are even somewhat suspicious for malignancy. In addition to the No More Moles Warts Or Skin Tags method , they may be eliminated by incisional biopsy or excisional biopsy or sampled for diagnosis. They can be acquired or congenital and may represent functional or structural abnormality.

Most of skin moles are painless and benign lesions but aesthetics push people to look for help. No perfect modality is yet offered due to aggressive approaches tend to produce postoperative scarring and superficial elimination procedures such as topical treatments often result in recurrence.

In recent years, several procedures of laser treatment have been applied but there are no comprehensive report comparing results. Skin moles commonly resist numerous of treatment modalities. Medical treatments for skin moles consist of systemic retinoids, topical combination of 5% 5-fluorouracil cream and tretinoin 0.1% cream, topical 13-cis-retinoic acid, topical podophyllin, topical 5-fluorouracil, topical and intralesional steroids, and topical calcipotriol. Efficacy of these modalities has been up-and-down, and recurrence is not unusual for some of these modalities.

Recent surgical modalities involve the latest Er:YAG laser, CO2 laser, argon laser, 585-nm flash lamp-pumped pulsed-dye laser, ruby laser, surgical excision, dermabrasion, and liquid nitrogen. Surgical excision has been acknowledged as the most effective therapy to prevent recurrence, but it leads to a permanent scar and other associated skin problems. However, results or outcomes are based on the ability and experience of the surgeon.

Guidelines on skin moles from the American Academy of Dermatology suggested a minimal incisional or excisional biopsy but they do not talk about the procedure of removal. The UK Guidelines for the Management of skin moles suggested that suspected areas be excised entirely (excisional biopsy) and sent for confirmatory examination.

Occasionally, cosmetic outcomes were not pleasing due to depressed scars. For the improvement of these complications, dermabrasion is a solution. Dermabrasion has been applied for several years to heal a diversity of dermatologic setting, as well as scar revision and facial skin resurfacing. Vaporization should expand only into papillary dermis. In addition, the predicted result after healing is hypopigmentation. However, it is more accurate and easier therapy than surgery, with less morbidity. Pathologist plays a critical role in the identification, as recurrent skin moles can be assumed as malignant.

Another way out for depressed scars is watchful curettage, leveling the borders and the focus of the scar and eliminating the hypo-or hyper-pigmented area. For hypertrophic scars, intra-lesion infiltration with corticosteroids is efficient. The efficacy the application of intra-lesion infiltration corticosteroid is high that is why this modality is provided to run bigger business then now on. Postoperative management by maintain of the surgical injury with soap and water and covering with antimicrobial cream and adhesive plaster leads to good cosmetic results.

The question therefore is what is the alternative treatment options. The potential answer is the No More Moles Warts Or Skin Tags Method, please make sure you check it out

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