As Dr. Ngoc Pham reminds me, I get far too much sun exposure for my skin’s good. Thank goodness, I have her knowledge and expertise as a wonderful provider of services for my skin care needs. As Head of Dermatology at the KP -Santa Clara, Dr. Pham also makes herself available to patients at the KP Cosmetic Services Dept. (San Jose). Her friendly demeanor and professionalism make each visit as successful and pleasant as can be. Her thorough exams frequently involve removal of both benign and pre-cancerous lesions and moles from my face, head and torso. She always presents a variety of options, recommending those which are least invasive and most cost-effective. Meeting my individual needs is always her top priority…she’s been great. I heartily recommend Dr. Pham to anyone needing the best in skin care.
Lesions (Tags, Moles, Growths)
Skin lesions, which can take many forms, are common, benign, age-related changes in our skin. These changes may include growths, spots, or other alterations that may vary in size, shape, and color. While most skin lesions are benign (non-cancerous), some can cause cosmetic concerns, discomfort, or, in rare cases, pose health risks. Understanding the different types of skin lesions, how they form, and the treatment options available is essential for managing your skin health. While not required before seeking a cosmetic consultation, we recommend speaking with your primary care physician about any skin lesion concerns.
Types of Skin Lesions
Skin Tags (Acrochordons)
Skin tags are small, soft, benign growths that typically appear on areas where skin rubs against skin or clothing, such as the neck, armpits, under the breasts, or groin. These growths are usually flesh-colored or slightly darker and are connected to the skin by a small stalk. Skin tags are most common in adults, particularly those who are overweight or have diabetes. While skin tags are not harmful, they can become irritated if rubbed, and many people opt to have them removed for cosmetic reasons at one of our cosmetic offices.
Moles (Nevus)
Moles are dark spots or growths that appear on the skin, often brown or black in color. They are typically round or oval and can vary in size. Moles are formed when pigment-producing cells (melanocytes) cluster together in one spot. While most moles are benign and common, some can develop into melanoma (a type of skin cancer), which is why it is important to monitor moles for changes in size, color, or shape. A mole may appear at birth (congenital mole) or develop over time. Moles may be raised or flat, and they can occur anywhere on the body. Benign moles can be removed at one of our cosmetic offices.
Seborrheic Keratosis
Seborrheic keratosis is a non-cancerous growth that typically appears as a wart-like or scaly spot on the skin. These growths are usually brown, black, or light tan and have a slightly elevated or rough texture. Seborrheic keratosis commonly appears in older adults and tends to grow slowly over time. Although they are harmless, some individuals opt to have them removed for cosmetic reasons or because they can become irritated by clothing or shaving. Seborrheic Keratoses can be removed at one of our cosmetic offices.
Cherry Angiomas
Cherry angiomas are small, red or purple growths that form when blood vessels in the skin become dilated. These lesions are typically raised and can range in size from tiny dots to larger raised spots. Cherry angiomas are benign and commonly appear on the trunk, arms, or shoulders as people age. Although they are not a medical concern, they can be removed for cosmetic reasons if they become irritated or unsightly at one of our cosmetic offices.
Dermatofibromas
Dermatofibromas are firm, raised growths that typically appear on the arms or legs. They are usually brown, tan, or reddish in color and often have a dimpled appearance when pressed. These benign growths are the result of an overproduction of collagen in the skin and are more common in women. Dermatofibromas are typically harmless (rarely can be dangerous), but some individuals choose to have them removed if they are bothersome or aesthetically unappealing.
How to Prevent Skin Lesions
While some skin lesions are genetic or age-related and cannot be prevented, there are steps you can take to minimize the risk of developing certain types of lesions:
- Wear Protective Clothing: When outdoors, wear protective clothing, such as hats, long sleeves, and sunglasses, to minimize sun exposure and protect your skin from UV damage.
- Protect Your Skin from the Sun: Ultraviolet (UV) radiation from the sun is a major factor in the development of many skin lesions, including sunspots, seborrheic keratosis, and pre-cancerous lesions. Use a broad-spectrum sunscreen with SPF 50 or higher daily, and avoid prolonged sun exposure, especially during peak hours (10 a.m. to 4 p.m.).
- Maintain Healthy Skin: Keep your skin clean, moisturized, and free from excess irritation. Avoid rubbing or picking at the skin, as this can lead to skin tags, scarring, or the development of other growths.
- Check Your Skin Regularly: Regularly inspect your skin for any new moles, growths, or changes in existing lesions. Early detection of suspicious moles can help identify skin cancer before it spreads. If you notice any changes, schedule an appointment with your physician.
Treatments for Skin Lesions
We offer several cosmetic treatments for the removal of benign skin lesions. Depending on the type of lesion and its location, the best method of removal will vary. Book a consultation here:
Cryotherapy (Liquid Nitrogen Treatment)
Cryotherapy is a common method for removing skin lesions such as skin tags, seborrheic keratosis, and cherry angiomas. This treatment involves applying liquid nitrogen to freeze the lesion, causing it to fall off over time. Cryotherapy is quick, minimally invasive, and typically requires no downtime.
Shave Removal
For raised skin lesions, surgical removal may be necessary. This method involves shaving off the lesion leaving the area skin flush with surrounding skin. Shave removal is often used for raised seborrheic keratoses and moles. This treatment may require local anesthesia, and the area may need some time to heal after removal.
Excision or Surgical Removal
For larger or deeper skin lesions, surgical excision may be necessary. This method involves cutting out the lesion and stitching the skin back together. Excision is often used for moles, dermatofibromas, and seborrheic keratosis. This treatment may require local anesthesia, and the area may need some time to heal after removal.
Laser Treatment
Laser treatments can be used to remove certain skin lesions, including moles, skin tags, and seborrheic keratosis. The laser targets the lesion, vaporizing the cells and leaving the surrounding skin unharmed. This is a non-invasive procedure with minimal discomfort and a quick recovery time.
Electrodesiccation and Curettage (EDC)
This treatment involves using an electric current to burn off skin lesions, followed by scraping the lesion away using a curette (a small surgical instrument). Electrodesiccation and curettage are commonly used for seborrheic keratosis, and other non-cancerous growths.
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