Which Surgical Procedure Removes Superficial Skin Lesions with Scraping?

Everyone with a mole, skin tag or warts always wants to know how they can get rid of them. But few people want to go through any surgical procedure that is truly invasive. So which surgical procedure removes superficial skin lesions with scraping?


There are different procedures that are non-invasive for removing superficial skin lesions. Such procedures include cryotherapy, scissor excision and shave excision. But they don’t all involve scraping.


Which Surgical Procedure Removes Superficial Skin Lesions with Scraping? – According to the Experts


Curettage, a medical term, is the surgical procedure that employs scraping to get rid of superficial skin lesions. In dermatological terms, it is actually called curettage and cautery, which is a form of electrosurgery. This procedure is done using a curette, a tool that looks much like a little spoon but with a really sharp edge.

The procedure is so minimally invasive, it is usually done in a doctor’s office, with you as an out-patient. And it doesn’t take a long time; you can be in and out to attend to other things on your to-do list.


Which Surgical Procedure Removes Superficial Skin Lesions with Scraping? – More Details

Before this procedure is used, it has to be ascertained that the skin condition is truly superficial and has no underlying disease or condition. If this is not exactly clear, it is best to visit your doctor.

This is because it could worsen the condition or accelerate its growth. It could also lead to infections. Not all superficial lesions are benign or harmless.

Skin lesions that are more malleable than the surrounding skin and are not painful can be scraped off using a curette. Such lesions include, but are not exclusive to, the following:

Which Surgical Procedure Removes Superficial Skin Lesions with Scraping?

Skin tags

Cutaneous squamous cell carcinoma


Actinic keratosis

Seborrheic keratosis


Basal cell carcinoma

Spider nevi


Which Surgical Procedure Removes Superficial Skin Lesions with Scraping? – Undergoing the Procedure

First, the skin surrounding the lesion has to be numbed with anesthetic, preferably a local one. This is to keep you from feeling any pain.

Second, the superficial lesion is scraped off using a curette.

Then, the top part of the open wound is cauterized with a needle or any other pointed metal instrument, to supply high-frequency current to it. What this does is to remove any other remnant tissue and to keep it from bleeding.

As an alternative to the electric current, aluminum chloride hexahydate can also keep the wound from bleeding. It is good at coagulating blood and sealing tiny blood vessels.


How to Take Care of the Wound after the Procedure

After the procedure and the dressing of the wound, there are home care tips for caring for the wound. When the anesthetic wears off, there will be some pain but that shouldn’t scare you. It is all part of the process.

To keep the wound from becoming infected and to speed up its healing:

Take some pain killers as prescribed, in order to ease off the pain.

Keep from putting pressure on the wound and its surrounding area.

Leave the dressing on the wound for as long as your doctor advises.

Let the wound remain dry for about 2 days or as advised. After that time, you can clean and dry it gently.

If it starts to bleed for any reason, gently apply some pressure on it using a clean cloth or towel for about 20 to 25 minutes. And if it keeps bleeding, see a doctor as soon as possible.

If the open wound or the area around it becomes painful and red, it could be infected. See a doctor immediately.


The Risks Involved


There is always the risk of scarring with this procedure. This is because the curette has to get all parts of the lesion. That move could leave a slight scar at the spot.

Usually, the scars are not hideous because the lesions are small to begin with. Your dermatologist can manage them so that their appearance would be barely there.

However, some people react differently to the healing process. While scars resulting from this procedure tend to be very small, theirs could be large and raised, instead of flat or depressed.

These types of scars have their own treatment to get rid of them but the thick skin from them may remain. But you could use creams or lotions, like the one below, to treat the scar if it isn’t so deep.

Mederma Advanced Scar Gel - 1x Daily: Use less, save more - Reduces the Appearance of Old & New Scars - #1 Doctor & Pharmacist Recommended Brand for Scars - 0.7 ounce


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Another class of potential risks involved with curettage and cautery is damage to the nerves. Removing a lesion from a skin area with a large and intricate network of nerves could permanently or temporarily damage some nerves.


Which Surgical Procedure Removes Superficial Skin Lesions with Scraping? – Our Conclusion

It is a safe way to get rid of skin lesions that remove from your looks or that are just unsightly. But if you are particular about scars, you may want to try another procedure that is less likely to leave any.









Ijeoma Chukwuemelie

Ijeoma is a wife, career woman and skincare enthusiast who believes everyone deserves a chance at having healthy skin.Having battled skin conditions from a very young age and won, she is writing from experience.The aim is to give others a look at skincare products and routines that actually work.She actively writes at www.skincareproductsguide.com

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