Cosmetic surgery for superficial facial lesions; our experience with radiosurgical excision

Introduction Over the past few decades, different ablative and nonablative modalities for skin resurfacing and rejuvenation have been innovated, each having its merits and demerits. For superficial facial cutaneous lesions, the radiosurgical technique with art of curettage (Surgitron®) is an effective modality. It develops a wave of electrons (2 to 4 MHz) that leaves the unit through the handpiece, which in turn may be used for cutting, cutting with coagulation; or for hemostasis. Objective To assess the aesthetic result of the radiosurgical excision of superficial facial lesions. Patients and methods This prospective clinical study was conducted at a private cosmetic surgery centre from 1st January 2007 to 30th June 2008. All lesions were excised in local anesthesia with epinephrine. The electrode was held at right angle to the skin and bulk of lesion was removed using cutting current. The unit was then turned to the combination cutting-coagulation mode and with light and continuous strokes the remaining lesion was removed. Bleeding was easily controlled by coagulation mode. Results Using Surgitron®, 55 different facial cutaneous lesions were excised. The commonest lesions were skin tags and nevi. No complication was seen in any of our patients. During follow up, a second session was required in 5 patients. The post operative aesthetic results were satisfactory in all cases. Conclusion The technique of radiosurgical excision is simple, less invasive, with minimum scarring and good aesthetic results