Shave excision is a method of removing skin lesions present on the epidermis or dermis (superficial layers) of the skin. It is indicated for lesions that are raised above the level of the skin and do not involve a major part of the skin layers, such as fibrous papules of the nose and seborrheic keratoses.
Shave excision is performed under local anaesthesia. Your surgeon uses a sharp blade held horizontal to the skin to slice the base of the lesion with repetitive unidirectional strokes. After removing the lesion, your doctor may perform electrosurgical feathering (high-frequency electric current passed through an electrode) to soothe the wound edges, blending the wound with the surrounding tissue, and remove additional cells from the edges. Bleeding is stopped and the wound in covered with a sterile bandage to allow healing. A sample of the skin growth is sent for pathological analysis.
Shave excision is a fast and simple procedure that does not require suturing to close the wound.