Dermatologic surgery in Calgary

Dermatologic Surgeryat Rejuvenation Dermatology Calgary South.

Skin cancers, suspicious moles, cysts, lipomas, keloids and scars are removed or repaired under local anaesthetic, in the clinic, usually in a single visit. Every specimen goes to pathology. Dr. Paul Kuzel, a board-certified dermatologist, performs every procedure himself, with the closure planned for the best scar the site allows.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What dermatologic surgery is

Local anaesthetic, one visit, and a pathology report.

Most skin surgery does not need a hospital. It needs a physician who knows what the lesion is, removes it with the right margin, closes it well, and reads the report that comes back.

Diagnosis firstEvery lesion is examined with a dermatoscope. Where the diagnosis is not certain, a biopsy comes before a definitive excision, so the margin is planned for what the lesion actually is.
Removal with the right marginA benign cyst needs its wall. A basal cell carcinoma needs a few millimetres. A melanoma needs a wide local excision measured to its depth. The margin is a medical decision, not a cosmetic one.
Closure for the scarIncisions are placed along natural skin lines and closed in layers. The scar is planned before the first cut, and revised later if it needs to be.
Skin cancer surgery

Biopsy, excision and wide local excision.

Skin cancer surgery is medical, covered by Alberta Health Care with a referral, and performed by the dermatologist who made the diagnosis.

Diagnosis

Skin biopsy

A shave, punch or small excision under local anaesthetic to confirm what a lesion is before it is treated. Results in one to two weeks.

Skin checks
Basal and squamous

Cancer excisions

Basal cell and squamous cell carcinomas removed with a measured margin and closed in layers. Margins confirmed by pathology.

Cancer excisions
Melanoma

Wide local excisions

The definitive surgery for melanoma and high-risk lesions, with a margin set by the depth on the biopsy report.

Wide local excisions
The conditions

Skin cancer

Basal cell, squamous cell and melanoma: what they look like, how they are found, and how each is treated.

Skin cancer
Lumps and growths

Lesions, lipomas, cysts and moles.

Benign growths are removed because they are bothersome, catching, growing, infected or unwanted. All of them are examined first and sent to pathology after.

Any growth

Lesion excisions

Moles, dermatofibromas, keratoses and any lesion that needs a pathology answer, removed by excision or shave.

Lesion excisions
Under the skin

Lipoma and cyst removal

Fatty lumps and epidermoid or pilar cysts removed whole, with the cyst wall, so they do not return.

Lipoma and cyst removal
Appearance

Cosmetic mole removal

Harmless moles removed by shave or excision for the best scar, after dermoscopy, and always sent to pathology.

Cosmetic mole removal
Laser

CO2 laser lesion removal

Skin tags, seborrhoeic keratoses, xanthelasma and warts vaporised with minimal scarring where no pathology is needed.

CO2 laser lesion removal
Scars and keloids

Revision, subcision and keloid surgery.

Scars are improved rather than erased. The method depends on the scar: raised, depressed, tethered, tight or wide.

Raised and growing

Keloid surgery

Steroid injection first, excision with injection where needed, and a prevention plan, because keloids recur if surgery is done alone.

Keloid surgery
Any scar

Scar revision

Surgical re-excision, subcision for tethered scars, punch excision for ice-pick scars, injection for raised ones, and laser for colour and texture.

Scar revision
Acne

Acne scarring

Boxcar, rolling and ice-pick scars each need a different procedure, usually combined with resurfacing.

Acne and acne scarring
After surgery

Laser for surgical scars

VBeam for red scars and fractional CO2 for textured ones, started once the scar has matured.

Lumenis AcuPulse
Referred onward

Mohs, plastic surgery and hair transplant.

Some procedures belong with a colleague. Dr. Kuzel refers directly and keeps the diagnosis and follow-up in the clinic.

Mohs surgeryFor basal and squamous cell carcinomas on the nose, eyelids, lips and ears, or recurrent tumours, where tissue is precious and margins are checked during the operation. Referred to a Mohs surgeon with the biopsy result.
Plastic and reconstructive surgeryLarge defects, flaps and grafts after cancer surgery, and cosmetic surgery of the face and body, are referred to a plastic surgeon.
Why a dermatologist

The person who diagnoses it should be the person who removes it.

Skin surgery goes wrong in two ways: the wrong lesion is removed with the wrong margin, or the right lesion leaves the wrong scar. Both are prevented by training.

Dermoscopy and pathologyDr. Kuzel examines every lesion before surgery, reads every pathology report himself, and calls when a margin needs re-excision.
Margins by diagnosisThe margin for a basal cell carcinoma, a squamous cell carcinoma and a melanoma are different and evidence-based. Too little means recurrence; too much means an unnecessary scar.
Closure and scarIncision along relaxed skin tension lines, layered closure, and the option of laser or injection later. The scar is part of the plan.
Follow-upSuture removal, wound review and the report at one to two weeks; skin checks afterward at the interval the diagnosis needs.
Your visit

Consultation, procedure, and the report.

Small procedures are often done at the first visit. Larger excisions are booked after consultation.

ConsultationThe lesion, its history, your medications including blood thinners, allergies and any history of keloids or poor healing.
Examination and planDermoscopy, a biopsy where needed, and the procedure explained with its scar and the alternatives. The price is confirmed for cosmetic procedures.
ProcedureLocal anaesthetic. Most excisions take twenty to forty-five minutes. You leave with a dressing and written wound care.
Sutures and reportSutures out at five to fourteen days depending on the site. The pathology report is reviewed with you.
Follow-upScar review at three months. Skin checks at the interval your diagnosis needs.
Aftercare

Wound care and what to expect.

Simple wound care makes the difference between a fine scar and a wide one.

After the procedure

  • Keep the dressing dry for twenty-four to forty-eight hours, then wash gently and apply ointment daily under a fresh dressing
  • No heavy lifting, stretching or exercise that pulls on the wound until sutures are out; longer for the back, shoulder and leg
  • Bruising and mild swelling are normal; simple analgesics are usually enough
  • Sutures out at five to seven days on the face, ten to fourteen on the body
  • Silicone gel or tape on the scar from two weeks, and SPF 50 on it for a year
  • Contact the clinic for bleeding that does not stop with ten minutes of pressure, spreading redness, pus, fever, or a wound that opens
  • Blood thinners are usually continued; tell Dr. Kuzel what you take and do not stop them without advice

Booking and fees

Skin cancer surgery, biopsies, and removal of symptomatic or suspicious lesions are covered by Alberta Health Care with a referral. Removal of a harmless lesion for appearance is cosmetic, priced per lesion and quoted at consultation.

Referrals by fax to (403) 225-2914. Call (403) 286-6888 for current pricing.

Questions

Questions about skin surgery, answered.

Do I need a referral?

For skin cancer, biopsies and removal of symptomatic or suspicious lesions, a referral from your family physician allows Alberta Health Care to cover the procedure. Cosmetic removal needs no referral.

Will it leave a scar?

Every incision leaves a scar. The aim is a fine, flat, pale line placed along a natural skin fold. Incision placement, layered closure, silicone and sun protection all reduce it, and a scar that heals poorly can be revised.

Does it hurt?

The anaesthetic injection stings for a few seconds; the procedure itself is painless. Afterward the site is sore for a day or two and simple analgesics are enough.

Is everything sent to pathology?

Yes. Every excised lesion, including cosmetic mole removals, is examined by a pathologist. A lesion that looks harmless occasionally is not.

How long does it take to heal?

Sutures come out at five to fourteen days. The scar is pink for two to three months and matures over a year. Most people return to desk work the same or next day.

Can moles be removed by laser instead?

No. Moles are removed surgically and sent to pathology. Laser destroys the tissue a pathologist needs and can hide a melanoma. Skin tags, keratoses and other non-mole growths can be lasered.

What if the margin comes back involved?

Dr. Kuzel reads every report. If a margin is involved, the area is re-excised, or referred for Mohs surgery where the site calls for it. You are told either way.

Can I keep taking blood thinners?

Usually yes. Stopping them carries more risk than a little extra bleeding, which is managed at the time. Tell Dr. Kuzel everything you take.

How much does cosmetic removal cost in Calgary?

Cosmetic removal is priced per lesion by size and site and quoted at consultation. Call (403) 286-6888 for current pricing.

Who performs the surgery?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, examines every lesion and performs every procedure personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. A referral covers medical surgery; none is needed for cosmetic removal.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.