A member asked:

Can intradermal nevi on the face be removed by shave excision or do they require a different method and stitches? dermatologist says shave excision and cauterization without sutures, but plastic surgeon says no shave & requires incision and sutures?

A doctor has provided 1 answer
Dr. Deborah Josefson answered

Specializes in Internal Medicine

As a pathologist, I would be more comfortable with the approach of the plastic surgeon. Neither the dermatologist nor the plastic surgeon can determine if it is an intradermal nevus or a melanoma with 100% certainty. This requires biopsy and a pathological examination, When the skin is cauterized, it makes it difficult to "read" so if there was a lesion on the resection margin, it can be missed.

Answered 9/29/2023

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