Many women find minor imperfections marring their otherwise flawless complexions, detracting from their overall appearance. This is especially true for those with facial nevi—a single stubborn spot can feel like an unwelcome flaw.
Facial nevus excision surgery offers a solution for women troubled by such concerns.
Indications for facial nevus excision include:
① Cases preliminarily diagnosed as junctional nevi, or those exhibiting premalignant changes such as color alteration, lesion enlargement, bleeding, or inflammatory changes.
② Lesions that are large, have a rough surface, nodular texture, or hair growth, significantly affecting appearance.
In essence, facial nevus excision is primarily suitable for junctional nevi, intradermal nevi, and compound nevi on the face that are small enough to be excised and sutured directly.
Among facial nevus excisions, excision and suturing of forehead nevi is the most common procedure.
The surgical procedure generally involves:
Designing an elliptical incision along the normal skin surrounding the nevus, with its long axis aligned with skin creases. Wedge-shaped excision of the pigmented nevus and a small amount of normal subcutaneous tissue is performed to ensure a relatively smooth incision after suturing. For smaller nevi, direct intradermal suturing with 3/0 non-absorbable suture may be used.Subcutaneous interrupted sutures are then placed using 5/0 non-absorbable sutures. For larger nevi, subcutaneous dissection is performed bilaterally along the excision margins to reduce tension, followed by two-layer suturing: dermal-subcutaneous and cutaneous.
Editor's Note: Modern women increasingly pursue aesthetic perfection. For facial birthmarks unresolved by skincare products, cosmetic surgery offers a solution. Those considering such procedures are encouraged to consult local hospitals for detailed evaluations.