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Indications

• Malignancy
• Cosmesis

Procedure

1. Use small scalpel blade (10/15)
2. Make elliptical incision around lesion (along langer's lines to ensure good cosmesis)#
   • BCC/SCC: excise whole of lesion
   • Malignant melanoma: 1cm margin for 1mm / 2cm margin for 2mm / 3cm margin for 3mm
3. Incise under lesion to remove
4. Close skin with undyed subcutaneous non-absorbable suture