Electrodessication is a novel technique in the treatment of NF-1 and is usually coupled with another type of skin procedure called curettage. Curettage uses a sharp tool called a curette to remove acne, boils, pimples, molluscum, and other similar types of skin-related problems. Curettage is usually followed by electrodessication.
Electrodessication is used with or without curettage for the removal of many different types of unwanted growths on the skin, such as skin tags, warts, molluscum, and seborrheic keratoses.
It can also remove neurofibromas, small tumors on the skin that form in large clusters. Instead of having each neurofibroma removed independently with a scalpel one after the other in different sittings, which can be quite painful, you can have all of them removed in just one sitting with electrodessication.
Electrodessication can be used to treat broken blood vessels and areas with sebaceous hyperplasia and can also remove certain types of moles.
Electrodessication has the following advantages:
Electrodessication is an outpatient procedure. First, the patient is given an anesthetic cream typically containing 1% lidocaine to apply on the area of the skin to be treated. This anesthetic cream will numb the area so that the patient doesn’t feel any pain or discomfort during the procedure.
The surgeon will use a curette – a small round instrument – between 1 mm and 6 mm to perform curettage. This involves slowly scraping off the top of the skin growth, working towards the deeper layers.
He will then use an electrosurgical device called a hyfrecator over the treated area. A strong electric current is passed into the tissue to dry it out, or desiccate it, and kill it. He will remove some of the top layers of the skin and use the curette again to get out as much of the skin growth as possible so that it doesn’t reoccur. Any denatured dermis will be removed completely until only living tissue is left behind in the area.
This can be done up to two or three times depending on whether the surgeon was able to get the entire skin growth.
After the procedure, a small scab usually forms over the treated area. It falls off in one to three weeks. Using a topical prescription cream can resolve the scab even faster.
There are numerous ways to address skin issues, and the technique you choose makes a big difference. For the most effective technique with the lowest risk of complications, it’s best to pay a visit to a skilled medical professional. Contact our office to arrange a consultation with Doctors Ordon and Chopra.
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