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 Anuradha Jindal, Speaker at Dermatology Conferences
Kasturba Medical college, Manipal, India
Title : Mole excision - How to heal faster and scarless?

Abstract:

A mole can be excised using various techniques like radio-frequency, surgical elliptical excision, shave excision, punch excision, using Q switched Nd.yag laser or canon dioxide laser. The most common issue faced post excision is the recurrence of the nevus for which dermatosurgeon has to do the excision till mid dermis minimum. Any procedure done beyond the level of epidermis has higher chances of scarring and has more downtime.
Combining punch excision with platelet rich fibrin (PRF) provides adequate network for healing and reduces the downtime drastically and gives more promising result.
We performed punch excision for 6 mm mole located over forehead and nose in two young patients and compared their healing time and results post excision. While the patient without PRF took 40 days to heal, the patient with PRF took almost 10 days to achieve the same amount of healing and scarring was also minimal in patient with PRF as compared.
Procedure -
Dermoscopy was performed using dermlite 3 and size of the punch was decided.
10 ml of patients blood was collected in sterile test tube with no anti-coagulant and kept for centrifugation at 3000 rpm for 10 minutes. The PRF plug was extracted and cut into smaller pieces and filled inside the wound created after punch excision. Dressing with waterproof bandage was done and kept for 1 week in situ.
Conclusion -
Combination of PRF with punch excision gives better aesthetic outcome with lesser downtime and side effects.

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