Discoloured areas of skin can affect your self-esteem, especially if they appear on the face, upper chest or hands which are seen by others most frequently.


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These discoloured areas are pigmented lesions though frequently referred to as age spots, sun spots or liver spots.

Pigmented lesions are common and usually nothing to worry about.  However, if they are suspect, or you are worried about them, it’s best to seek medical advice as quickly as possible.  A pigmented lesion, just like a mole, may be cancerous depending on its shape and size, colour and age, and whether it has changed or started to bleed.  If you are concerned about discoloured patches on your skin, it’s best to seek medical advice for treatment or reassurance.

Our doctors have many years of experience in treating patients with pigmented lesions, so can carry out a biopsy to test the skin. If the lesion is cancerous it will need to be removed, of course.  However, even if it isn’t cancerous, you may choose to have it removed for cosmetic reasons. Pigmented lesion removal treatment is relatively straight-forward.

The first step is to attend an initial consultation at our clinic at the The Manchester Hospital.

During this visit, your pigmented lesion will be examined by one of our consultant plastic surgeons who will advise whether it is suspicious and discuss next steps with you. If it is suspicious, the lesion can be removed and a sample sent for testing.  If it is not suspicious, you can choose to continue to live with the lesion or have it removed.  All this can be discussed in detail at your initial consultation, our aim is to ensure you have the information you need to make an informed decision about your treatment.

If you decide to have the lesion removed, you will be invited back for surgery on a date which is convenient to you.  

Treatment will take place at The Pines Manchester Hospital, our state-of-the-art hospital exclusively for cosmetic surgery patients.

You will be given a local anaesthetic to numb the treatment area, and then your lesion will then be surgically removed with a scalpel.  This involves removing the pigmented lesion and a small margin of ‘normal’ coloured skin.  Our surgeons will follow the outline of the lesion as closely as possible, taking away only the skin that has to be removed.

The wound will sometimes be left to heal without stitches, so expect a light dressing to be applied immediately after treatment.  You will be given instructions for changing the dressing and keeping the area clean and offered a follow-up appointment, usually 7 – 10 days after treatment.

If your pigmented lesion is suspicious, it will be removed using the same technique as above, but a sample sent away for testing. 

We appreciate that you may be anxious about a suspicious pigmented lesion which is why our service is designed to be fast and efficient.  You will usually have the pigmented lesion removal treatment within a few days of your initial consultation and the results of the biopsy back within a fortnight.

Pigmented lesion removal does not require an overnight stay in hospital.

Patients are usually able to go home within an hour of treatment.  It’s a good idea to take it easy for a couple of days so that you avoid stretching or moving the affected area too much.  You will be prescribed with painkillers to ease any discomfort you may feel after your treatment.

Please get in touch to find out more or to book an initial consultation with one of our plastic surgeons to discuss whether pigmented lesion removal surgery is right for you.