How to Remove a Pigmented Birthmark on Cheek?

Pigmented lesions should be fully excised to rule out dysplasia or changes. This is performed under local anesthesia by board certified plastic surgeons. It is important that the lesion been sent for pathologic analysis. If the lesion is large and in an area in which scarring is of concern, it can be excised in two or more sessions to reduce the size of the ultimate scar which would result.

The only safe method to remove a large pigmented lesion is for a total excision. For this you should see a board certified plastic surgeon or a dermatologist who concentrates on facial surgery. It is important that you have a pathologic diagnosis. With the proliferation of medi-spas, often with "medical directors" from all kinds of non-skin related specialties ( in our area we have them owned/run by neurologists, dentists, radiologists, gynecologists etc. ) you may be... more

Generally, large or changing pigmented lesions should be removed and examined by a pathologist. IT is best to remove them entirely in one setting if possible. IF not, the alternatives are to remove them in stages or with use of reconstructive techniques.