Not all skin lesions are approached the exact same way. When you get evaluated by a plastic surgeon, the skin lesion in question will almost always get excised with sutures whether or not it may be the best technique in each situation. It makes sense that a skin lesion in question be evaluated by a board-certified dermatologist who can recommend the best options that are appropriate for each type of skin lesion to maximize eradication and to minimize scarring. For example, vascular laser for hemangioma, shave biopsy for a raised mole or suspicious growth, punch biopsy of a suspicious pigmented lesion, Diode laser for dermatosis papulosis nigra on face, liquid nitrogen cryotherapy for molluscum, etc. For removal of benign lesions, you should be prepared to pay out of pocket as they are almost never covered by insurance carriers unless there is a clinical suspicion or the lesion has brought about significant irritation or physical discomfort.