SKIN SURGERY

DERMATOLOGIC SURGERY — CLINICAL APPROACH

Dermatologic surgery at International Vein & Skin Institute is guided by careful diagnosis, procedural judgment, and current medical standards, rather than cosmetic trends or volume-based care.

Treatment decisions are based on:

• Clinical examination and dermoscopic findings
• Pathology results, when biopsy is performed
• Established medical literature and procedural guidelines
• Individual patient anatomy, skin type, and lesion behavior

Surgical techniques — including biopsy, excision, and CO₂ laser–based procedures — are selected to balance safety, diagnostic integrity, precision, and appropriate tissue removal, with the goal of achieving reliable medical outcomes while minimizing unnecessary trauma.

All procedures are personally performed by Dr. Jozef Tryzno, MD, RVT, DABVLM, with more than 25 years of experience in procedural dermatology and laser-based skin surgery.

Request Skin Surgery Evaluation 📞 Call (847) 518-9999

SKIN SURGERY SERVICES OFFERED

Procedures may include:

• Aspiration, incision, and drainage of inflamed or infected lesions
  (abscesses, furuncles, cysts)
• Shave or punch biopsy of suspicious or diagnostically unclear lesions
• Surgical excision of:
  • Melanocytic nevi (moles)
  • Epidermal and pilar cysts
  • Selected lipomas (limited by size and location)
  • Other benign or malignant lesions, as medically appropriate
• Surgical excision of skin cancers, including:
  • Basal cell carcinoma (BCC), when appropriate
  • Squamous cell carcinoma (SCC), when appropriate
• CO₂ laser excision or ablation of:
  • Premalignant lesions (e.g., actinic keratoses)
  • Selected benign growths
  • Lesions requiring precise tissue removal
• Non-ablative laser treatment of selected vascular lesions
• CO₂ laser ablation for cosmetic improvement, when medically appropriate
  (e.g., facial growths, seborrheic keratoses, skin tags)
• Photodynamic therapy (PDT) for actinic keratoses

Procedures are performed using established, reproducible techniques with demonstrated effectiveness in clinical practice.

TIMING, INSURANCE & CARE PLANNING

• Urgent or inflamed conditions may be treated the same day, when appropriate
• Insurance coverage is reviewed prior to procedures when applicable
• For self-pay or out-of-network care, clear cost estimates are provided at the visit

ROLE OF THE CO₂ LASER IN SKIN SURGERY

Depending on the diagnosis and anatomic location, the CO₂ laser may be used to:

• Perform surgical incision or excision of skin lesions
• Ablate (evaporate) tissue in a controlled manner
• Reduce intra-procedural bleeding through laser coagulation
• Improve precision in facial and sun-exposed areas

The CO₂ laser is not used when tissue preservation is required for margin assessment or histopathologic diagnosis.
The choice between biopsy, excision, or CO₂ laser ablation is individualized and based on lesion type, depth, location, and pathology requirements.

CLINICAL DECISION-MAKING AND PROCEDURAL SELECTION

Not every skin lesion requires immediate removal, and not every lesion should be treated with the same technique.

Appropriate dermatologic surgery begins with determining:

• Whether intervention is necessary
• Which method is safest
• What diagnostic information must be preserved

In some cases, observation or medical management may be recommended.
When a procedure is indicated, the selected method — biopsy, excision, or CO₂ laser–based removal — is chosen to ensure diagnostic accuracy, appropriate margin control, and predictable healing, based on the lesion’s characteristics.

DIAGNOSTIC ACCURACY BEFORE DESTRUCTION

Ablative or destructive techniques are performed only after malignancy has been excluded or when pathology requirements have been satisfied.

Lesions with uncertain behavior, atypical features, or risk factors for malignancy are evaluated using biopsy prior to definitive treatment.

This approach helps prevent:

• Delayed diagnosis
• Incomplete treatment
• Inappropriate cosmetic intervention of lesions requiring surgical or oncologic management

FUNCTIONAL AND ANATOMIC CONSIDERATIONS

Special attention is given to lesions located in cosmetically and functionally sensitive areas, including the face, eyelids, nose, ears, lips, scalp, and hands.

Procedural planning accounts for:

• Skin thickness and underlying structures
• Healing characteristics and scar risk
• Functional preservation
• Need for precision and controlled tissue removal

CO₂ laser–assisted techniques may be particularly useful in these settings when appropriate, due to their ability to deliver controlled cutting or ablation with minimal collateral tissue injury.

CONTINUITY OF CARE AND FOLLOW-UP

Dermatologic surgery does not end with lesion removal.

Post-procedure care, pathology review, and follow-up recommendations are integral parts of treatment. When pathology is obtained, results are reviewed and discussed with the patient, including whether additional treatment, margin extension, or surveillance is recommended.

Follow-up planning is individualized based on diagnosis, risk profile, and healing response.

Medical and Cosmetic Care

Skin surgery at IVSI is performed to address a wide range of patient concerns, including medically necessary conditions and procedures requested for cosmetic improvement.

Every case begins with proper medical evaluation to ensure accurate diagnosis, appropriate treatment selection, and patient safety. When a procedure is medically indicated, care is guided by clinical findings and pathology when required. When treatment is requested for cosmetic reasons, options are discussed transparently, with clear expectations regarding outcomes, healing, and insurance coverage.

SCHEDULE A CONSULTATION

If you have a skin lesion, growth, or condition requiring evaluation or procedural care:

📞 Call (847) 518-9999

Medical Disclaimer

The information on this page is provided for educational purposes only and does not replace professional medical evaluation, diagnosis, or treatment. Treatment recommendations are based on individual clinical findings, diagnostic testing when indicated, and patient-specific factors. Outcomes may vary, and no specific medical or cosmetic result can be guaranteed.