Skin Surgery Services at IVSI

Procedural Dermatology — What We Do and How It’s Performed

International Vein & Skin Institute offers a range of in-office procedures used to diagnose, remove, or manage skin lesions. Each procedure is selected based on lesion type, depth, location, diagnostic needs, and healing considerations.

All procedures are personally performed by Dr. Tryzno in the clinic using sterile technique, appropriate anesthesia, and established medical standards. Surgical CO₂ laser technology is used selectively as a cutting or ablative instrument when it offers advantages in precision, bleeding control, or cosmetic outcome.

DIAGNOSTIC BIOPSY PROCEDURES

Biopsy procedures are performed to establish or confirm the diagnosis of a skin lesion when clinical examination alone is not sufficient.

PUNCH BIOPSY

A punch biopsy removes a full-thickness cylindrical sample of skin.

How it is performed:

Local anesthesia is administered
A circular punch instrument removes a small full-thickness skin sample
The wound is always closed with 1–2 sutures
Tissue is sent for pathology examination

This method preserves tissue architecture and is commonly used for inflammatory conditions, pigmented lesions, or lesions requiring depth assessment.

SHAVE BIOPSY

A shave biopsy removes the raised portion of a lesion at the skin surface.

How it is performed:

Local anesthesia when needed
Lesion is removed using a shave instrument or fine tissue scissors, depending on size
Bleeding is controlled using CO₂ laser coagulation
Sutures are typically not required
Tissue is submitted for pathology examination

Shave biopsy is often used for raised, superficial lesions when full-thickness sampling is not required.

EXCISIONAL BIOPSY

An excisional biopsy removes the entire lesion with a narrow margin for diagnostic purposes.

How it is performed:

Local anesthesia
Incision performed using a surgical CO₂ laser in cutting mode
A small surrounding margin is included
Wound is closed with simple sutures
Tissue is sent for pathology examination

This technique is used when complete removal is desired and tissue preservation is important.

THERAPEUTIC SKIN PROCEDURES

SURGICAL EXCISION

Surgical excision is performed to remove a lesion in its entirety with margins appropriate to the diagnosis.

How it is performed:

Incision performed using a surgical CO₂ laser in cutting mode
Lesion removed with appropriate margins
Wound closed in 1–3 layers, depending on size and location
Suturing technique follows accepted medical standards
Tissue sent for pathology when indicated

This approach is used when complete removal is required while preserving surrounding healthy tissue, with margin selection based on clinical findings and diagnostic needs.

INCISION & DRAINAGE (I&D) — CYSTS & ABSCESSES

Incision and drainage is performed for inflamed, infected, or ruptured cysts and abscesses.

How it is performed:

Local anesthesia
Controlled incision to release contents
Cavity is irrigated
Packing or a drain may be placed when indicated to allow continued drainage
Wound may be partially closed or left open
Healing may occur by secondary intention

This procedure relieves infection and pressure but does not remove the cyst wall unless followed by later excision once inflammation has resolved.

LASER-BASED PROCEDURES

CO₂ LASER ABLATION / EVAPORATION (ABLATIVE LASER)

Ablative surgical CO₂ laser removes tissue by controlled vaporization.

How it is used:

Precise removal of selected lesions
Excellent bleeding control
Particularly useful in facial and cosmetically sensitive areas
Healing occurs through re-epithelialization

This is a surgical laser, not a cosmetic light treatment.

NON-ABLATIVE LASER TREATMENT (VASCULAR LESIONS)

Non-ablative lasers target blood vessels without removing skin tissue.

Used for:

Cherry angiomas
Small pyogenic granulomas
Selected superficial vascular lesions

The skin surface remains intact while treated vessels collapse over time.

IMPORTANT CONSIDERATIONS & POST-PROCEDURE CARE

After your procedure, what you do next matters.

Careful adherence to post-operative instructions during the first few weeks is essential to support proper healing and reduce complications.

SCARRING AND HEALING EXPECTATIONS

A permanent scar is an expected outcome of every surgical skin procedure
Meticulous wound care and timely follow-up help reduce the risk of unfavorable scarring
Some individuals may develop prominent scars despite appropriate care
Avoid touching, squeezing, or irritating the healing area
Friction from clothing, straps, or accessories should be avoided

Certain age groups and skin types are more prone to hypertrophic or keloid scarring.

SUTURED WOUNDS — RISK OF DEHISCENCE

Healing wounds are sensitive to tension and movement.

Excessive motion may cause sutures to pull through tissue, leading to wound separation
High-risk areas include the back, calves, jawline, mouth, and other high-mobility regions
Activities such as running, squatting, bicycling, heavy lifting, excessive chewing, gum chewing, or exaggerated facial expressions may need to be avoided
Back excisions are particularly prone to tension-related healing issues

Specific activity restrictions are discussed based on procedure location.

A SHARED RESPONSIBILITY FOR HEALING

Every procedure at IVSI is performed using careful technique, appropriate planning, and established medical standards. However, healing after surgery is just as important as the procedure itself.

While surgical technique determines how a wound begins to heal, the final outcome depends heavily on how the treated area is cared for during recovery.

Healing is a shared process:

The procedure is performed by the physician
The healing process continues in the patient’s hands

Clear instructions are provided, and follow-up is available whenever questions arise.

Learn more about our overall approach to Skin Surgery

SCHEDULE AN EVALUATION

📞 Call (847) 518-9999 to arrange a consultation with Dr. Jozef Tryzno

MEDICAL DISCLAIMER

This information is provided for educational purposes only and does not replace individualized medical evaluation. Procedural recommendations depend on clinical findings, diagnostic requirements, and patient-specific factors. Healing and cosmetic outcomes may vary.