Round excision of small, benign, papular and dome-shaped melanocytic nevi on the face

Abstract

Background: Patients frequently request the removal of benign, papular and dome-shaped nevi for cosmetic or functional reasons. Total excision is probably the most widely used method of removal.

Aim: To introduce the round excision technique for the treatment of benign, papular and dome-shaped nevi on the face.

Methods: In a prospective study, 36 benign, papular or dome-shaped nevi of all types were removed by the round excision technique. The lesions were circumscribed with a number 15 scalpel blade, 2 mm beyond the limits, with incision to the full depth of the dermis, and removed by cutting horizontally at the maximum depth of the circular incision. Histologic examinations were performed for all specimens.

Results: Complete removal of nevi was achieved in all patients with excellent or good cosmetic results. Of the 36 nevi, 24 were intradermal and 12 were compound nevi. Dog-ear formation was observed in only one patient.

Conclusion: Round excision may be a better alternative to conventional fusiform or shave excision of benign, dome-shaped or papular nevi of the face.