If you have pigmented moles, suspicious lesions or other troublesome skin conditions, you should see Dr Jennifer Crawley
Jennifer Crawley is a medical dermatologist who assesses and treats skin conditions, including surgical procedures.
The surgical skin procedures that she does are:
1. Removal of pigmented moles.
2. Shave excision of moles or other skin lesions such as seborrhoeic keratosis.
3. Cryotherapy of actinic and seborrhoeic keratosis.
4. Injection of a steroid into keloid scars.
5. Injection of a steroid for acne scars.
Jennifer will often do a combination of shave excision or excision biopsy and cryotherapy of different lesions on the same patient’s face and body. This is because as many patients get older, particularly if they have sun damage, they have actinic skin and dry or red scaly patches, or they have small, pale brown, wart-type elevations. All of these abnormalities require removal, either for diagnostic purposes or to make their skin feel more comfortable.
Laura can treat many skin conditions with creams, and she is very skilled in advising which medication is required.
She carries out her surgery in the minor operating theatre here at Clinica London with the assistance one of our nurses. She can usually do the surgical treatment on the same day that she assesses you. If, however, you have a slightly larger mole or suspected skin cancer, or you need several different treatments, she would schedule an appointment for you later that week or the following week for a special treatment session.
Dermatological surgery is not painful; for instance, cryotherapy does not require any local anaesthetic cream or injection. However, for removal of a mole, or shave excision of a lesion, or an injection for a keloid or acne scar, she would infiltrate a small amount of local anaesthetic before carrying out the treatment.
After performing a biopsy, she usually puts a small dressing (a Band-Aid, Mepore or Tegaderm dressing) on to the treated area afterwards. This normally stays on for three days and Jennifer will give you instructions on how to care for your skin after the small bandage comes off.
Patients who have had minor dermatological surgery make a very rapid recovery. A follow-up appointment is usually offered, particularly if there has been removal of a mole or shave excision biopsy of a lesion, and you may wish to discuss the results of the histopathology with Dr Crawley.
Dr Jennifer Crawley will advise when an excised biopsy needs to be sent off to histopathology for analysis. Not all lesions should be sent for analysis, but in some cases, the clinical indications are that it would be prudent to ask the pathologist to help with your care. The pathologist can let us know whether you have skin cancer, for instance, or a pre-cancerous lesion that requires special treatment with Efudex, 5-Fluorouracil cream or another anti-metabolite topical ointment or cream.