Surgical Dermatology
Every surgical technique we use, from excision to biopsy.
Monday to Friday, 8:30 am to 3:30 pm (904) 686-7771
Medical dermatology
Safe, in-office removal of skin tags, moles, cysts and other benign growths, with every growth evaluated by a dermatologist and dermatopathologist first.
Skin tags are removed in the office with simple scissor excision or cryosurgery (freezing). Moles are removed by shave removal or surgical excision, depending on their characteristics, and the tissue can be sent for pathology. Every growth is examined first, because some spots that look benign are actually precancerous or cancerous.
Benign growths are not dangerous, but they can be cosmetically bothersome, uncomfortable, or catch on clothing, jewelry or a razor. Common ones include skin tags, moles, seborrheic keratoses, cysts, lipomas, cherry angiomas and dermatofibromas.
Dr. Mark A. Cappel, MD, is a double board-certified dermatologist and dermatopathologist, expert in both the clinical appearance of skin lesions and their microscopic characteristics. That makes him well placed to tell you what a growth is and the safest way to remove it.
Never remove a growth at home. Home removal can cause infection, excessive bleeding, scarring and incomplete removal, and it can delay treatment if the growth turns out to be a skin cancer.
What we remove
Most are a natural part of aging, genetics or sun exposure. Dr. Cappel recommends the removal method that suits the type, size and location of each one.
Small, soft, flesh-colored growths that hang off the skin in areas of friction, such as the neck, underarms and groin. Removed by scissor excision or freezing.
Flat or raised, pink to dark brown clusters of pigment cells. Most are benign; changing or atypical moles are removed and sent for pathology to rule out melanoma.
Waxy, scaly, slightly raised tan to black growths, sometimes called barnacles, more common with age. Removed by curettage, freezing or shave removal.
Cysts are sacs under the skin that can become inflamed or painful; lipomas are soft, fatty lumps. Both are removed by surgical excision.
Small, bright red bumps caused by an overgrowth of blood vessels. Treated without incisions using laser energy.
Firm, small skin-colored or brown bumps, most often on the legs, that can itch or feel tender. Removed by surgical excision.
Some growths that appear benign are actually precancerous or cancerous. A dermatologist's evaluation makes sure the right growth is removed the right way, and that anything suspicious is sent for analysis.
If there is any concern, Dr. Cappel performs a biopsy and, as a dermatopathologist, personally analyzes the tissue under a microscope for a definitive diagnosis. A new or changing growth should always be evaluated promptly.
Benign growths develop for several reasons, and many are simply part of the skin's natural aging process.
For cherry angiomas, spider veins and certain pigmented lesions, the Aerolase Neo laser offers removal without incisions, anesthesia or downtime. Its 650-microsecond pulse targets the blood vessels or pigment in the growth while leaving the surrounding skin untouched.
No numbing cream is needed. The handpiece is held just above the skin and you feel a mild warmth. Treated vessels may darken slightly before fading over the next few weeks, and pigmented spots may darken before flaking off.
In most cases, a benign growth that is completely removed does not come back. Some people are prone to developing new growths over time, particularly skin tags and seborrheic keratoses. Dr. Cappel uses precise surgical techniques to ensure complete removal and minimize the risk of recurrence.
Any surgical removal can leave a scar. Its size and visibility depend on the size and location of the growth and how you heal, and most scars fade significantly over time until they are barely noticeable.
Treatment overview
Dr. Cappel examines the growth, discusses why you want it removed and recommends the best removal method.
For surgical removal, the area is numbed with a local anesthetic. Laser treatment needs no numbing at all.
The growth is removed in the office by excision, shave, curettage, freezing or laser, depending on its type.
Tissue can be sent for pathology to confirm the growth is benign. Dr. Cappel contacts you if anything needs further treatment.
A bandage and wound care instructions. Mild discomfort, swelling or bruising is managed with over-the-counter pain relievers.
Stitches, if placed, come out in 1 to 2 weeks. The scar continues to mature and fade over 6 to 12 months.
Suitability
Start with a skin cancer screening, or see sun spots and melasma and rosacea and facial redness.
Compared
| Method | Best for | What to expect |
|---|---|---|
| Scissor excision or freezing | Skin tags | Quick, simple removal in the office |
| Shave removal | Raised moles and seborrheic keratoses | Shaved flush with the skin under local anesthetic; no stitches |
| Surgical excision | Moles, cysts, lipomas, dermatofibromas, anything needing pathology | Full removal under local anesthetic, closed with stitches |
| Curettage | Seborrheic keratoses and other superficial lesions | Scraped from the surface, often with electrodessication |
| Aerolase Neo laser | Cherry angiomas, spider veins, certain pigmented lesions | No incisions, anesthesia or downtime |
Cost
Cost depends on the type of growth, the technique used and whether removal is medically necessary or cosmetic. If a growth is irritated, painful, bleeding or suspicious, removal is often considered medically necessary and may be covered by insurance. Removal for purely cosmetic reasons is typically not covered.
We accept Aetna, BCBS of Florida and Medicare for medical visits, and give you transparent pricing for cosmetic removal at your consultation. Cost and payment options
Who performs this
Double board-certified dermatologist and dermatopathologist
Dr. Cappel examines every growth before it is removed. As a dermatopathologist he can analyze the tissue under the microscope himself, so a spot that only looks harmless never goes unchecked.
Read full profileQuestions
Only an evaluation by a board-certified dermatologist can tell you for certain. Dr. Cappel examines the growth and, if there is any concern, performs a biopsy and personally analyzes the tissue under a microscope.
Yes, and sometimes it is recommended. Moles that change in size, shape or color should be evaluated and possibly removed to rule out melanoma. Removed moles can be sent for pathology to confirm they are benign.
No. Home removal can cause infection, excessive bleeding, scarring and incomplete removal, and a growth that looks benign could be a skin cancer. Always have growths evaluated and removed by a dermatologist.
In most cases, a benign growth that is completely removed does not come back. Some people tend to develop new growths over time, particularly skin tags and seborrheic keratoses.
Any surgical removal can leave a scar, but Dr. Cappel uses advanced techniques to minimize it. Most scars fade significantly over time and become barely noticeable.
If a growth is irritated, painful, bleeding or suspicious, removal is often considered medically necessary and may be covered. Removal for purely cosmetic reasons is typically not covered.
Where
At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.
Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.
Also consider
Every surgical technique we use, from excision to biopsy.
A head-to-toe skin check for any spot you are unsure about.
Laser treatment for broken capillaries, spider veins and redness.
Book a visit
Dermatology visits, aesthetic consultations and wellness plans all start the same way: a careful assessment by Dr. Cappel and a plan built around your skin, your health and your goals.