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longer for mobile or high-tension sites like back or joints."},"complication_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Any minor complication (infection, bleeding, dehiscence, widened scar) within 6 weeks; serious ones under 1%."},"contraindications":["Active infection or inflamed skin at the excision site","Uncontrolled bleeding disorder or unmanageable anticoagulation (relative)","Known allergy to local anesthetic agents","Suspected advanced melanoma needing oncologic wide excision, not simple removal","Tendency to keloid formation (relative precaution)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient procedure, no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":3,"unit":"weeks","qualifier":"Avoid strenuous activity stretching the wound, especially on trunk or limbs, until sutures are out and wound is stable."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Scar maturation after excision."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Most patients stay until suture removal and pathology review, about 7-14 days."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":14,"unit":"days","qualifier":"Face earlier, trunk and limbs later; not needed with absorbable sutures."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of histopathology result and wound; further wider excision may be advised if margins or atypia grade require."}}],"indications":["Clinically atypical (dysplastic) nevus with suspicious features for histology","Nevus with changing size, color, shape or borders","Lesion that cannot be reliably assessed clinically or by dermoscopy","Moderately or severely atypical nevus on biopsy needing complete excision","Symptomatic or repeatedly irritated nevus"],"main_risks":["Bleeding or hematoma","Wound infection","Scarring, including widened, hypertrophic or keloid scar","Wound dehiscence","Incomplete removal with recurrence or persistent pigment","Need for further wider excision based on pathology","Local nerve sensation changes","Local anesthetic reaction"],"pain":"Brief stinging during local anesthetic injection; afterwards mild soreness for a few days, usually controlled with simple analgesics.","preparation":["Dermatologic or surgical assessment, often with dermoscopy and photography","Review of bleeding tendency, allergies and medical history","Plan of excision margins and sample for histopathology","Avoid tanning of the area beforehand"],"recovery_timeline":[{"phase":"Day 0-2","description":"Dressing in place; mild soreness and minor oozing possible.","restrictions":["Keep wound dry and dressed as instructed","Avoid strain on the area"]},{"phase":"Days 5-14","description":"Wound closing; sutures removed if non-absorbable.","restrictions":["Avoid stretching the scar","Avoid swimming until wound is sealed"]},{"phase":"Weeks 2-12","description":"Scar remodeling; pathology reviewed.","restrictions":["Protect scar from sun","Avoid heavy tension on scar"]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Ordinary functional recovery and wound closure after simple excision."},"result_longevity":"Complete excision removes the lesion permanently; recurrence is uncommon, and new moles can still develop, so skin monitoring continues.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Re-excision for positive margins or severe atypia on pathology, or scar revision."},"scars":"A linear scar is expected, usually longer than the lesion diameter; typically fades over 6-12 months, though it may widen on the back or over joints.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; wider re-excision only if pathology requires it."},"stages":[{"code":"excision","label":"Excision of the atypical mole with histopathology","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as the procedure."}}],"qualifier":"Standard single-stage excision for one lesion."},"success":{"metric":"Complete excision with clear histological margins","value":95,"unit":"percent of lesions","horizon":"At pathology review, 1-3 weeks","population":"Adults with a single clinically atypical nevus undergoing standard elliptical excision","evidence_status":"limited"},"techniques":[{"name":"Elliptical excision with suture closure","suits_whom":"Most patients with suspected atypical nevus needing full histological examination.","recovery":"Sutures removed after about 5-14 days; scar is linear."},{"name":"Punch excision","suits_whom":"Patients with small lesions within punch diameter; less suited to suspected atypical nevus.","recovery":"Quicker healing; one or two sutures or secondary healing."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Excision of a single atypical mole, including anesthesia and closure."},"initial_assessment_documents":["Close-up photos of the mole with ruler","Wider photos showing mole location on body","Dermoscopy images (if available)","Previous biopsy or histopathology report (if available)","Photos showing mole changes over time (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-day excision; stay 7-14 days for suture removal and histopathology result. Wider re-excision is not standard."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/city=medelin/procedure=udalenie-atipichnoy-rodinki/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}