Surgical vs. Laser Removal – What’s the Difference?

Surgical excision involves removing the lesion using a scalpel, which typically requires stitches. While it may sound invasive, in some cases it’s the most appropriate—or even necessary—method. During the consultation, a dermatologist will assess whether the lesion is benign and determine the most effective removal technique. Tools such as microscopes, dermatoscopes, and high-resolution imaging cameras help evaluate the lesion in detail.

One key advantage of surgical removal is that the excised tissue can be sent for histopathological analysis. That’s why, when there are any irregularities or concerns, dermatologists often recommend surgical excision.

This method is especially suitable for larger lesions, typically those measuring 1 cm or more.

Laser removal works by vaporizing the lesion using a focused laser beam. Treatments are performed only after a dermatologist has evaluated the skin change. The procedure itself takes just a few seconds and involves minimal risk of prolonged healing. Most lesions treated with this method heal within 10–14 days.

Performed under local anesthesia, this is one of the least invasive techniques available. Thanks to rapid healing and minimal downtime, patients can typically return to their normal daily activities right away. Modern CO₂ lasers, such as Lutronic, allow for highly precise removal while minimizing skin trauma and reducing recovery time.

Laser dermatosurgery is ideal for treating benign skin lesions such as fibromas, warts, pigmented spots, moles, and genital warts (condylomas).

CO₂ laser treatments come with several advantages: no bleeding during the procedure, minimal post-treatment swelling and discomfort, and faster, cleaner healing compared to surgical excision. After the treatment, a small scab forms, which naturally falls off within 1 to 3 weeks.

Laser removal may not be suitable in the following cases:

• Recent sun exposure or fresh tan
• Tendency to develop hypertrophic scars or keloids
• Use of retinoids within the past 6 months
• Pregnancy or breastfeeding
• Active skin infections in the treatment area
• Cancer or a history of cancer
• Severe or uncontrolled systemic illnesses