American Society of Plastic Surgeons
For Medical Professionals

Giant Nevi Removal

Congenital Nevi Surgery

Children can be born with pigmented moles called congenital nevi. The goal of giant nevi removal is to eliminate these pigmented moles.

What results should I expect after giant nevi removal?

Depending on the number of surgeries required to completely remove the lesion, the final results of surgery may not be apparent for some time, until all of the procedures have been completed. In general, things will look better in a step-wise fashion if the nevus is removed in stages. If tissue expansion is used, the area may look very abnormal while the balloons are inflated, but this typically lasts only for a short period of time. During this time, activities may need to be restricted or clothing altered to accommodate the expanded balloons and tissue.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. With giant congenital nevi, it is typically not possible to achieve optimal results with a single surgical procedure. With any surgery, complications can occur. This risk is increased with the use of tissue expanders and skin grafting. Common tissue expander surgery complications include surgical site infection, wound healing issues, extrusion of the expander and unfavorable scarring. Skin grafting can be associated with poor healing, increased scarring or graft loss. Your surgeon will take all steps possible to help limit the risk of complications.

Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion or motion during the time of healing.


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