621 S. New Ballas Rd, Tower A, Ste 281
St Louis, MO 63141
Tel. 314-251-4772  Fax 314-251-5772

Pigmented Skin Lesions

Pigmented skin lesions come in all shapes, sizes and varieties. These lesions are most commonly removed due to concerns about appearance or concerns that the lesion may be dangerous if left untreated. If your pediatrician or dermatologist feels that your child's skin lesion should be removed, we are happy to help you through the process.


Pigmented skin lesions can come in all shapes and sizes. The most common pigmented lesions we see are birth marks or moles which may have increased in size or changed in color. The most common reasons for removal of pigmented skin lesions are concerns about appearance or concerns that a lesion may be a cancer or may become a cancer in the future. If your child’s pediatrician or dermatologist is concerned enough about a skin lesion that they feel it should be removed, we are happy to help.

Surgical treatment

For most pigmented skin lesions, surgical removal may be accomplished as a single, outpatient procedure. Lesions are typically removed with a small rim of normal-appearing skin. The skin is then closed using dissolving stitches. In most instances, your child will be able to return to school and light activity on the following day. A return to full activity is expected in several weeks.

If your child’s lesion is too large to be removed simply, surgical removal may be accomplished in several ways. Some lesions are removed a little at a time in several surgeries over a period of months. Others may be removed entirely with placement of a skin graft to fill the large space left after removal. The largest lesions may require a multi-step surgery in which nearby skin is first stretched or “expanded” prior to removal of the lesion. Then, this “extra” stretched skin can be used to fill in the space when the large lesion is removed.

Just as your child is unique, no two skin lesions are exactly alike. If you would like to discuss removal of your child's skin lesion, please give us a call. We would be happy to help.