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In-Office Procedures

Lipoma Excision

Lipomas are benign tumors that are often located in the subcutaneous tissues of the body. If they are growing in size or beginning to cause discomfort, you may elect to have them removed. Depending on the size and location of the lipoma, this may be performed in the office under local anesthetic. The specimens are then sent to pathology for further evaluation.

Cyst Excision

A cyst is a closed pocket or pouch of tissue and may be filled with air, fluid, pus, or other material. They can develop from clogged sebaceous glands or hair follicles. These cysts are benign but can be removed for cosmetic reasons, pain, discomfort, or infection.

Cysts can be drained or removed in the office depending on the size and location of the growth.


Cryotherapy, also known as cryosurgery, is a commonly used in-office procedure for the treatment of a variety of benign and malignant lesions. The freezing method kills abnormal skin cells on contact using liquid nitrogen. This may be a good alternative to a skin cancer excision.

Skin Cancer Excision 

Skin cancer can be identified by a primary care physician through examination or a skin biopsy. Depending on the size, location, and type of skin cancer, you may need a surgical consultation to discuss further removal. These can often be done in the office.

Some types of skin cancer include:

Basal Cell Carcinoma: This is the most common type of skin cancer. This cancer usually develops on sun-exposed areas, especially the head and neck, and it tends to grow slowly. It could resemble a small pink, red, or white bump that may be mistaken for eczema or psoriasis. Treatment for  this includes removal of the lesion.

 Squamous Cell Carcinoma: This is the second most common type of skin cancer. This cancer usually develops on sun-exposed areas over the course of a lifetime, this includes tanning bed exposure. Squamous cell carcinoma can also be found in mucous membranes such as lips and gums or in the genitalia. Treatment for this includes removal of the lesion.

Melanoma: This is the most serious type of skin cancer. It develops in the cells that produce the pigmentation for your skin. The risk of melanoma seems to be increasing in people under the age of 40, especially women. A diagnosis of melanoma is made by a skin biopsy. If caught early, it can be treated with removal. Depending on the size and location, this may be performed in the office. Once a melanoma diagnosis has been confirmed, it is recommended you have your skin examined periodically by a dermatologist.

Please Note: It is often difficult to tell if a lesion is a skin cancer just by looking at it, and for this reason it is essential that you should seek a specialist medical opinion as soon as you notice any change in any area of skin.


Why Hillcrest General Surgery?

As a part of Hillcrest Baptist Medical Center, Scott & White Healthcare, Hillcrest General Surgery in Waco, Texas strives to provide excellence in patient care through providing comprehensive general surgery services in the Central Texas Area.