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Minor Surgery

Local Excisions
Minor Surgeries

If you are bothered by a cyst, mole, lesion, or other skin growths, The Centre for Minor Surgery can certainly be of help! With no referral needed, you are able to have a consultation and the procedure done with very minimal wait times. Performed under local anesthesia and by board certified plastic surgeons, scarring and associated discomfort is minimized.

Dr. Robert Backstein and Dr. Richard Backstein can properly assess which type of lesion you have and discuss with you the best course of action to remove them. Toronto Cosmetic Clinic is a fully accredited surgical facility, however for the services listed below please contact The Centre for Minor Surgery at (416) 663-9649.

The Centre for Minor Surgery
(416) 663-9649

Dr. Robert Backstein
Dr. Richard Backstein

Services Offered

Split Earlobe

Whether a torn earlobe is from an accident or from wearing heavy or large earrings, a simple procedure can be done to correct this. Performed under local anesthesia, a tiny amount of tissue is removed near the current split to create a fresh new incision to help keep the scar as minimal as possible. The entire piercing hole is closed using stitches that need to be removed in 10 to 14 days, to make sure the surgery is successful. 6 to 8 weeks later, the earlobe can be re-pierced and earrings can be worn!

Ganglion Cyst

Ganglion cysts are fluid filled sacs found usually on the back of the wrists. The fluid accumulation comes from a nearby joint, that can be caused by irritation or injury to the area.

They can increase and decrease in size over time, however if they become painful either aspiration or a surgical procedure can be done to remove them.

Aspiration involves inserting a needle to draw out the fluid inside the cyst. With aspiration there is a high chance that the cyst can recur. Removal of the cyst along with the joint capsule or the associated tendon sheath can also be done. After surgical excision of the ganglion cyst, a splint is left on for a few weeks to help immobilize the joint. Even after excision of the cyst, it can still recur.


Most commonly found on the eyelids, xanthelasmas are cholesterol deposits in the skin. 50% of the time, xanthelasmas are caused by high cholesterol levels in the blood. Xanthelasmas can be flat or raised, symmetrical and yellow in appearance. They can be treated with TCA (tricholoracetic acid) or by surgical excision with local freezing.


Keloids can be best described as exaggerated scarring that forms after a piercing, wound, tattoo or acne. When the skin tries to heal itself by forming a scar, excess scar tissue is deposited which can appear tumor-like and disfiguring to the area. Keep in mind, keloids are not tumors and are benign.

Genetic susceptibility seems to be the cause of why some individuals develop keloids, especially ethnic groups that are darker in complexion are more prone to them. Usually the ears, shoulders, arms, and chest are common areas for keloids to arise.

Keloids can be tricky to remove, as there is chance that by removing a keloid, another one can arise in replace of it. That is why steroid injections in combination of surgical keloid excision are performed.

Skin Cancer

There are a few forms of skin cancer, including melanoma, basal cell carcinoma, and squamous cell carcinoma. Early detection and removal of skin cancer is key. Please call (416) 663-9649 for more information on removal.


A lipoma is a benign mass of fatty tissue that is found just below the skin. It is soft and rubbery to the touch. The cause is unknown, and weight does not have an impact on one`s tendency to develop lipomas. Lipomas are usually found on the neck, upper arms, upper thighs, and torso.

The size can remain unchanged or grow slowly over time. Most of the time they are not bothersome or painful depending where on the body they are located. They can be removed surgically, if they become infected, painful or aesthetically unappealing. Under local anesthesia an incision is made to remove the lipoma. A scar that is ½ – ⅔ the size of the lipoma will remain, but over time the scar’s appearance will gradually fade.

Skin Tag (fibroepithelial polyps, acrochordon)

Skin tags are tiny benign lesions that are usually flesh coloured or brown in appearance. Usually they are caused by friction of clothes or skin rubbing together which is why they are found in the folds of skin, such as the neck, underarms, groin, breasts and around the eyes.

Obesity and hormonal changes can influence the occurrence of them. Skin tags are harmless, however they can be bothersome cosmetically and also can be painful if they get caught in jewellery or on clothing. A simple almost, pain-free excision of skin tags can be done in the clinic. A very tiny pink-scar would remain, but most likely would fade over time.

Sebaceous Cyst

A sebaceous cyst is a closed pocket of tissue that is filled with oil. They are caused by a blockage of the oil gland, and can be found most commonly on the face, back, chest and scalp. The cyst can become painful over time, as more oil is secreted the cyst will grow larger. There is also a chance where the cyst can become infected, and antibiotics may be needed. A minor procedure can be done, to excise the cyst under local anesthesia. A tiny scar will remain where the cyst once used to be.


Also known as a beauty mark or nevi(s), these are benign lesions that can occur anywhere on the body. They can range in colour and size, and can appear at any stage in life. While they are harmless, many individuals may not like the aesthetic appearance of them based on where the mole is located. An excision can be performed under local freezing to remove one or more mole. Unfortunately you will be removing a mole in replace of a scar, however the scar will fade from pink to white over 18 months post-surgery.


Dermatofibromas are hard benign nodules most commonly found on the arms and legs, more often in women than in men. They can occur spontaneously or from a cut or bite, and can be pink to brown in colour. A procedure under local anesthesia can be performed to excise the dermatofibroma. Once the dermatofibroma is removed, a stitch is used to hold the skin together. A small pink scar will appear, however over a few months this will most likely fade into a white line.

Wart (verruca vulgaris)

Caused by the human papilloma virus (HPV) warts can appear anywhere on the body and can be a cause of embarrassment for some. There are many types of warts, and most are commonly found on the soles of the feet (Plantar Wart) or on the hands. Warts are contagious and can be spread by skin to skin contact. There are a few types of modalities to remove warts. Cryotherapy uses liquid nitrogen to `freeze`off the wart. Topical medication can also be used to help diminish the wart. An option of surgically removing the wart can be done if the wart does not respond to medication or cryotherapy. An incision is made to cut out the wart, and a tiny scar will remain. There is still a chance that the wart can come back as removing the wart does not kill the virus that resides in your body.