29/08/2026
"WHY DO I NEED AN INITIAL APPOINTMENT?"
I have been asked a few times why clients cannot just book a short appointment to quickly freeze a lesion they would like gone.
That's a fair question, so I shall answer it.
The answer is, like with most things I do, Safety.
CryoPen is a very effective and safe way to deliver Cryosurgery - so safe in fact, that even areas as delicate as eyelids can be treated with it. Complications are extremely rare, and even if they do happen, they are of a minor nature.
But that doesn't mean it can be used indiscriminately. There are things I need to check to make sure freezing is the right thing to do.
>THE LESION NEEDS TO BE BENIGN. Only in very clearly defined exceptional circumstances would it be appropriate to consider treating a pre-cancerous lesion (such as actinic keratosis for example) with this method. Accidentally freezing an aggressive skin cancer must be avoided at all cost.
>SIZE AND SITE OF THE LESION are important. Very large or thick lesions will likely require multiple treatments and repeat visits. I believe it is important to discuss this at the outset so my client can make an informed choice on whether or not to go ahead.
>SOME MEDICAL CONDITIONS AND MEDICINES make Cryosurgery inadvisable, whilst others may result in delayed healing.
>SOMETIMES OTHER TREATMENT OPTIONS CAN BE PREFERRALBE - whilst Cryosurgery is the safest and most economical option for a very large number of lesions, occasionally I see something that makes me think "yes I could do this, but another method would be more effective or cheaper". I will ALWAYS advise the treatment option that best serves my patient's needs, no matter if I lose business as a result. My Patient's needs come first!
Destroying a skin lesion is a significant responsibility, and one I take extremely seriously. Once treated, there is usually no further chance to diagnose - this is why I insist on seeing all lesions myself, in person, as well as take a medical history.
The initial consultation is only needed once, for new patients. It is not a sales tactic or optional extra - it is a vital part of keeping my clients safe.
Have you booked yours?
Access expert dermatology care in the Scottish Borders with rapid appointments, mole assessments, dermoscopy, and cryosurgery by qualified nurses.