I just fi ished number 2 and awaiting number 3. The first one was huge actually had two tumers in same spot. Saw the pics before it was all reassembled, could have put a goofball in the hole. Never did the suggestion of anything other than local anesthesia, knife and lots of stitches come up. I truly like my dermatologist, every time I go.in with a concern.it take him about 5.seconds to say NOPE, and then notices a spot that didn't even catch my attention, and says yeah I don't like the looks of that we are.going.to.biopsy it and see. Last time he biopsies 6 and got 2 hits, one each squamous and basal. He is also good about freezing off what he calls barnacles if they are bothering me. Never had him cop an attitude on anything.