Unsightly or suspicious-looking lesions on the skin can usually be removed under local anaesthetic. Both surface skin lesions (including pigmented spots, skin cancers and ulcers) and lumps under the skin (including inclusion cysts and lipomas) can be successfully treated. A biopsy of the lesion is always performed after treatment. Skin defects can be closed primarily or can be reconstructed by means of a skin plasty or a skin graft.