Dr Branimir Nešković
Specialist in general surgery
Surgical removal of skin lesions: moles, lipomas and atheromas.
Atheroma removal in Belgrade
- Surgical removal of lesions from 14.000 RSD to 25.000 RSD
- Local anaesthesia
- No referral
An atheroma is a lump in the skin filled with thick contents, which can become inflamed and painful. At the Miren Medic polyclinic an atheroma is removed surgically, under local anaesthesia, after a surgeon's consultation. The procedure is done by Dr Branimir Nešković, a general surgery specialist, who removes lipomas and other skin lesions in the same way.
No referral is needed. You can book online or by phone.
Atheroma or lipoma
Both lumps are common and usually harmless, but they are not the same. The surgeon confirms which one it is at the consultation.
| Atheroma | Lipoma | |
|---|---|---|
| Where it is | In the skin | Under the skin |
| To the touch | A firm, round lump attached to the skin | A soft lump that moves under the fingers |
| What is inside | Thick contents, enclosed in a capsule | Fatty tissue |
| Inflammation | It can become inflamed, red and painful | Rarely |
| Removal | Surgically, under local anaesthesia | Surgically, under local anaesthesia |
When to show an atheroma to a surgeon
An atheroma that is quiet and does not bother you does not have to come out right away, but these are reasons to have a surgeon look at it.
- It is growingThe lump is bigger than a few months ago.
- It is inflamedIt has turned red, feels warm and hurts to the touch.
- It has openedContents with an unpleasant smell come out of it.
- It bothers youIt is where clothing, a belt, a razor or a comb rubs it.
- It is visibleOn the face, neck or head, and you do not like how it looks.
- You are not sure what it isAny new lump that is growing is worth a consultation.
Why an atheroma should not be squeezed
The contents of an atheroma are enclosed in a thin capsule. When an atheroma is squeezed at home, the contents come out, but the capsule stays in the skin and the atheroma usually fills up again. Squeezing can also bring in bacteria and cause inflammation, after which the lump is more painful and the procedure harder.
That is why an atheroma is removed surgically, together with its capsule. Through a small incision the surgeon takes the lump out whole and closes the wound with stitches. Lipomas and other lesions of the skin and subcutaneous tissue are removed the same way, under local anaesthesia.
How atheroma removal works
From the consultation to stitch removal, in this order.
Surgeon's consultation
The surgeon examines the lump, confirms that it is an atheroma and agrees the procedure. If the atheroma is inflamed, the first decision is how to calm the inflammation.
Local anaesthesia
The area is numbed with a local anaesthetic, so the procedure is not felt as pain, but as pressure and movement.
Removal in one piece
The atheroma is taken out together with its capsule, and the wound is closed with stitches. You go home the same day.
Dressings and stitches
Dressings, wound checks and stitch removal are done at the polyclinic, at times the surgeon sets.
An inflamed atheroma
An inflamed atheroma is red, swollen, warm and painful, and sometimes it opens by itself. When an atheroma is inflamed, the surgeon decides what to do at the consultation. Usually the inflammation is calmed first, and the atheroma is taken out whole once the tissue around it has settled, because it is then easier to remove together with its capsule.
Do not squeeze an inflamed atheroma or pierce it. Book a consultation as soon as possible. If a high temperature, shivering or fast spreading redness appear with the swelling, seek emergency care (194).
Surgeons at Miren Medic
Minor surgical procedures under local anaesthesia are done by the polyclinic's surgical team.
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Doc. dr Marko Jović
Specialist in plastic and reconstructive surgery
Surgeon consultation and minor surgical procedures.
Prices
Atheroma removal prices
Surgical removal of lesions costs from 14.000 RSD to 25.000 RSD, depending on the size and position of the lesion. You get the exact amount at the consultation, before the procedure. Histopathology, if the doctor requests it, is charged separately.
| Service | Price |
|---|---|
| Surgical oncologist consultation (Dr Branimir Nešković) | 10.000 RSD |
| Surgeon consultation (Assist. Prof. Dr Marko Jović) | 6.000 RSD |
| Surgical removal of lesions (Dr Branimir Nešković) | 14.000 to 25.000 RSD |
| Surgical procedures (Assist. Prof. Dr Marko Jović) | 8.000 to 24.000 RSD |
| Histopathology (PH) analysis | 6.000 to 8.000 RSD |
| Dressing of a small area | 2.500 RSD |
| Stitch removal | 3.000 RSD |
All of the polyclinic's prices are in the price list.
Frequently asked questions
Questions patients most often ask before atheroma removal.
How much does atheroma removal cost?
Surgical removal of lesions at Miren Medic costs from 14.000 RSD to 25.000 RSD, depending on the size and position of the lesion. A surgical oncologist consultation with Dr Branimir Nešković is 10.000 RSD. You get the exact amount for your atheroma at the consultation.
Does atheroma removal hurt?
The procedure is done under local anaesthesia, so it is felt as pressure rather than pain. You feel the prick of the anaesthetic. When the anaesthesia wears off, the area may be tender for a few days.
Can an atheroma come back?
If part of the capsule stays in the skin, the atheroma can fill up again. That is why it is not squeezed, but removed surgically in one piece, together with its capsule.
What should I do if an atheroma is inflamed?
Do not squeeze it or pierce it. Book a surgeon's consultation as soon as possible: the surgeon decides how to calm the inflammation and when to remove the atheroma. If you have a high temperature or the redness is spreading fast, seek emergency care (194).
Is there a scar after removal?
A surgical procedure leaves a scar, whose size depends on the size of the atheroma and where it is on the body. The surgeon talks this through with you before the procedure. The scar fades over time, and sun protection helps.
Do I need a referral?
No. You book the surgeon and atheroma removal at Miren Medic directly, online or by phone, without a referral.
Removal of other skin lesions
Book a surgeon's consultation
Leave an appointment request online or call the polyclinic. The surgeon will examine the lump, tell you what it is and, if it should be removed, agree the procedure and the price.
The Miren Medic polyclinic is at Vojvode Stepe 250 in Voždovac and is open on weekdays from 8 to 21h and on Saturdays from 9 to 16h. No referral is needed for a consultation.