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Lesion Removal Specialist

Pure Skin Aesthetic & Laser Center -  - Cosmetic Laser Center

Pure Skin Aesthetic & Laser Center

Cosmetic Laser Centers & Medical Spa located in Bismarck, ND

If you want clear, youthful-looking skin but instead have warts, milia, seborrheic keratosis or other unsightly skin lesions, it’s time to contact Shelly Botsford, NP and her husband, Dr. John Botsford. They specialize in safe and comfortable laser removal of various types of dermal skin lesions at Pure Skin Aesthetic & Laser Center, conveniently located in Bismarck, North Dakota. Shelly and Dr. Botsford treat a variety of everyday skin issues. Call to schedule an appointment today!

Lesion Removal Q & A

What are Skin Lesions?

Skin lesions are any abnormal skin growths or patches that change the color or texture of your skin. They also might be tender to the touch. Common types of skin lesions are:

  • Moles
  • Warts
  • Cysts
  • Rashes
  • Blisters
  • Keratosis
  • Liver spots
  • Milia

Cysts, blisters and other fluid-filled sores typically arise from skin irritation and heal on their own when kept clean and dry. Moles, warts, milia and various forms of keratosis develop anywhere from your hands and feet to your arms and even your face. These skin lesions may need the care of a medical professional to ultimately remove them. Have Shelly and her team check out moles and actinic keratosis right away because they can be precancerous or cancerous.

What Causes Skin Lesions?

Skin lesions typically come from a variety of factors that are usually extremely common and easy to treat. Some skin abnormalities develop from underlying conditions or can be precancerous, so it is important to act quickly. Contact Shelly and her team if you’ve noticed any skin spots so you get the right treatment and prevention plan for your skin type.

How Can Laser Removal Help?

Some treatments for skin spots and lesions involve surgery, making them more painful for you and your wallet. At Pure Skin Aesthetic & Laser Center, Shelly and Dr. John Botsford have extensive experience in providing comfortable alternatives to expensive procedures. People who are looking for a noninvasive and fast solution to their skin problems often prefer laser removal treatment.

In fact, laser treatment is one of the latest high-tech advances, and Shelly and Dr. Botsford handle it in-office, with no downtime for you. The laser treatment is quickly applied in one visit and removes skin inflammation and unsightly spots with minimal potential for scarring. Using the laser also remedies cases of skin discoloration, with little need for further cosmetic treatments.

Contact Pure Skin Aesthetic & Laser Center today for more information today to take care of sensitive and troubled skin lesions and spots to get back to your healthy, radiant skin.


Benign facial lesions

After one treatment with laser removal

Finger warts before treatment

Two weeks after one laser wart treatment 


Suspicous Lesions 

Save your skin from skin cancer and sun damage. Know your ABCDEs. 

It is important to check your skin for suspicious moles once a month and report anything unusual to your health care professional. Remember the ABCDE rule: 

  • Asymmetry (one half of the mole doesn't match the other) 
  • Border irregularity 
  • Color that is not uniform 
  • Diameter greater than 6mm (about the size of a pencil eraser) 
  • Evolving size, shape or color. If you notice any CHANGE in size, shape or elevation of a mole, or experience any new symptom such as bleeding, itching or crusting; see your health care professional promptly. 


A skin biopsy is a procedure in which Doctor Botsford cuts and removes a small sample of skin that is concerning, to have it tested. This sample may help diagnose diseases such as skin cancer, infection, or other skin disorders. 

There are several types of skin biopsy, including:

  • Shave biopsy: The procedure involved shaving a thin layer from the top of a lesion. 
  • Punch biopsy: The procedure involves an instrument called a punch to remove a circular section through all layers of the lesion. 
  • Excisional biopsy: This procedure uses a scalpel to take off the entire lesion. This method is used for smaller lesions.


Dr. Botsford will first cleanse the biopsy site, and then numb the skin by using an anesthetic (pain-relieving) injection. Once the skin is numb, the skin is then sampled using one of the above procedures. Shave biopsies do not usually need stitches, while punch, and excisional biopsies will sometimes be closed with sutures. These procedures are all done at Pure Skin.