Many forms of cutaneous surgery are performed at Affiliated Dermatologists. Simple shave or punch removal of moles to complex removal of birthmarks and all forms of skin cancer. Occasionally electrodessication and curettage may be appropriate. These procedures are performed on the office under local anesthesia. Larger tumors may need staged (multiple) surgeries or specialized closures such as flaps or grafts. Laser surgery is usually used for treatment of scars, birthmarks and anti-aging.