Dr. Butler can be a pain in the neck!

It is hard to work in this area at the best of times but when there has already been an attempt to remove something, you'll also have to deal with scar tissue, which is never easy. However, so long as you progress slowly and consistently things shouldn't be overly complicated. Regrettably, the anaesthesia at the posterior aspect of this lesion wasn't great and despite adding extra, the hyfrecation was still uncomfortable for the patient. Had I needed to do extra work in that area, I would have had to do additional blocks of some kind before I progressed. This healed nicely and without incident.