Hi Cheryl, We are sorry you felt confused at your consultation. At Vital Face and Vein our philosophy is to work in partnership with our patients. We believe the ultimate decision around treatment should be made on the basis of a fully informed choice. If lesions are suspicious our only recommendation would be to biopsy. However, Skin lesions vary from harmless to serious cancers. Some harmless lesions can be very simply, safely and economically treated with creams or liquid nitrogen (always with the proviso should the lesion not go, review will be required in three to four weeks). These less invasive treatments have less risk of scarring. We accept that some patients may prefer the doctor to stipulate a single treatment in all situations, thank you for your feedback. If we can assist you further in anyway please don't hesitate to contact us. Thank you.