 This entire area was infiltrated with 0.25% Marcaine with dilute epinephrine to provide a wide local field block and then an elliptical incision was made with a #15 scalpel blade, excising the pyogenic granuloma, its base, and a small rim of surrounding normal skin. 
This entire area was infiltrated with 0.25 % Marcaine with dilute epinephrine to provide a wide local field block and then an elliptical incision was made with a # 15 scalpel blade , excising the pyogenic granuloma , its base , and a small rim of surrounding normal skin .