Skin Surgery

DPN (Dermatosis Papulosa Nigra): It is a benign condition first described by Castellani in 1095. It is a very common skin dermatosis that consists of multiple dark brown to black, smooth, dome-shaped papules mostly on the faces, upper back, chest and neck of people with dark pigmented complexion.

While DPN are considered completely benign, many patients are bothered by their cosmetic appearance or occasionally find them pruritic, and therefore come to the dermatologist seeking treatment. They are commonly referred to as “moles” and patients often want to be assured they are not malignant. Patient history usually consists of these lesions appearing after puberty and slowly increasing in size and number, which some patients feel gives them an older appearance. Certain clothing, jewellery or eyewear may cause irritation to these papules.

The conventional treatment options include simple excision, cryosurgery, electrodessication, curettage, dermabrasion, and laser removal. Patients must understand that the goal of treatment is to flattten, smooth, or improve the appearance of these lesions.

Earlobe Stitching: Earlobes requiring repair can be from a variety of reasons. For example, a torn earlobe from a pulled earring, gauged earlobes that are now unwanted, facelift surgery causing pulled earlobes, or just simply elongated from older age. Although there are many techniques that have been published, the key is to remove the skin that is torn and repair the hole in such a way as to provide the best cosmetic outcome possible.  The surgical procedure can be done with local anaesthesia and stitching is done, stitches are to be removed after 7-8 days. However whether surgery is the only option is decided by the doctor after assessment. If the skin glue can work then it is used.

Nail Surgery: An ingrown toenail can be a very painful experience. Sometimes trying to cut and remove the nail yourself isn’t good enough and an infection could result if not treated properly. A prompt medical assistance is required before the situation goes out of hand. In this interactive Ingrown Toenail Removal surgery, you will learn about the causes of an ingrown toenail and the medical process that is used to remove it. A local anaesthesia is used so that you will feel no pain during the procedure. It is possible that some nail regrowth may occur. The procedure will be performed by a surgeon which normally takes less than 1 hour. Healing takes between 4-5 weeks, however, you can start wearing shoes just after two days.

Skin biopsy with pathology reporting: A skin biopsy is the removal of a piece of skin for the purpose of further examination in the laboratory using a microscope. These are performed to diagnose a number of conditions and certainly not meant for treating a skin condition. It is most frequently done to diagnose a skin growth such as a mole, or a skin condition such as a rash, or other marking on the skin has changed in its shape, colour, or size or to diagnose a cancer of the skin.

Removal of Corns and Calluses: Feet are not supposed to have corns and calluses – and if they do, these problems need to be tackled immediately.

Treating painful corns and calluses involves removing the cause of the pressure or friction and getting rid of the thickened skin. You may be advised to wear comfortable flat shoes instead of high-heeled shoes. If calluses develop on the hands, wearing protective gloves when you do repetitive tasks will give the affected area time to heal. If you’re not sure what’s causing a corn or callus, and before the problem aggravates it is better to see a doctor. Do not try to cut the corn or callus yourself. You could make it more painful and it might become infected. Do not use corn cap as it macerates normal skin.

Sebaceous cyst

The scalp, ears, back, face, and upper arm, are common sites for sebaceous cysts, though they may occur anywhere on the body except the palms of the hands and soles of the feet. In males a common place for them to develop is the scrotum and chest. They are more common in areas that have dense hair, and if they persist for long duration they result in hair loss on the skin surface immediately above the cyst. They are smooth to the touch, vary in size, and are generally round in shape.

A fatty (keratinous) substance that resembles cottage cheese gets collected in thick walled cyst. This material has a characteristic “cheesy” or foot odor smell. And sometimes the secretion can become purulent.

The nature of the contents of a sebaceous cyst, and of its surrounding capsule, will be determined by whether the cyst has ever been infected. With surgery, a cyst can usually be excised completely. Poor surgical technique or previous infection leading to scarring and tethering of the cyst may lead to rupture during excision and removal.  The surgical technique removes the cyst entirely with its walls intact. This is an outpatient procedure, done under local anesthesia.

SKIN TAG REMOVAL

Skin tags are usually more annoying to look at than anything else, but understanding what they are, and aren’t, can be reassuring. And though what causes skin tags isn’t always known, skin tag treatment is pretty straightforward — they are easily removed.

Skin tags are very common but harmless small, soft skin growths. Skin tags tend to occur on the eyelids, neck, armpits, groin folds, and under breasts. Middle-aged, obese adults are most prone to skin tags. Removing a skin tag does not cause more to grow. Skin tags can be easily removed by cauterizing them after injecting a small amount of a local anesthetic. Freezing, a technique sometimes used to remove warts or other benign lesions of the skin, is also sometimes performed for the removal of skin tags. The treatment is superficial so no scar is left. If there are multiple small tags then you will be asked to apply anaesthetic cream before coming. Complete removal without any pain.