Dermato-surgery

Radio-Surgery

Radio-surgery or Radiofreqeuency ablation is a versatile dermato-surgical procedure used for surgical management of skin lesions by using various forms of alternating current at an ultra high frequency.

The use of radiofrequency ablation in dermato-surgical practice has gained importance in recent years as it can be used to treat most of the skin lesions with ease in less time with faster healing time and better cosmetic result

Radio-surgery is used for following treatment

  • Skin biopsy
  • Cysts removal
  • Warts
  • Pyogenic granuloma
  • Molluscum contagiosum.
  • Xanthelasma {fat deposition around eyes}
  • Freckles {sun spots}
  • Dermatitis papulosa nigra, skin tags
  • Angiomas {red spots}
  • Cutaneous horn
  • Sebborheic keratosis
  • Nail surgery
  • Mole removal

Mole Removal

A common mole is a growth on the skin that develops when pigment cells (melanocytes) grow in clusters. Although common moles may be present at birth, they usually appear later in childhood. Most people continue to develop new moles until about age 40.

Moles are generally harmless, but it is important to know that melanoma, the most serious form of skin cancer, can develop in or around a mole.

Mole can be removed by following methods depending on the site, size and type of mole

  • Punch excision- small moles can be removed with special punches and healing takes place with or without suture
  • Radio-surgery- mole is shaved off just below the skin level by radio-ablation and does not require stitches
  • Surgical excision – mole along with surrounding skin is cut with scalpel and wound is closed by fine sutures giving good cosmetic result.

Ear Lobe Repair

Ears are one of the most visible parts of your body. Often the earlobes have been pulled down after years of wearing heavy earrings. Some people simply wish to have old holes closed, which may have been torn or misplaced when piercing, while others may want to change the shape of their earlobes.

Earlobe repair may be used to treat

  • Elongated earring canals
  • Torn earlobes
  • Damaged earlobes
  • Asymmetric earlobes

Earlobe repair can be performed under local anaesthesia. The procedure is quick, safe, virtually painless, and does not require any downtime.

Nail Surgery

Nail surgery can be divided into two basic categories:

  • excision of the undesirable tissue by use of sharp instrumentation
  • destruction of the damaged tissue by physical means such as chemicals

Nail may be removed partially or completely depending upon the damage.

Conditions benefitting from nail surgery

  • Ingrown Toenails
  • Infected Toenails
  • Deformed Toenails
  • Thick Toenails
  • Painful Toenails

Dermaroll/Microneedling Technique

Derma roller is a form of collagen induction therapy, quickly gaining popularity across the world.

The Dermaroller needles are designed to penetrate the skin creating hundreds of tiny channels which facilitate the passage and absorption of the applied product into the deeper part of the skin. It also breaks thru the fibrous bands that pull down the acne scars. The growth factors are released which in turn stimulates new collagen formation.

Dermaroller is used to treat

  • Wrinkles
  • Anti ageing
  • Acne scars
  • Open pores
  • Stretch marks
  • Hair loss

The formation of new collagen fibres and a new tissue needs time. Ideally 4-5 treatments are required with a time gap of 4-6 weeks between each treatment to see good results

Vitiligo Surgery

Surgical therapies can be used in patients whom medical management has failed and disease is stable for at least a year.

There are a variety of grafting and transplant procedures used.

  • Punch grafting
    • Multiple thin grafts of 2 – 2.5 mm diameter are taken from the donor site by special punches and grafted on to the diseased area.
  • Split thickness grafting
    • A very thin skin graft (ultra thin) consisting of epidermis is grafted onto the dermabraded or laser ablated part of stable vitiligo. The graft falls off by 8 -10 days but there takes place a cellular uptake of melanocytes on to the abraded skin which gradually starts pigmenting.
  • Suction blister grafting
    • A prolonged suction (negative pressure) is applied to the donor site this raises a large bleb and a thin graft containing only the epidermis is obtained. This is grafted on to the dermabraded recipient surface. This technique is time consuming but gives good cosmetic results.
  • Melanocyte transplant
    • Melanocytes are cultured in artificial culture media. The depigmented recipient site is dermabraded or laser ablated and the melanocyte suspension is applied to it. The area is covered with a collagen dressing and immobilized. Large areas can be covered with this method and excellent cosmetic results obtained.
  • Tattooing
    • Micropigmentation or medical tattooing is used to as a common mode of camouflage in recalcitrant lesions of vitiligo. Most centres presently use micropigmentation mainly for cosmetic correction of vitiligo over the lip area. The procedure is indicated in resistant, stable and localized vitiligo. The best results are obtained in darker skin types. Iron oxide is the most common pigment used.

Electro-surgery

Electro-cauterization is the process of destroying tissue using heat conduction from a metal probe heated by electric current.

It is used for cutting through soft tissue, for removal of warts, skin tags, DPN, molluscum contagiosum and cutaneous outgrowths.

The procedure is also used to stop bleeding from small vessels.
It has proved to be a very simple and cost effective treatment.

Electrolysis

Electrolysis is used to remove white or grey hairs which cannot be removed by laser. It is combined with laser hair removal to obtain the best results at times.

Electrolysis as a stand alone process for hair removal is not preferred, for it is slow, uncomfortable and possible risk of scarring and infection when done over larger areas.

Intralesional Injection

Intralesional injection is a technique for direct delivery of medication percutaneously into skin lesions to treat local tissues with minimal systemic effects.

The drugs primarily used for intralesional injections is Triamcinolone  acetonide  but in recent years other medicines also have been dispensed in this manner

Intralesional therapy is indicated in the following conditions:

  • alopecia areata (patchy hair loss)
  • keloid /hypertrophic scar
  • cystic acne
  • oral lichen planus
  • Diseases with thickened skin
  • Nail dystrophy