Surgery

Skin surgery

Cutis has the best dermatosurgery care provided by renowned, experienced and skilful specialists. We perform all kinds of skin surgeries ranging from simple procedures to advanced surgeries with high degree of precision. Most of the procedures are office based, day care surgeries with minimal downtime and excellent cosmetic outcome. Cutis offers a comprehensive dermatosurgical care which includes the following

Mole surgery

Mole commonly termed as birth mark is referred to as ‘NEVUS or NEVI’ in medical language. Moles are benign growths on the skin that are either brown or black in colour. They appear either at birth or during puberty. Treatment is issued for those who seek for better cosmetic appearance, for moles causing mechanical problems and fear of malignant changes. It is a simple procedure where the mole is excised using a scalpel or a punch and the resulting wound is closed by thin sutures. Small moles are removed in a single session with minimal/ no scar while larger moles require serial excision with minimal scar. Some moles can be seen spreading over a large area of skin like Nevus of Ota / Ito, Bathing trunk nevus, Beckers’s nevus require combination of laser therapies.

Cysts (sebaceous cyst, trichilemmal cyst, epidermoid cyst)

These are formed by the collection of dead skin/ sebum/ hair under the skin. They are removed completely along with the wall that encloses them, so that there will not be any recurrence.

Lipomas are localised collection of fats cells which can occur anywhere in the body. They are removed for cosmetic reasons and when they cause pain. These can be removed by small incision surgery with good cosmetic outcome.

Corns and warts commonly seen over on the palms and soles, can be removed by various methods like electrosurgery, cryotherapy or excision and closure depending on the size and location.

Skin tags and other benign skin growths over the face, neck and all other parts of the body can also be removed safely with aesthetically pleasing results.

Vitiligo/leukoderma/ white patch Surgeries

Vitiligo is a social disease and despite the many advances in medical treatment, repigmentation can be achieved in only 60-70% of patients. Certain areas like limbs, bony and non-hairy areas, lesions with white hairs do not respond adequately. Most patients with extensive lesions, have resistant residual lesions, which can be better targeted by surgeries.

Surgical options include minipunch grafts, Suction blister, Thin split thickness, Hair follicle, Smash, Non-cultured cell suspension, tattooing and removal of lesion. Based on Size, site and pattern of lesion and Equipment available, the surgical technique is chosen by your Dermatosurgeon.The main prerequisite for surgery is, the diseases must not be spreading from last one year.

The principle of surgery is that, the white patch lacks pigment producing cells called melanocytes. In surgery we are transferring these cells from your normal skin to white patch so that normal pigmentation comes back.In Punch grafting small pieces of normal skin are taken from the thigh or behind the ear and grafted on to the white patch. In Suction blister grafting a thin layer of skin is harvested from the thigh by raising a blister and grafted on to the white patch.Epidermal cell suspension is the method used to treat large areas of white patches, where pigment cells are directly applied on to the recipient area.The pigmentation starts at 3 weeks and completed by 3 to 6 months. Surgery helps to regaincolour of skin but not the cure.

Acne scar revision surgery. Acne scars are devastating as they cause lot of anxiety and reduce self esteem and hence warrant treatment. Options includes Minimally invasive (Subcision, Chemical Peeling, TCA CROSS technique, Microdermabrasion, Fillers, Intralesional steroids, Microneedling ) and Invasive procedures (Punch excision techniques, Dermal grafting, Laser resurfacing and scar excision).

Keloids and hypertrophic scars commonly occur over the chest, shoulders, ear lobe and face. There are many modalities available for the treatment which includes cryotherapy (surface and intralesional), surgical debulking and intralesional steroid injections.

Scar revision surgeries are done to get rid of the cosmetically unacceptable scars. It is done for traumatic bad scars, acne scar, chicken pox scar. There are several surgical and cosmetic remedies to improve the appearance of scars like lasers, punch grafts and surgical excision/ closure and plasties to give good aesthetic results.

Nail surgeries- Surgeries are performed on the nails for the treatment of ingrown toe nail that causes pain and disability. The completely/ partially removed nails grow in 3 to 6 months. Other surgeries include nail biopsy and pincer nail deformity correction surgeries.

Sclerotherapy is a very cost-effective procedure for treatment of varicose leg veins and also for other vascular lesions, that seldom leaves a scar or produces adverse effects. It is typically performed on an outpatient basis by a dermatologic surgeon. Prior Doppler testing is done to know the underline condition of the veins. A specially developed chemical solution is injected with a very small needle into the spider or varicose vein. The solution causes the vein to close up or collapse and become scar tissue that is eventually absorbed by the body. The work of carrying the blood is shifted to other healthy blood vessels nearby.

Ear lobes surgery is simple surgical procedure performed to restore the appearance of earlobes that have been torn or stretched due to ear tearing, trauma or piercing. Surgery can be done with intact hole or Repiercing can be done after 6 to 8 weeks.

Skin grafting and flap surgeries are advanced surgeries done after removal of skin tumors/cancers to close the defects with aesthetically good results..

Other advanced surgeries include Fat transfer, blepharoplasty, breast augmentation and Hair transplantation.