We can now offer a range of skin surgeries including mole removal, scar revision, skin cyst removal, lipoma removal and repair of split ear lobes. All skin surgery procedures are performed at Queensway Skin Clinic by a Consultant Plastic, Aesthetic and Reconstructive Surgeon, usually under local anaesthetic or conscious sedation as day case procedures.
At Queensway Dental Clinic you can be assured of peace of mind that all skin surgery procedures are carried out by a consultant plastic surgeon in a clinical, CQC regulated environment.
Removal of moles is commonly requested by patients. Sometimes they dislike the appearance while other times they find they get in the way, for example, when brushing hair or shaving. Most moles are benign and can be safely and simply removed under local anaesthetic.
When considering mole removal patients have two choices; either to fully remove the mole by having the full thickness of skin cut out (excision biopsy) and the wound edges sutured together to leave a straight line scar, or by having the top surface shaved off and the base cauterised (shave biopsy) leaving a circular scar.
The choice of treatment generally depends on the type of lesion as well as the site. Excision biopsy will fully remove the mole and allow formal analysis of it under the microscope to confirm the diagnosis. Moles removed this way are less likely to regrow, but removal will leave a short straight line scar in place of the mole. Shave excision will avoid a straight line scar but will leave a flat scar the same shape and size as the original mole. There is still sufficient tissue to confirm the diagnosis under the microscope and usually the lesion does not grow back. However it is more likely to grow back than if completely removed and if there are abnormal cells identified, the remaining tissue may need to be removed as a second stage.
During your consultation you will be advised on which option is best for your situation. In general, shave biopsy is a good choice for low risk lesions. Where there is any concern regarding the risk of abnormal moles (dysplastic or precancerous) then full excision is advised.
Many patients seek advice regarding scars from previous surgery or trauma. Often scars can be improved if they are of poor quality, but will always remain visible to some degree. There are different approaches to scars depending on the type, site and timing since surgery or injury. For example, some patients have thick and lumpy scars which may benefit from injection treatment or external compression and massage. Others may benefit from complete removal of the scar with resuturing or reshaping of a scar to help disguise it.
Many patients experience problems with skin cyst development. They notice recurrent swellings beneath the skin that be associated with episodes of infection and scarring that is unsightly. Removal is generally straightforward and the cyst is sent for analysis under the microscope to confirm the diagnosis. The surgery leaves a linear scar in place of the cyst. Most cysts do not recur once fully removed, but it is sometimes difficult to remove all of the cyst if there is scarring from previous infections.
Many patients notice slow-growing soft lumps beneath the skin. They tend to progressively increase in size and do not usually regress. They are often quite mobile beneath the skin and may be removed leaving a straight line scar. Although most fatty lumps are benign (non-cancerous), the tissue is sent away for analysis to make sure there are no abnormal cells. Lumps greater than 5cm in size are usually referred for further investigation before considering removal.
Split earlobes are a common problem. They are usually due to trauma where the earring is caught on something, and pulls though the skin and soft tissue of the earlobe. It may be associated with wearing heavy earrings, particularly in cases where the piercing hole is stretched and elongated but does not fully open.
Split earlobes can be repaired under local anaesthetic by refreshing (cutting out) the wound edges and recontouring the earlobe with sutures. We would recommend permanently avoiding wearing earrings at this site to prevent recurrence, but earrings may be worn at an alternative position once healing is complete.
An increasing number of patients are requesting reconstruction of the earlobe after wearing expansion devices. This can generally be corrected using similar principles to earlobe reconstruction, with removal of the stretched area and recontouring of the lobule with sutures.
Please note that all of the above procedures require a consultation which is charged at £120.
To arrange a consultation please call 01642 352445.
To book an appointment with Mr Jones, you can call our receptionist on 01642 352445. You will be offered an individualised consultation with Mr Jones during which the problems you have will be discussed and the options for treatment including the risks and benefits will be considered. Your general health will be reviewed to assess the suitability for surgery. You may be offered a second appointment to discuss any questions or concerns you may have before proceeding with surgery. This can be important to allow you time to think about your options and provide you with the opportunity to make an informed decision before proceeding with treatment.
Once you and Mr Jones have made a treatment plan, your surgery can be scheduled. Surgery can be planned to suit your availability and taking into consideration the recovery time.
In general, there are expected consequences and possible risks associated with surgery.
These include bleeding, bruising, swelling, pain, infection, poor scarring and slow wound healing. There are additional specific risks for any given procedure. For example, when moles are excised there is a risk that removal is incomplete, that the mole regrows, or that abnormal cells are identified on testing the tissue. The individual risks according to the procedure and any medical conditions you may have will be discussed with you. Overall the risks are relatively low of sustaining any significant complication and most patients pass through the process without problems.
Costs vary according to treatment complexity and generally follow a fixed price plan for any given procedure. At your consultation you will be given a fixed price and this will include all treatment following the initial consultation including surgery, aftercare and initial follow up until discharge.
The local anaesthetic is injected at or near the site of surgery using a very fine needle. This is initially sharp and stings a little, but the area then quickly becomes numb. Afterwards we recommend initially avoiding activities that strain your wound, or that could cause a surge in blood pressure. You will be given clear advice about how to look after your wound and what to do if you experience any problems.