Scar Revision
Scar revision uses a range of techniques to improve the appearance or function of a scar, including surgical re-excision, tissue rearrangement, laser resurfacing, steroid injections, microneedling and silicone therapy. It is tailored to the type, age and location of the scar and the underlying tissue quality. While scars can never be completely erased, well-planned revision can make them significantly less visible and relieve resultant contractures or tethering.
Mole / Lesion Removal
Mole and benign skin lesion removal is performed for cosmetic reasons, repeated irritation, bleeding, atypical features or suspicion of malignancy. Common techniques include shave excision for raised lesions, punch excision for small round lesions and elliptical excision with sutures for larger or deeper lesions.
Skin Cancer Excision & Reconstruction
Skin cancer surgery removes basal cell carcinoma, squamous cell carcinoma or melanoma with an appropriate margin and reconstructs the resulting defect to restore appearance and function. Reconstruction ranges from direct closure and skin grafts to simple and more complex flaps, each reconstruciton is selected to achieve the best aesthetic and functional outcome.
Keloid Treatment
Keloids are overgrown scars that extend beyond the original wound and can be itchy, painful or cosmetically distressing, particularly on the ears, chest, shoulders and upper back. Treatment is typically multimodal and may include intralesional steroid injections, silicone gel or sheeting, pressure therapy, cryotherapy, laser, surgical excision and adjuvant radiotherapy. Because keloids tend to recur after surgery alone, combination treatment significantly reduces recurrence rates.
Cyst Removal
Epidermoid and sebaceous cyst removal is a minor surgical procedure in which the entire cyst wall is carefully excised through a small skin incision to prevent recurrence. Treatment is recommended when cysts become painful, infected, recurrent or cosmetically bothersome; active infections are usually drained first and definitive removal delayed until the inflammation settles.
Lipoma Removal
A lipoma is a benign, soft, slow-growing tumour of fat just below the skin. Removal is recommended if it is painful, enlarging, cosmetically bothersome or of uncertain diagnosis. Small, superficial lipomas can be removed under local anaesthetic through a small incision, while large or deep lipomas may require regional or general anaesthetic; all removed tissue is sent for histology to confirm the diagnosis.
Birthmark Removal
Birthmark treatment addresses vascular marks (port-wine stains, haemangiomas), pigmented marks (congenital naevi, café-au-lait marks) and mixed lesions using the most appropriate technique for each lesion. Options include pulsed-dye laser for vascular lesions, Q-switched or picosecond lasers for pigmented lesions, surgical excision for raised or large marks, and tissue expansion for very large areas. Treatment is often started in childhood for vascular birthmarks to take advantage of better response in younger skin.
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