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DERMATOSUGERY

Dermatosurgery (Skin surgery) can be performed for the treatment of numerous conditions. Please consult your doctor for further details and decide on the best available option for treatment.

The following types of surgical treatment options are available at DISHARC:

Vitiligo surgery

Vitiligo (“Dubi” in Nepali) is a skin disease which presents with white patches on the skin with or without white hairs. It occurs as a result of the destruction of melanocytes (cells which normally produce skin pigment or colour). The exact cause of the destruction is not known. Vitiligo effects around 2-3 % of the population worldwide and can effect all ages, gender and race. However, the disease is more prominently visible in pigmented skin. Although it is not an infectious disease nor is it life threatening, Vitiligo has been associated with social stigma in many societies, which is unfortunate. People suffering from Vitiligo should not be discriminated against and they require our psycho-social support in order to help them cope with the condition. Besides many other modalities of medical treatment, surgery is one of the options in selected patients.

Patients with stable disease (those who do not have appearance of new skin patches or increase in the size of existing patches for a period of at least 1 year), and those who are improving with medical treatment but desire faster results in exposed areas have the option of undergoing Vitiligo surgery.

Techniques such as Blister grafting, Punch grafting, Non-cultured melanocyte suspension and follicular unit grafting are performed. Repigmentation may be expected in a few months and multiple sessions may be required to cover large areas. Most scientific studies have shown 70-80 % success rate of these procedures. You may consult your doctor to decide the best option for you.

Surgery for scars

Scars as a result of disease or injury cannot be completely removed. However, many disfiguring scars can be modified or reduced through surgery. Scars as a result of acne (pimples), chickenpox, burns or other injury may be treated. It is essential to understand the nature of the procedures and the expected results before deciding to opt for surgery of scars. Many disfiguring scars may require reconstructive surgery, for which consultation with a plastic surgeon would be more appropriate.

Other non-surgical options such as the use of chemical peels (various strengths of acids are used to peel the skin) may also be tried in selected patients.

Electrosurgery

Electrical device is used for cutting and destroying benign skin lesions such as warts, skin tags, keratoses, etc.

Cryosurgery

Liquid nitrogen is used to freeze and destroy various skin conditions such as warts and keratoses.

Skin Biopsy & excisions

Skin biopsy is one of the important procedures performed in order to arrive at a diagnosis of skin disease. It involves removal of a small piece (4-6 mm) piece of lesional skin tissue after administration of local anaesthesia and subjecting it to pathological examination. Such procedures are generally performed to help in confirming a diagnosis, but it may not be possible to arrive at a confirmed diagnosis in every case. In such situations further tests may be necessary or a best possible decision has to be made after correlation of the clinical picture with the available test results.

Many lumps and nodules in the skin can be excised (removed surgically) under local anaesthesia as a therapeutic measure. Most of such conditions are usually treated for cosmetic reasons. However, some may require further examination to rule out other serious causes.