upper blepharoplasty at 1 week

Understanding Blepharoplasty: A Comprehensive Guide to Eyelid Surgery

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Understanding Blepharoplasty: A Comprehensive Guide to Eyelid Surgery

As we age, our skin naturally loses its elasticity, and fat can accumulate around the eyes, leading to drooping eyelids, puffiness, and under-eye bags. These changes can make us look tired or older than we feel, and in some cases, they can even impair vision. Blepharoplasty, also known as eyelid surgery, is a highly effective procedure designed to correct these concerns, rejuvenate the eyes, and restore a more youthful, refreshed appearance.

Whether you’re considering blepharoplasty for aesthetic reasons or functional concerns, it’s important to understand what the procedure entails, its benefits, and how to determine if it’s right for you.

What is Blepharoplasty?

Blepharoplasty is a surgical procedure that involves removing excess skin, fat, and muscle from the upper or lower eyelids. It is commonly performed to address issues such as:

– Drooping upper eyelids that can obstruct vision
– Puffiness or bags under the eyes
– Wrinkles and fine lines around the eyelids
– Excess skin or fat contributing to tired or aged eyes

The surgery can be performed on the upper eyelids, lower eyelids, or both, depending on your concerns.

Upper Blepharoplasty at 1 week

upper blepharoplasty at 1 week

Types of Blepharoplasty

1. Upper Blepharoplasty: This procedure addresses excess skin, fat, or muscle in the upper eyelids. It can remove sagging skin that may be obstructing your vision or contributing to a tired appearance.

2. Lower Blepharoplasty: This surgery targets the under-eye area to reduce puffiness and bags caused by excess fat and skin. It also helps to smooth out wrinkles and fine lines.

3. Asian Blepharoplasty: Often referred to as “double eyelid surgery,” this procedure is tailored to individuals of Asian descent who want to create a more defined upper eyelid crease.

Benefits of Blepharoplasty

The benefits of blepharoplasty go beyond just cosmetic improvement; they can have a significant impact on your quality of life:

– Aesthetic enhancement: The procedure can give you a more youthful, rested, and refreshed appearance by addressing sagging or puffiness around the eyes.
– Improved vision: For patients whose upper eyelids are sagging to the point of obstructing their vision, blepharoplasty can improve field of vision and overall comfort.
– Minimal scarring: The incisions made during the procedure are typically well-hidden in natural eyelid creases or along the lower lash line, resulting in minimal visible scarring.

Is Blepharoplasty Right for You?

If you’re considering blepharoplasty, you may wonder if it’s the right option for you. Ideal candidates for this procedure typically:

– Are in good overall health
– Have realistic expectations about the results
– Have excess skin, fat, or muscle around the eyes that is affecting either appearance or vision
– Do not have underlying eye conditions (e.g., glaucoma or dry eye syndrome)

During your consultation, we will evaluate your eyelid anatomy, medical history, and specific concerns to determine the best course of action for your needs.

The Blepharoplasty Procedure

Blepharoplasty is typically performed under local anaesthesia sometimes with sedation or general anaesthesia, depending on the complexity of the surgery. The procedure involves making discreet incisions in the natural folds of the eyelids or along the lash line. Excess skin, fat, and muscle are then carefully removed or repositioned to achieve a more youthful and natural-looking result.  You can watch a video of live surgery at The STAIANO Clinic here.

For upper eyelid surgery, the incision is often made in the crease of the eyelid, while lower eyelid surgery can involve an incision just below the lower lash line or inside the lower eyelid (transconjunctival) for a more minimally invasive approach.

Recovery and Aftercare

After blepharoplasty, patients can expect some swelling and bruising around the eyes. This is normal and typically subsides within a few days to a week. Most patients are able to resume normal activities after about 7–10 days, though it’s important to avoid strenuous activities for a few weeks.

We will provide specific aftercare instructions, including:

– Applying cold compresses to reduce swelling
– Keeping the head elevated while sleeping
– Taking medication to manage pain and reduce swelling
– Avoiding direct sun exposure and using sunscreen to protect the delicate skin around your eyes

It’s important to follow these instructions closely to ensure a smooth recovery and optimal results.

Potential Risks and Complications

Like any surgical procedure, blepharoplasty carries some risks. While complications are rare, they may include:

– Infection or bleeding
– Dry eyes or difficulty closing the eyelids
– Scarring
– Asymmetry or unsatisfactory cosmetic results

Choosing a fully trained plastic surgeon with experience in eyelid surgery is crucial to minimizing these risks and ensuring the best possible outcome.

Why Choose a Fully Trained Plastic Surgeon for Blepharoplasty?

When considering blepharoplasty, it’s essential to choose a skilled, experienced, and fully trained plastic surgeon.  A qualified surgeon will assess your unique concerns, discuss your goals, and develop a personalized treatment plan to achieve natural-looking results.

At The STAIANO Clinic, we are all fully trained plastic surgeons committed to the highest level of care and helping our patients achieve their aesthetic goals through safe, effective procedures. During your consultation, we’ll guide you through the entire process, answer your questions, and make sure you feel comfortable every step of the way.

Final Thoughts

Blepharoplasty is a transformative procedure that can rejuvenate your appearance, restore your confidence, and even improve your vision if sagging eyelids are obstructing your sight. Whether you’re looking to enhance the aesthetics of your eyes or address functional concerns, blepharoplasty offers a reliable solution with minimal downtime and long-lasting results.

If you’re considering eyelid surgery, contact us today to schedule a consultation and find out how blepharoplasty can help you achieve your desired look. Let us help you put your best face forward with the confidence you deserve.

About The STAIANO Clinic

At The STAIANO Clinic, we specialize in providing comprehensive plastic and reconstructive surgery services to help our patients look and feel their best. Our team of expert surgeons and dedicated staff are here to guide you through every step of your cosmetic journey. Our 5 star reviews are testament to the fact the we focus on putting our patients first.  Reach out today to schedule your consultation and discover your potential with our advanced surgical solutions.

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Sebaceous cyst on forehead at 1 week after

Understanding Sebaceous Cysts: Causes and Treatments

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Understanding Sebaceous Cysts: Causes and Treatments

Sebaceous cysts can be a source of discomfort and concern. These small, non-cancerous bumps beneath the skin can appear anywhere on the body, but are most commonly found on the face, neck, or torso.

Understanding what a sebaceous cyst is, and how it forms, can help alleviate some of the anxiety around it.

In this article, I will break down the complex medical jargon into simple, easy-to-understand language. I will explore the causes, symptoms, and treatment options for sebaceous cysts.

My aim is to provide clear, empathetic guidance. This will empower you to make informed decisions about your health care.

Whether you suspect you have a sebaceous cyst, have been diagnosed with one, or are simply interested in learning more, this article is for you.

Let’s demystify sebaceous cysts together.

What Is A Sebaceous Cyst?

A sebaceous cyst is a benign lump situated under the skin. It forms when the sebaceous glands become blocked. These glands are responsible for producing oil to lubricate your skin and hair.

The most common areas where these cysts form are the face, neck, and torso. However, they can appear anywhere on the body. Most people will notice these cysts as they grow slowly over time.

Sebaceous cysts vary in size, ranging from as small as a pea to as large as a few centimetres. They are filled with a thick, oily substance called sebum.

The cysts are generally not harmful and are rarely painful. However, if a cyst becomes infected, it can cause discomfort.

When infected, symptoms such as redness, swelling, and tenderness can occur. The cyst may become warm to the touch, signalling inflammation.

The precise cause of sebaceous cysts isn’t always clear. However, several factors contribute to their formation. These include blocked glands, skin trauma, and sometimes genetic conditions.

Here are some key points about sebaceous cysts:

  • Non-cancerous skin lumps
  • Slow-growing
  • Typically painless

Understanding these basic facts can help ease concerns. It is important to consult your doctor if changes occur. Knowing what a sebaceous cyst is can guide better health decisions.

Common Symptoms of Sebaceous Cysts

Sebaceous cysts are typically easy to identify. The most noticeable symptom is a small, round bump under the skin.

These cysts are usually not painful. However, they can become uncomfortable if infected or inflamed.

Some people may experience mild discomfort from a cyst even when it’s not infected. This can happen if it grows larger or is in a sensitive area.

When a cyst becomes infected, several symptoms can appear. Redness, swelling, and tenderness are common signs of infection.

The cyst may also feel warmer than the surrounding skin. This warmth indicates inflammation.

Other symptoms might include a foul odour if the cyst drains. This occurs because of the cheesy-like substance inside.

Here are common signs of sebaceous cysts:

  • Firm, round lump
  • Possible tenderness
  • Redness or swelling (if infected)

It’s crucial to monitor any changes in these symptoms. If you experience these signs, consult your doctor for proper evaluation.  It is important to note that we will not remove your sebaceous cyst if there are signs of inflammation or infection and this must be treated before having definitive removal.

Causes and Risk Factors

Sebaceous cysts develop for various reasons. The exact cause is not always known, making prevention tricky.

One common cause is a blocked sebaceous gland. These glands produce oil for the skin and can become clogged.

Blockages might result from trauma to the skin. Injuries or damage in certain areas can trigger cyst formation.

Genetic conditions also play a role. Some inherited disorders increase the likelihood of developing cysts.

Hormonal changes are another factor. These changes can influence sebaceous gland activity, leading to cysts.

Age and lifestyle may contribute as well. As you age, your risk of cysts might increase.

Key causes and risks include:

  • Blocked sebaceous glands
  • Skin trauma
  • Genetic conditions
  • Hormonal changes
  • Aging factors

Diagnosing Sebaceous Cysts

Diagnosing a sebaceous cyst usually begins with a physical examination. We will assess the cyst’s size and location visually and you can even send us a photo of your cyst if you would like an opinion before coming to the clinic.

Send us a photo on WhatsApp here.

In some cases, further tests may be needed. Imaging tests like ultrasounds help rule out other conditions and are useful for particularly large cysts or cysts in certain locations such as the outer edge of the eyebrow, which could represent an external angular dermoid cyst.  These are cysts that are  created during development as the bones of the skull fuse and have a small possibility of connection with the brain.

Sebaceous cyst on eyebrow (possible external angular dermoid)

sebaceous cyst on eyebrow (possible external angular dermoid)

We look for specific signs to confirm it is a cyst. These include smooth texture and mobility under the skin.  The overlying skin is usually normal, although there is often a small hole in the skin with a connection to the cyst.  This is known as a punctum and is a trademark feature of a sebaceous cyst.  If you do have a punctum in the skin, we will remove this at the same time as removing your cyst.

Sebaceous cyst with punctum

Sebaceous cyst with punctum

Treatment Options for Sebaceous Cysts

Treatment for sebaceous cysts depends on their size and symptoms. Many cysts do not require any intervention.

However, some individuals may choose treatment for comfort or cosmetic reasons. If a cyst becomes bothersome, several options exist.

Antibiotics may be prescribed if the cyst is infected. This helps clear any bacterial infection accompanying the swelling.

For larger or painful cysts, particularly if they are infected, draining the fluid can provide relief.

Home remedies, like warm compresses, can provide temporary relief. However, these should be approached cautiously and are not a substitute for professional care.

None of the above strategies will remove the cyst because the cyst wall remains even if the contents are drained.

Definitive treatment of a sebaceous cyst requires surgical removal.

Here is a list of treatment options to consider:

  • Antibiotic prescription for surrounding redness
  • Drainage if grows large and painful suggesting infection
  • Surgical removal to permanently remove the cyst

Sebaceous Cyst Removal Procedure

If a sebaceous cyst requires surgical removal, it is often a straightforward procedure that can be done on the same day as your consultation in one of our ‘See & Treat’ Clinics.

It is typically done under local anaesthesia and you will be able to go home shortly after the procedure.

We will make a small incision over the cyst. This provides access to remove the entire sac.

Removing the entire cyst is crucial. This helps prevent the cyst from coming back in the future.  For this reason, the scar is usually about as long as the diameter of the cyst, but as we are all plastic surgeons, we will plan the placement of your scar to make it as unnoticeable as possible.

Careful planning of the scar makes it hard to see even at 1 week postop

Sebaceous cyst on forehead at 1 week after

The procedure generally takes about 45-90 minutes. Recovery is usually quick, with minimal discomfort.

We have the facilities to send your cyst off for histological analysis for complete peace of mind and all of these services are included in the fixed price package that we offer.

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Following the procedure, we will give you aftercare instructions and make sure you have our contact details and a follow-up appointment booked.

Aftercare and Recovery

Taking care of the area after sebaceous cyst removal is crucial to ensure quick healing and the best result possible.

Keep the wound clean and dry. We will provide specific postoperative instructions.

Avoid heavy lifting or strenuous activities. This helps prevent strain on the healing area and reduces the risk of swelling.

Watch for signs of infection. Redness, warmth, or discharge may indicate a problem.

You will always have a follow-up appointment and contact details so that you can let us know if you have any concerns.

We will be on hand for you to come back to the clinic or we can arrange for a phone or video call if you have any questions.

All of your aftercare will be with your plastic surgeon and the clinic nurse and we will make sure that you are fully looked after during your recovery period.

Our Cast Iron Guarantee

At The STAIANO Clinic, we offer our cast iron guarantee.

Many clinics will not see you again once they have removed your cyst and you might feel that you have been left out in the cold.

Our clinic has been built on making sure that we look after our patients as you can see from our 5 star reviews.

When you become a patient of The STAIANO Clinic, you are always welcome to come back to see us if you have any questions or concerns.  We do not charge for follow-up appointments.

Not only that, we also want you to know that we will do everything that we can to give you the best result possible and so if your surgeon feels that you need any further surgery within the first 6 months after your procedure, there will be no charge.

This gives you complete peace of mind that the price that you pay includes all of your aftercare and all of your follow up for as long as you need.

Preventing Sebaceous Cysts

Prevention focuses on good skin care practices. Regular cleansing can help reduce the risk.

Avoid trauma to the skin. Protect areas prone to cysts by being gentle and cautious.

Manage conditions like acne. Controlling breakouts can lower the chances of cyst formation. Regular dermatologist visits can help maintain skin health.

When to See a Doctor

If you notice a new lump or bump under your skin, it is wise to consult your doctor. This helps ensure the growth is not something more serious.

Seek medical advice if the cyst becomes painful, red, or swollen. These signs may indicate an infection that requires treatment.

Persistent or bothersome cysts also warrant evaluation. Early intervention can prevent complications and ease concerns.

Myths and Misconceptions

There are several myths surrounding sebaceous cysts. One common misconception is that they are contagious. In reality, sebaceous cysts cannot spread from person to person.

Another myth is that popping a cyst will cure it. This actually increases the risk of infection and complications, making the problem worse.

Finally, some believe sebaceous cysts are always a sign of cancer. In fact, they are usually benign and non-cancerous, although evaluation is still important.

Conclusion and Key Takeaways

Sebaceous cysts are common and generally harmless. However, they can be bothersome due to their appearance or potential for infection.

Understanding the nature and treatment of sebaceous cysts can alleviate anxiety. It can also empower you to manage them more effectively.

Key takeaways include:

  • Sebaceous cysts are non-cancerous.
  • They often don’t need treatment unless symptomatic.
  • Removal is the most effective treatment.
  • Good hygiene helps prevent new cysts.
  • Consult your doctor if you have any concerns.

If you are thinking of having your cyst removed, you can send us a photo on WhatsApp and we can send you details about removal.

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lipoma scan image

Do I Need A Scan For My Lipoma?

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If you’ve been diagnosed with a lipoma, or suspect you might have one, you may be wondering about the need for a lipoma scan.

A lipoma is a benign tumour made up of fat tissue. It’s generally soft, movable, and painless. But when it’s large, painful or growing, a scan may be necessary. It may also be necessary to have a scan if you are considering having your lipoma removed.

This article aims to demystify the process of a lipoma scan. I will explore different types of scans, such as ultrasound and MRI, and explain when each might be used.

I will also discuss what to expect during the scan, how to interpret the results, and the potential treatment options. My goal is to provide clear, empathetic guidance to help you make informed decisions about your health care.

Remember, while this article provides general information, it is always best to consult with your doctor for personalised advice. Let’s dive in and learn more about lipoma scans.

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Understanding Lipomas: A Brief Overview

Lipomas are the most common type of soft tissue tumour. These are non-cancerous and consist of fatty tissues. They usually present as soft, rubbery lumps beneath the skin.

Most lipomas are painless and do not require treatment. They can appear anywhere in the body where fat cells exist.

The exact cause of lipomas is not well understood. Genetic factors may play a role in their development.

When a lipoma becomes painful, or grows rapidly, medical evaluation becomes important. While benign, these changes require attention to rule out other conditions.

Understanding lipomas helps in making informed decisions about when further investigation, like a scan, might be warranted.

Lipoma on flank

This is a large lipoma on the back.  A scan was required before removal due to its size.

When Is a Lipoma Scan Necessary?

A lipoma scan becomes vital under specific circumstances. Generally, lipomas do not require any intervention. However, certain changes in their behaviour might warrant a closer look.

If you notice that your lipoma is increasing in size, this might call for further examination. Changes in size can indicate the need for more detailed imaging.

Pain associated with a lipoma can also signal the necessity for a scan. Although typically painless, some lipomas can press on nerves. There is also a variety of benign lipomas called angiolipomas that can be tender.

In addition, when the diagnosis is not clear from a physical examination, a scan can help. This is crucial to differentiate a lipoma from other types of growths.

If you are considering having your lipoma removed, a scan can help to delineate how deep your lipoma is. This is important to decide whether your lipoma can be removed under local anaesthetic or general anaesthetic.

Your doctor might recommend a scan based on certain criteria. Here are some key indicators:

  • Rapid growth of the lipoma.
  • Pain or discomfort around the area.
  • Changes in the skin over the lipoma.
  • Difficulty in determining the nature of the growth – lumps around the head and neck can be a variety of things.
  • Location of lipoma – lipomas in the trunk can sometimes lie deep to the muscles.

If you experience any of these symptoms, discussing a scan with your doctor is wise.

Lipoma on neck

A swelling in the neck could be a variety of things and a scan would be necessary before removal.

 

Types of Lipoma Scans Explained

There are several scan types available to assess a lipoma. Each scan offers unique benefits and levels of detail.

The ultrasound is often the first choice. It’s non-invasive and uses sound waves to produce images. This makes it suitable for examining lumps close to the skin’s surface.

An MRI scan provides more detailed images. It’s especially useful for lipomas deep within the body. MRIs use a magnetic field and radio waves to generate images.

Though less common, CT scans are another option. They use X-rays to create a detailed cross-section of the body. CT scans are sometimes used for complex cases.

The decision on which scan to use depends on the lipoma’s specific characteristics. Your doctor will guide you in choosing the appropriate scan.

Each scan type helps in diagnosing and planning the next steps. They confirm whether a lipoma is harmless or needs more attention.

Understanding the purpose of these scans can ease anxiety. Knowing what to expect can make the process feel less daunting.

Discussing the scans with a doctor will clarify which one suits your needs. You’ll have the information to proceed with confidence.

Lipoma Ultrasound Scan

An ultrasound is often the first scan choice for examining lipomas. It’s painless and does not require any preparation.

The device uses sound waves to create images of the body’s interior. This helps in identifying lipomas close to the skin.

Ultrasounds are effective for distinguishing lipomas from other growths. They provide quick results and involve no radiation.

During the process, a technician moves a small device over the lipoma. The data is sent to a monitor, producing a real-time image.

This scan is also safe for those who are pregnant. It’s a simple and effective way to examine soft tissue lumps.

Lipoma MRI Scan

MRI scans offer a more detailed view of lipomas than ultrasounds. They are ideal for lipomas located deep within the body.

MRIs use a magnetic field along with radio waves to produce detailed images. They highlight soft tissues and structures around the lipoma.

This scan type helps determine if a lipoma affects surrounding tissues. It provides clarity when the borders of a lipoma aren’t well defined.

No special preparation is needed for an MRI, and it’s pain-free. However, patients with metal implants should inform their doctor beforehand.

The detailed images from an MRI aid significantly in precise diagnosis and treatment planning. It’s a top choice when intricate imaging is necessary.

Other Scanning Techniques

Though not as common, CT scans are sometimes used for lipomas. They provide cross-sectional images via X-rays.

This method is helpful if an MRI isn’t suitable for some reason. It’s an alternative that provides different imaging perspectives.

Rarely, other specialized scans might be considered. Each case is unique, so doctor recommendations matter.

Preparing for Your Lipoma Scan

Getting ready for a lipoma scan is simple and often requires little effort. Most scans, like the ultrasound or MRI, don’t need special preparation.

Your doctor will inform you if there are specific steps to take before the scan. Typically, you can eat and drink as usual.

Wear comfortable clothing on the day of the scan, and try to relax. This can help you feel more at ease during the procedure.

What to Expect During the Scan

When you arrive for your lipoma scan, a healthcare professional will guide you through the process. They’ll ensure you feel comfortable and informed.

Depending on the type of scan, you might lie down on a table or sit in a chair. For an ultrasound, a gel is applied to the skin for better contact.

The scan itself is usually painless and quick. Ultrasound and MRI scans typically take anywhere from 15 to 45 minutes.

Throughout the scan, the technician may give instructions. This could include holding your breath briefly for clearer images.

After the scan, you can usually resume your normal activities without any restrictions. Rest assured, the professionals are there to support you every step of the way.

Interpreting Scan Results with Your Doctor

Once your scan is complete, your healthcare provider will review the images. They’ll assess the characteristics of the lipoma and provide you with a report.

The report will explain whether the lipoma appears benign or if further steps are needed.  It will also give the dimensions of the lipoma and an accurate representation of how deep it lies.

Feel free to ask any questions about the results. Understanding the details will help you feel more confident about the next steps.

The results can guide decisions about treatment options or monitoring. This discussion allows for a personalised plan tailored to your needs.

Remember, your doctor is there to support and inform you. Their expertise will ensure you make informed health decisions.  If you have any questions about your scan report, you can always send us a copy and we can help guide you.

Treatment Options After a Lipoma Scan

After evaluating your lipoma scan, your healthcare provider will discuss potential treatment options. Often, if the lipoma is small and harmless, no treatment is necessary.

However, if the lipoma causes discomfort or aesthetic concerns, removal might be advised. Surgical excision is a common method to remove a troublesome lipoma. It involves making an incision to extract the entire growth and something that we specialise in at The STAIANO Clinic.

We offer a ‘See & Treat’ service for lipoma removal where you can send us a photo of your lipoma and a copy of your scan report (if you have had one).  We will give you a price for lipoma removal and offer you a date (usually within 7 days) to come and have a consultation with one of our plastic surgeons and your lipoma removed on the same day.

Questions to Ask Your Doctor About Lipoma Scans

It’s important to communicate openly with your doctor about your lipoma scan. To aid this dialogue, consider preparing a list of questions to clarify any uncertainties.

You may want to ask about the necessity of a scan and potential outcomes. Understanding the reasons behind your recommended scan can provide peace of mind.

Here are a few questions you might consider:

  • Why is a scan necessary for my lipoma?
  • What type of scan would be most suitable and why?
  • Are there any risks or side effects associated with the scan?
  • How will the results influence my treatment options?

These questions can help guide your conversation. Feel empowered to gather all the information you need to make informed health decisions.

Conclusion: Making an Informed Decision – Do I Need A Lipoma Scan?

Your doctor will guide you to make a decision about whether you need a scan of your lipoma.

There are some features that will make it more likely that you will need a scan:

  • Size – if your lipoma is bigger than 5cm in diameter
  • Location – if your lipoma is in your neck or your trunk
  • Symptoms – if your lipoma is rapidly growing or painful

Choosing whether or not to proceed with a lipoma scan can be daunting.  Consult your GP to see if a scan is necessary.  If your GP is unable to help you, then we can arrange for a lipoma scan at one of our partner hospitals who will provide a report that will allow us to proceed with treatment.  Please call the clinic on 0121-454 3680 for more details.

Ultimately, your comfort and peace of mind matter most. Making informed choices leads to more effective healthcare decisions. Trust the process and remember, you’re not alone on this journey.

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Mole Removal The STAIANO Way – One Visit Instead Of Three

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Mole Removal In Birmingham – One Stop Clinic

 

Traditionally for mole removal or cyst removal,  you would need to go through a process to have it removed which would require at least three visits to the doctor.

THE TRADITIONAL WAY

  • 1st VISIT – you would make an appointment with your GP who would then refer you to a specialist
  • 2nd VISIT – you would see the specialist who would look at your mole or cyst and put you on a list to come back and have it removed
  • 3rd VISIT – you would come back to the hospital for your cyst or mole removal procedure

This can be frustrating if you work or have a busy life because it involves three separate appointments at different times.

You will often know what procedure that you want – to have your mole removed and so why should you need to see two doctors and have three separate visits?

At The STAIANO Clinic, you can have it all taken care of in ONE APPOINTMENT.

To streamline the process, you do not need to see your GP for a referral before coming to see us.  You can contact us directly and then we will communicate with your GP afterwards.

THE STAIANO WAY

  • STEP ONE – let us know what procedure you are interested in and we will send you some information and guide prices
  • STEP TWO – if it is a mole or cyst or something that you would like to have removed, then send us a photograph.   This allows one of our clinic nurses to take a look and assess the suitability for surgery and to also give you a more accurate idea of what it would cost to have it removed.
  • 1st VISIT – come to the clinic for a consultation and mole removal on the same day in our ‘see & treat’ clinic.

If you have any questions, then you can email the clinic or you can join me on a Tuesday evening at 7pm for my live Q&A on Facebook, Instagram and YouTube.

You would be welcome to come to the clinic for an assessment with one of our plastic surgeons before committing to having your mole removed, but if you are comfortable with everything and you do not want to come back for a second consultation, we offer our ‘see & treat’ clinic.

This means that you only need to take one time off work and you can come to the clinic, meet with one of our plastic surgeons and have your consultation, just like you would normally, but if you feel comfortable to go ahead with the procedure on the day, then we will take you to the operating suite and remove your mole or cyst there and then.

There is never any obligation to proceed if you do not feel comfortable and although we take a deposit, we will refund it in full if you do not go ahead with your procedure for any reason.

I have set this system up because I am always looking for ways to stand out from the competition and to look at how I can deliver more value and give a better service to my patients.

From your point of view, you cannot really lose because you will be having a consultation and you will have the choice whether to go ahead or not.

From the clinic point of view, it is not very efficient and this is why not many clinics will offer this service.  If you choose not to go ahead with your procedure on the day, then we will have lost out, because we will have a big gap in the clinic.

…but I don’t mind this, because there is always a price to pay for being different and standing out.

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Removing a mole without leaving a scar

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I am often asked about removing a mole without leaving a scar.

There is a lot written on the Internet about this and YouTube seems to be full of videos of people demonstrating home remedies that can ‘quickly and easily remove your mole leaving no visible scarring‘.

The reality is that it is not possible to remove a mole without leaving a scar of some sort.

We are all specialists at mole removal at The STAIANO Clinic and often the scars fade so well that they are difficult to see and so people think that they are not there.

Removal of 3 moles on the forehead by shave excision

The question should not be ‘how do I remove my mole without leaving a scar?‘,

it should be ‘how do I remove my mole leaving the best scar possible?‘

There are many ways to remove a mole but the common theme is that the piece of skin that contains the pigment cells of the mole needs to be destroyed in some way.

  • You can burn it with heat or energy like a laser.
  • You can destroy it with acid.
  • You can scrape it off.
  • Or you can cut it out with a knife.

They will all remove your mole and they will all leave a mark or scar of some kind.

There are pros and cons of each method and so you need to weigh up what would be the best for you.

Perhaps the most important question is to find out whether there is anything suspicious about your mole. The best way to test this is to send it away for histological analysis.

This is only possible to do if your mole is removed by cutting it out with a knife because all the other ways will destroy the tissue and so it cannot be analysed.

removing a mole without leaving a scar

Before and after removing a mole without leaving a scar

This is particularly important for brown moles because even if there is no concern that they are cancerous, there may be reasons to get a histological report anyway.

If you were to develop signs of skin cancer later on in life such as enlarged lymph notes, your doctors would look closely at your skin for a potential source of the cancer.

If you tell them that you had a mole removed some years ago, then they would want to see a histological report to confirm that that was not the cause of your current problems.

If the mole was not sent away for histology, then there is no way to be sure that it wasn’t actually cancerous.

In terms of the scarring created, then it can be variable for all the modalities of treatment.

When destroying the skin with heat, laser energy or acid, it can be difficult to judge the amount of energy needed to completely destroy the mole.

If you do not use enough energy then there may be evidence of a residual mole left behind
…and if you use too much then this can increase the scarring.

It is more predictable when you use a knife, if it is being used in skilled hands.

My advice for patients who want to know the best way to remove their mole without leaving a scar is this:

  1. First of all, there is no way to remove a mole without leaving a scar
  2. Secondly that excising it with a knife is probably the most predictable and effective way, with the added benefit of allowing us to perform histological analysis if required.

If you have a mole that you are concerned about the first thing to do is to get it checked out by a doctor.

We offer virtual consultations if you would like an assessment and opinion by one of our fully trained plastic surgeons and we also offer a ‘see & treat’ service that will allow you to have your mole removed on the same day as your consultation if this is something that you would like to consider.

Please feel free to comment on my blog and if you want to get in touch you can email me at [email protected] or call us on 0121 454 3680

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You can send us a photo of your mole on WhatsApp if you would like one of the team to have a look at it:

 

Removing a Beauty Spot

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If you have a beauty spot and you would like to have it removed then we offer a ‘see & treat’ service where you can have a consultation with one of our plastic surgeons and go straight ahead and have the beauty spot removed there and then on the same day as the consultation.

A beauty spot is usually a benign mole and there is not anything to particularly worry about but they are in prominent positions on the face and so it is not uncommon for people to want to have them removed.

Of course there are icons of fashion such as Cindy Crawford and Marilyn Monroe who are famous for their beauty spots which are distinguishing features and something that they have obviously embraced.

However not everyone feels this way about their beauty spot and whilst some may think that they look attractive, some may feel differently.

If you are unhappy with your beauty spot and want to have it removed then it is usually something that can be done relatively quickly and painlessly in our minor operating suite.

We are all fully qualified plastic surgeons at the Clinic and we are careful to plan removal of your beauty spot to leave the least scarring so that once things have faded it is difficult to see where your beauty spot was.

If you have got a beauty spot that you would like to have removed, we offer consultations with a plastic surgeon and will give you honest advice with never any pressure to proceed.

If you have any questions you can contact us on 0121-454 3680 or email us at [email protected]

I do a live Q&A every Tuesday at 7 pm on Instagram, TikTok, YouTube and Facebook so feel free to comment or ask a question.

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Lipoma Removal

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Lipoma removal is one of the procedures we perform at the STAIANO Clinic on a ‘see & treat’ basis.

Lipomas (or lipomata) are fatty lumps underneath the skin and they can occur anywhere in the body.

The overlying skin looks normal but you can usually feel a bump and sometimes see a bump caused by the underlying lump.

Lipomas are fatty lumps. They are made up of normal fat but there is just too much of it in the area.

Lipomas are nothing to worry about and very rarely cause any problems apart from being unsightly and potentially uncomfortable.

This is a lipoma on the flank that is uncomfortable against the bra strap:

While this is a lipoma on the forehead which is visible in certain lights:

As plastic surgeons, we take care to hide our scars and can perform lipoma removal through minimal incisions which are carefully placed to ensure that they are as inconspicuous as possible as you can see from the two cases above.

They can occur singly or they can be multiple and some patients can have literally hundreds of them.

One of the challenges of lipoma removal is knowing how deep the lipoma is.  A lipoma can occur at any depth in your body and it can be hard to tell how deep they are.

If we are concerned and are worried that your lipoma may lie deep underneath your skin, then we may organise a scan and could suggest that surgery is done under a general anaesthetic rather than a local anaesthetic.

The mainstay of treatment is surgical and involves making a small incision over the lipoma under local anaesthetic and removing it as seen in the video below:

Surgery is done on a walk in, walk out basis and a small scar will be left from where the incision was made.

The size of the scar depends on the size of the lipoma, but we can normally remove them through a smaller scar than the size of the lump because we can squeeze them out.

If you are interested in lipoma removal we offer free consultations so you can come and be examined by one of our plastic surgeons who will go over the options available to you.

To find out more about lipoma removal and to get an idea of prices click here or call us on 0121-454 3680.

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5 ways to treat keloid scars

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Keloid scars are an abnormal form of scarring that occur in some individuals.

They are more common in certain skin types such as Afro-Caribbean skin and they are also more common in certain areas such as the earlobes, the shoulders or over the breast bone.

They are raised lumpy scars which are often itchy and are darker in colour to the normal skin colour so they can be red or purple in Caucasian skin or darker brown in pigmented skin.

They are difficult to treat because it is an abnormal response by the body and we don’t really know why they occur.

There are five main forms of treatment for keloid scars:

1. Moisturising and Massage

If your scar is only slightly raised and particularly if it is within the first year then you may have a hypertrophic scar rather than a keloid scar and these tend to be less severe and more likely to improve over time.

Moisturising and massaging the scar will help it to soften and may help with the itch.

2. Silicone

The next step would be to use silicone on the scar.

Silicone comes in 2 forms, a gel or a sheet.

Silicone sheets are useful on flat areas particularly underneath clothes because while the silicone sheets are sticky, they do not stay on well on exposed areas.

For keloid scars in exposed places like the face or the ears, silicone gel is more effective.

The silicone needs to stay on for 23 hours of the day and is only taken off to wash.

It can help with the red and raised nature of the scar and also the itch.

3. Pressure

Pressure is known to improve the quality of keloid scars although it is dependent on the area as to whether it can be used as a modality for treatment.

Keloid scars on the earlobes may be amenable to having pressure applied by using a custom-made clip which will press on the scar and can help it to flatten.

Other areas of the body can be more difficult to apply pressure to although it may be possible to have a custom-made garment depending on the size and location of the scar.

For severe scarring of the face, a custom mask can be made to apply pressure, although this is only for extreme cases.

4. Steroid Injections

The next step for troublesome keloid scarring is to use steroid injections.

Steroids are used to dampen down inflammation and it is presumed that the cause of the keloid scarring is an inflammatory reaction within the scar.

The steroid needs to be injected into the scar itself and this can be uncomfortable.

Steroid injection is a procedure that can be performed in the outpatient clinic and may need to be repeated.

5. Excision Of Keloid Scars

One of the last options we consider, but perhaps one of the first options that many people think about, is excision of the scar.

It may seem an obvious choice to excise and give a fresh neat scar. However because keloid scarring is due to your body’s reaction to forming scars, there is a high probability that if a fresh scar was made, it could be keloid again and it could come back worse because the new scar would be longer than the original one.

Excision of a keloid scar is sometimes performed if it is a very large and bulky scar that is unlikely to be significantly reduced with steroid, pressure or silicone.

When excision of a keloid scar is considered, we would usually perform what is known as an intralesional excision of the scar which involves leaving a rim of keloid scar behind so that fresh skin is not cut into.

This leaves a residual lump which can then be treated with one of the other methods above such a steroid injection, pressure clips and silicone dressings or a combination.

 

 

The treatment of keloid scar is challenging and as you go up the ladder of increasingly invasive methods then the potential risks also increase.

This is an outline of what is available for keloid scars but each patient needs to be treated on a bespoke and personal level with a package or combination of treatments which will give the best possible outcome.

If you would like a consultation with one of our Plastic Surgeons for an assessment of your keloid scar then you can call us on 0121-454 3680, alternatively email us a photograph if you would like us to give you an opinion.

Book A Virtual Consultation Here:


For more information about scar revision, visit our scar revision page.

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Cost of Mole Removal

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It is a very common question for us to get from prospective patients ‘what is the cost of mole removal?‘.

I think if I was having a mole removed this is a question that I would ask and this is often the only question paying patients ask.

I think this is because it is hard to know what questions to ask and certainly asking about the cost is an obvious, easy and important one.

The problem we have is that if you are comparing our service with others purely on the cost, you may find that we charge more than other clinics.

It is not unusual for patients to come back to us and say that they have found it a lot cheaper elsewhere and we realise that this is the case.

In this video, I explain why you should consider the other factors, apart from just the cost:

  1. Cost Of A Plastic Surgeon

All our surgeons are fully trained plastic surgeons which is unusual when it comes to mole removal.

All sorts of doctors perform mole removal and most are not fully trained surgeons, let alone plastic surgeons.

There is nothing inherently wrong with this and it may be that a dermatologist or a GP with no formal surgical training can safely and effectively remove your mole.

However, as plastic surgeons, we have spent years and often decades honing and refining our techniques, tissue handling, and placement of scars, so that we ensure that we get the best result possible, and minimising trauma to the tissues and taking care with scar placement we often get a reputation for leaving no scars at all.

Everyone will leave a scar no matter what they say, but the quality of scar can vary dramatically according to the practitioner that you chose.
Furthermore, as plastic surgeons, we are also trained in treatment of skin cancers and reconstruction so we can treat any mole or skin lesion regardless of its size or location.

The story goes that Picasso was sitting in a Paris cafe when an admirer approached and asked if he would do a quick sketch on a paper napkin.

Picasso politely agreed, swiftly executed the work, and handed back the napkin ” but not before asking for a rather significant amount of money.

The admirer was shocked: How can you ask for so much? It took you a minute to draw this!
No, Picasso replied, It took me 40 years

You are not just paying for the time that the surgeon takes to perform your procedure, you are paying for the years of experience it has taken them to refine their art.

If you compare our costs with having surgery done by a Plastic Surgeon elsewhere, you will find that we are usually a lot cheaper because we have our own surgical facility and do not need to use the facilities of a hospital.

  1. The Cost Of Histology

It is good practice to send pigmented moles away for histology.

This is included in the cost of mole removal at The STAIANO Clinic.

Histology is expensive because it needs to be sent away to London, analysed under a microscope, and then reported on, to ensure there is nothing to worry about.

Often we can tell clinically that moles are benign, but it is sometimes nice to have a histological report for peace of mind and also for the future if any other new lesion or lumps or bumps crop up, it is good to know exactly what your mole was.

We do not charge extra for this service, because we believe in providing one fixed price that covers every eventuality.

  1. The Cost Of Aftercare

The underlying theme at The STAIANO Clinic is that we ensure that we do everything we can to look after our patients.

Once you are a patient of ours we never discharge you, and you can always come back if you have any questions or concerns at any time, whether it is before or after your procedure.

We do not change for consultations for mole removal so you can come and talk to the plastic surgeon about what might be possible and the sort of results you could achieve with no obligation to proceed.

Once you have had your procedure, we will see you to remove your dressing and sutures if required and will continue to see you to check on your scar and give you advice about scar management to ensure that you get the best scar possible and are completely happy with everything.

This attention to detail and commitment to ensure every patient has the best result is one of the reasons why there are so many happy patients and good reviews.

We may not be able to compete on price but we can certainly compete on service and aftercare and deliver this to a world class standard.

If you ever were to have any problem, need any further surgery, or continued input and advice, we would always be there for you.

It is hard to put a price on these things and often you don’t realise their value until you need them.

Cost is always a factor but so is value.

There is nothing worse than paying for something and feel that you are not getting value for money, but at the same time, sometimes it is worth paying more for something if you can see the value.

Our clinic is based on delivering value over and above the norm in everything that we do, constantly striving to improve the experience for our patients, and this shows in the positive feedback that we receive.

We are one of the few clinics in the country who offer a see and treat service for moles and cysts, which means that we are happy to block out enough time to see you in the clinic and remove your mole on the same day to save you having to come back, although we are fully prepared to postpone or delay the surgery if you are not happy for any reason, so this in itself is not an efficient use of our operating theatre, but we do it because it is providing a better service to our patients, which has always been our primary focus.

I believe that by investing in our service, in our expertise, and in the results that we can deliver, we can give more value to our patients and get better outcomes.

When you take it all together, you will see that the cost of mole removal at The STAIANO Clinic is actually quite competitive if you compare the service that we are offering, to that of others.

The cost of mole removal is from £750 and that includes all of your Consultations with one of our Plastic Surgeons, histological analysis of your mole and all of your aftercare.  If you have multiple moles, it is £350 for each additional mole.

If you are unsure if it is worth it, why don’t you come along for a free consultation and come and meet us and you can get a feel of what we offer before making a decision.

If you have any questions feel free to get in touch or leave a comment and I would be happy to get back to you.

If you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 p.m. and I will be available live to interact and discuss any issues.

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Different Types Of Skin Cancer

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Cancer is a very emotive word and when people hear the diagnosis of cancer they understandably will conjure images of prolonged unpleasant treatment and poor prognosis.

However, when it comes to skin cancer, it can cover a range of different types of cancer from the relatively mild form which can be cured by minor surgery, through to the more aggressive types which can carry with them a poor prognosis.

There are three main types of skin cancer and they can usually be distinguished on their clinical appearance:

  1. first is a BCC basal carcinoma
  2. next an SCC squamous cell carcinoma,
  3. and the other is malignant melanoma. 

Malignant melanoma is in a category of its own, which is why the other types of skin cancer are sometimes known as the non-melanoma skins cancers.

They usually look quite different in that BCCs and SCCs are red patches of dry crusty skin which can be confused with a spot that does not heal up.

They sometimes ulcerate and may bleed or itch. 

Melanoma on the other hand tends to be a pigmented lesion, in that it is brown, can start in an existing mole, or present as a new mole.

It is usually identified by a change in a mole and it becomes bigger, smaller, or starts itching or bleeding. 

They are both due to sun exposure (this is why I keep going on about having SPF on a daily basis not just when it is sunny outside).

However, melanoma is more associated with sunburn, particularly sunburn as a child, but it is very common in sunny climates like Australia.

BCC and SCC are more associated with chronic sun exposure and because our skin is exposed to the sun all the time, over the years this sun exposure can take its toll, which is why BCCs and SCCs are more common the older we get and it is also why they are more common in sun exposed areas such as the face.

Melanoma is at one end of the spectrum and it can be quite a significant disease.

It can spread rapidly and can be associated with a very poor prognosis which is why if you have any moles that you are worried about you will need to get them checked out on an urgent basis.

On the other hand, BCCs and SCCs which do not tend to look like moles but more like red patches of skin or spots and can sometimes be confused as insect bites, are less aggressive, with BCCs being milder than SCCs.

BCC and SCC can often be cured by removing them and may only involve a minor operation with the main aim to make sure that they are removed completely and if they are completely removed then they may need no further treatment.

This is why they have to be excised and you should not consider other treatment such as curettage or shave because removal of normal skin all the way round and deep to the lesion needs to be attained in order to ensure they have been completely removed.

I have written a guide with what to look for in a mole. 

If you are concerned, then the bottom line is if you have any changes or are worried about it, then you should go to your GP or come and see us to get things checked out.

We will let you know if there is anything to worry about or whether you can simply just keep an eye on things.

Do not panic if you get a diagnosis of skin cancer because it might be one of the milder forms such as BCC which really is not what we normally associate with cancer because once BCCs are completely excised, they do not need any further treatment.

You simply just have to keep an eye out for further lesions because once you have had one you are at a higher risk of getting others.

It is important that we are all vigilant with our skin, look out for any moles or spots that are changing, and as always prevention is better than cure, so be sensible in the sun, keep covered up, use suntan lotion and regularly re-apply it, and without wanting to sound like a broken record, consider incorporating SPF into your daily regime of skin care.

Play safe in the sun.

 

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