BOTOX & BLEMISHES
Caring for our skin is a vital part of looking after ourselves! If you notice skin lesions that are changing or unusual, it is recommended that you get them checked out!
Our expert surgeons can give advice and recommend the right course for you! It is paramount to us that our service is always patient-centred and we are here to help you reach the right solution for you!
PRICE ON APPLICATION
Do you feel that you always look tired? Would you like to reduce those wrinkles on your face, lines around your eyes and deep creases in your forehead? Or is excess sweating affecting your daily life?
There is a solution to these issues and here at ‘MY’ cosmetic surgery, we can help you! Our surgeons have helped many achieve the youthful appearance they are looking for with the use of Botox injections and have also treated many whose life is affected adversely by excess sweating (hyperhidrosis) to regain control and comfort once more.
Q. Are there any reasons for patients not to have Botox injections?
A. Patients who are pregnant, who are on blood thinning medications such as warfarin or aspirin or suffer from myasthenia gravis should not have Botox.
Q. What does the treatment involve?
A. Botox injections are administered as an outpatient procedure. The surgeon marks the areas to be injected. Botox is injected with a very fine needle in carefully regulated doses into the muscles that are responsible for the formation of creases and wrinkles. Patients with hyperhidrosis of the armpits can also be injected in the outpatient department. Occasionally, a white anaesthetic cream is applied to the skin one to two hours before the injection to decrease the discomfort of the injection. Patients with hyperhidrosis of the palms and soles of the feet usually have these injected with Botox under general anaesthetic.
Q. What normally happens after the injection?
A. The areas that have been injected can be slightly bruised or swollen. The swelling and bruising usually resolves within a week. The effect of the Botox is not visible until one to three weeks after the injection and lasts for approximately four to six months. Patients who want a sustained effect need to have a repeat injection when the effect of Botox wears off.
Q. How long will I need off work?
A. Most patients are able to return to work within a day. On occasion, there may be some significant swelling or bruising at the site of injection. This may affect your ability to meet with clients or to attend important social occasions.
Q. What are the possible complications of Botox injections?
A. Very rarely patients can have an allergic reaction to Botox or the effect of Botox maybe visible in a wider area than intended. This can result in an exaggerated result or relative immobility of the forehead or slight drooping of the brow or of the upper eyelid. However, this effect is completely reversible within some weeks of the injection.
PRICE ON APPLICATION
Are you worried about the appearance of a skin lesion? Do you wish to remove a mole or keratoses? With the increase in concern about cancer or because of them catching and bleeding or causing irritation, many people wish to remove skin lesions. We can help!
Q. What treatment is available for skin lesions?
A. Many of these lesions can be treated by the application of liquid nitrogen (cryotherapy). This is a freezing solution that is sprayed onto the lesion. Lesions such as raised moles can sometimes be removed by a technique called shave excision.
More prominent lesions which have hair growing in them or which are a cause of recurrent infections are treated by excision (the entire lesion is removed, and the skin is sutured).
Q. What does treatment of keratoses involve?
A. Keratoses can be treated by the application of liquid nitrogen as an outpatient procedure. A freezing solution is sprayed onto the surface of the lesion which is then allowed to thaw. Within a couple of days, a blister forms at the site of the treatment which then dries and forms a crust within three to five days. The crust comes off within seven to ten days of application of liquid nitrogen leaving a pale pink piece of skin which re-pigments over a period of weeks or months. Some patients may require more than one application of liquid nitrogen.
Q. What does the treatment of moles or nevi involve?
A. Moles can be treated under local anaesthetic as an outpatient procedure. A small dose of local anaesthetic is injected around the mole to numb the skin and the mole can then be removed either by shave excision or by complete excision. If the mole is removed by complete excision a few very fine sutures maybe placed through the skin, which are removed a week later. Moles can be treated under local anaesthetic as an outpatient procedure. A small dose of local anaesthetic is injected around the mole to numb the skin and the mole can then be removed either by shave excision or by complete excision. If the mole is removed by complete excision a few very fine sutures maybe placed through the skin, which are removed a week later.
Q. What can I expect after removal of a mole?
A. The area of operation maybe slightly bruised and swollen but this usually settles within a few days. It would be wise to postpone meetings or face to face contact with customers or to avoid surgery just before an important social engagement.
Q. What is the usual postoperative care?
A. The area of excision of the mole must be kept clean by use of cotton buds soaked in saline three times a day. The sutures are normally removed five to seven days after surgery and steristrips may be applied across the edges of the wound to support the wound and prevent the stretching of the scar. The scar maybe slightly red and visible a few weeks after surgery but tends to soften, mature and blend within the surrounding skin over a period of three to six months. During this period, patients are encouraged to massage the scar gently with moisturising cream to help its resolution.
Q. Are there any complications to this procedure?
A. The treatment of keratoses is usually uneventful. Shave excision of moles does not give rise to any problem. However, in a very small percentage of cases, especially in a mole which has hair growth, there may be a recurrence of the mole. Complete excision of a mole may result in bleeding, infection or a slightly visible scar just like any other operation.
SKIN CANCER MANAGEMENT
PRICE ON APPLICATION
If you have a lesion on the skin which grows rapidly, changes in colour, has an irregular border, bleeds, itches or changes rapidly is suspicious and should be looked at by a plastic surgeon with an interest in skin cancer. Please make an appointment and we will help you!
Q. What does the management of skin cancer involve?
A. In the vast majority of cases, your surgeon will be able to make a clinical diagnosis with regard to whether or not the lesion represents a cancer and if so the type of skin cancer it represents. In the event that your surgeon is not completely sure of the diagnosis based on the appearance of the lesion, a small biopsy would be taken under local anaesthetic to achieve a histological (laboratory) diagnosis before proceeding with treatment.
Q. What are the common types of skin cancer?
A. The common types of skin cancer are basal cell carcinoma, squamous cell carcinoma and malignant melanoma.
Q. How do these skin cancers differ in their behaviour?
A. A basal cell carcinoma is normally confined to the area of origin and does not spread to other parts of the body. A squamous cell carcinoma if allowed to grow unchecked can spread into the lymph nodes and sometimes into the blood stream. A malignant melanoma can spread by lymph nodes or by the blood stream to the other parts of the body.
Q. What does surgery for skin cancer involve?
A. Once a diagnosis of a skin cancer has been made, your surgeon will arrange for the lesion to be removed. This procedure may be carried under local anaesthetic or may require a general anaesthetic, depending upon the size of the lesion and the type of reconstruction that is required. Small lesions can be removed and the skin can be closed directly, resulting in a straight line scar. Larger lesions may require repair with either a skin graft from another part of the body or skin flap from an adjacent area.
Q. What does the usual post-operative care involve?
A. In most cases you will be asked to rest the area to allow uneventful healing. A review appointment will be arranged with a specialist plastic surgery nurse for the management of the wound or of a graft or flap five to seven days following surgery. At this time sutures may be removed and steristrips may be applied across the wound to support it for a few days
Q. What does the normal post-operative care involve?
A. There will be bruising and swelling around the area of the operation. You will be given pain killers and antibiotics for the postoperative period if the lesion that has been removed was open or infected prior to surgery. It takes between two to six weeks for grafts and flaps to heal and to become stable before you resume normal activities.
Q. How much time will I require off work?
A. If the surgery for skin cancer involves a simple excision and direct closure in most cases it is possible to return to work within a few days of the operation. In the event that a skin flap is necessary on the face, it is sensible to postpone business meetings or face to face customer contact and not to have such a procedure done just before an important social occasion as the bruising and swelling from surgery may take five to seven days to settle. If a skin graft is applied it will take between seven to ten days for the graft to become stable and approximately two to three weeks before normal activities including travelling to work can resumed.
Q. What are the usual postoperative arrangements for follow-up?
A. Following surgery depending upon the type of skin cancer you may be requested to go undergo blood tests and may have x-rays or scans of your chest and abdomen. These are usually routine and baseline tests which form the basis for a follow up programme.
Q. Where can I get more information about my skin cancer?
A. A sensible site to visit is www.cancerbackup.org.uk under Cancer Type. This site is written by doctors, nurses and patients and presents the available information on skin cancer in a readable format which is not sensationalised. It will provide you with good background information on why certain treatments or tests are being carried out and what you can expect during the course of your treatment.