Birth Marks Removal

Birthmarks, like other skin problems and blemishes, can be difficult to live with cosmetically when they are visible, especially on the face or neck. The removal of a birthmark is more complex than natural remedies, which have varying degrees of success in relieving them. After determining some very important medical considerations, you can make a much more informed decision about how you want to treat your birthmark.

What are birthmarks or nevi

Birthmarks or nevi – it’s the wrong sections of tissue, they’re on almost every people’s skin. In the nevus under a microscope, you can see a large number of cells that contain pigment granules – melonosomes, whose number increases with sunburn. Cells containing melanosomes are called melanocytes. In melanocytes nevi are found various degrees of maturity – from fully matured to immature.

Birthmarks are usually benign, and most people have had a doctor identify the type of birthmark they have very early in life, since they are usually present at birth (hence the name) or soon after. According to an article in Times Online, one in 10 babies has a birthmark of blood vessels at birth or shortly thereafter, and most are temporary. It is still very important to have a dermatologist advise you if you have decided to seek treatment or possible removable from your birthmark. This is especially true if your birthmark has changed in size, color or texture. Also, don’t ignore a birthmark that starts scratching or getting touch sensitive.

Your health should come before cosmetics; therefore, it is important to deal with any medical problems caused by a birthmark in the first place. If a birthmark is causing problems with your vision or any other health problems, you should work closely with your doctor to address health concerns first. Certain birth marks of the scalp and face have been associated with an increased risk of glaucoma and seizures. It is extremely important that you approach to remove the birth mark from the health point of view first and then from an aesthetic point of view.

Birthmark removing operation

Moles can be removed only by surgery performed in the hospital, followed by a mandatory laboratory examination of the removed tissue. Independently remove even very small birthmark is strictly prohibited due to its propensity for malignancy (degeneration in malignant tumor). If during laboratory tests a Malignant tumor is detected, then further analysis and treatment should be carried out only in cancer clinic. There is no need to be afraid: timely access to an agency that specializes in most cases leads to recovery. You do not need to be afraid of advanced disease.

How is the surgery to remove the birthmark

Since moles are different in structure and footprint, we remove them in different ways:

• Conventional surgical method with a scalpel – Nowadays, this method is rarely used and only when removing large moles (more than 2-3 cm in diameter); with a large mole removal is achieved in phases;
• using cold (cryotherapy); This operation is performed using liquid nitrogen, and only to remove small nevi; operation is quite traumatic, such as traumatized surrounding tissue;
• by electrocoagulation – before this method was very widespread, but nowadays for the removal of moles, there is a more advanced equipment, method is also traumatic and is used to remove only a small moles;
• removal with a laser; Effective method to remove moles can be up to 2 cm in diameter, while avoiding bleeding because the laser immediately “welds” small vials;
• Remove using a special radio frequency device “Surgitron” – the most modern technique that does not cause bleeding and leaves behind a scar virtually invisible.

Many people may not know this, but plastic surgery is an indispensable ally in the fight against skin cancer. And when we consider that non-melanoma skin cancer represents about 30% of all malignant tumors registered in the world, and the incidence of this disease has increased considerably over the years. With the performance of skin cancer surgery and other appropriate therapeutic methods, however, the mortality rate related to this type of disease is considerably low.

Skin cancer surgery is the main form of diagnosis and treatment of the disease, as well as skin lesions considered suspicious or precancerous. There are several surgical techniques that are very efficient to remove a skin tumor and reconstruct the affected area, and the choice of the best method depends directly on the size and characteristics of the disease.

Plastic surgery for skin cancer is a delicate procedure, since it is responsible for tumor removal and reconstruction of the affected site.

What is the relationship between skin cancer and plastic surgery?

The relationship is very simple to understand: the procedure of tumor removal leaves scars. Depending on the case, if we are talking about a skin cancer of the neck or face, there may even be a disfigurement. Therefore, plastic surgery is done to correct this problem, so that the patient does not have any kind of problem after cancer treatment — not even aesthetic.

Of course, tumor removal and aesthetic procedure can be done at different opportunities and by different physicians. However, plastic surgeons also have the necessary instruction to remove the tumor.

So, if it’s possible to do it all at once, there’s no reason to go through the whole process involved in surgery more than once, don’t you think? And that’s exactly why cosmetic surgeons like me perform plastic surgery for skin cancer.

Types of skin cancer

This condition is developed when skin cells multiply uncontrolled and, according to the affected cell, can be classified between two types of skin cancer: melanoma and carcinoma (also called non-melanoma). Melanomas are more aggressive and rare and originate from melanin-producing cells — the protein that determines skin color.

Non-melanoma tumors are more frequent and have a high chance of cure, provided they are detected and treated early. These carcinomas can be classified into two types, they are:

• Basal cell carcinoma: affects basal cells, has slow evolution and is the most common of non-melanomas, characterized by the presence of a skin lesion. It usually arises in regions exposed to the sun without adequate sun protection;
• Squamous cell carcinoma: affects squamous skin cells, is more prevalent in men and may be associated with chronic wounds and exposure to certain chemical or radioactive agents.

How is plastic surgery done for skin cancer?

Skin cancer surgery is the main therapeutic method for most cases of melanoma and skin tumors that have well-delimited margins. It is a procedure considered simple and that, if the lesions are small, can be done in an outpatient setting and only with local anesthesia.

In general, this is always the first treatment option for skin cancers, since it offers high cure rates and can be used in cases of recurrent tumors. This skin cancer surgery uses a scalpel to remove the lesion and an additional amount of healthy skin as a safety margin. The pattern is that this border is 1 centimeter in cases of carcinoma, and 2 centimeters for melanomas.

Details such as the anesthesia used, the duration of the procedure and the preparation required to perform the surgery are defined according to the complexity of each case. Small and simpler manifestations, for example, can dispense with preoperative examinations and last a time considered short. Larger procedures, however, may require preparations that include:

• Blood tests and cardiac evaluation;
• Suspend the use of specific medications;
• Discontinue use of dietary supplements that may interfere with coagulation;
• Choose comfortable clothes that are easy to wear, so there is no discomfort during and after the procedure.

Risks of skin cancer surgery and post-care

Skin cancer surgery usually has a quiet and uncomplicated healing, although a follow-up of the surgeon is required to make sure that the post-surgery is within the expected and that the wound is healing properly. The few related complications concern healing problems and the possibility of infection in the wounds.

Recovery after the procedure varies according to the patient’s health status, the amount of skin that was removed, and the site of surgery. The aesthetic results are good, in general, although it leaves a small scar. Even though it is a very efficient treatment, it is always necessary to monitor the possible appearance of new carcinogenic lesions.

Skin cancer and prevention

Although skin cancer surgery is a fairly efficient treatment, investing in prevention is still the best way to fight malignant tumors of any kind. In the case of skin disease, avoiding excessive exposure to the sun is the main tip to prevent the development of the problem — especially in people with fair skin. To this end, the main protection measures are:

• Use sunscreens daily, and not only in outdoor leisure time;
• Wear hats, t-shirts and sunglasses to promote a physical barrier against sunlight;
• When attending beaches and swimming pools, prefer to stay under umbrellas, canvases or tents;
• Create the habit of observing one’s own skin, doing a self-examination in search of suspicious spots or spots;
• Avoid and be very careful when tanning;
• Maintain a good hydration of the skin;
• Consult a dermatologist at least once a year, taking your questions about the best preventive methods and the best dermocosmetics for your skin type.

Early detection is essential for successful tumor treatment, whether done through skin cancer surgery or any other therapeutic method. Therefore, in addition to preventive measures, it is recommended to adopt strategies that allow the diagnosis of the disease still in the initial phase.

People at high risk of developing skin tumors — such as sensitive skin, with a family or personal history, and who regularly expose themselves to risk factors — should therefore be evaluated periodically by a professional.

Self-knowledge is also fundamental, and it is important that individuals know their own skin and know how to identify suspicious changes. The appearance of dark, irregular lesions that grow and/or have a size greater than 6 millimeters is a change that requires follow-up from a plastic surgeon, or dermatologist.

Skin grafting is a surgical technique that allows the coverage of skin damage using tissue from another part of the body. Learn more about this intervention.

The skin is the organ that covers our body and serves as a barrier against the world around us. In this way, it protects us from infections and also preserves the conditions of the internal environment. Some skin lesions are so extensive or complex that they require the use of a skin graft for their treatment.

This type of surgical treatment aims to give integrity to the tissue. In this way, the underlying structures are protected and the barrier effect that the skin exerts is guaranteed. Finally, it covers not only the damage caused by the injury, but also an attempt is made to create aesthetic results. Next, let’s talk more about it.

What is a skin graft?

A skin graft consists of a skin fragment obtained through surgery. It completely separates the said fragment from some region of the body —called a donor—and then transplants it to the receiving site, that is, the site that presents damage or injury.

From the moment it is part of its donor site, the graft loses blood flow. For this reason, the receiving tissue should have the ability to provide adequate blood supply. In this way, the transplanted skin can be revascularized and, therefore, can survive in its new location.

The skin graft allows the recovery of skin barrier function in case of severe lesions.

Skin layers

To understand the types of existing skin grafts, it is necessary to know the histological layers of the skin. The epidermis is the most superficial layer. This structure has no blood vessels of its own and receives its blood supply from the deeper parts of the skin. Thus, epidermis-only grafts fail and are therefore not useful.

On the other hand, the deepest layer of the skin is the dermis. In turn, it is possible to divide it into two parts: the papillary dermis and the reticular dermis. The first is the most superficial layer, so your blood vessels are the ones that allow the nutrition of the overlying epidermis. Under the dermis is subcutaneous cellular tissue, rich in fat.

Skin graft types

The classification most commonly used in skin grafts responds to the thickness of the skin involved. In general, two types are accepted: partial thickness grafts and full-thickness skin grafts.

• Partial thickness grafts: the thickness is variable, but should always contain a part of the dermis. Thus, it is guaranteed the donation of the elements necessary for cell regeneration and nutrition of the overlying epidermis. According to the thickness of the dermis involved, the thickness of this tissue may be more or less thin.
• Full thickness grafts: The sectioned skin fragment contains both the epidermis and the entire dermis. The tissue should be devoid of subcutaneous fat to allow neovascularization.

According to how the skin graft is used

According to the need to cover the damage, the grafts can be continuous, that is, formed by one or more fragments that, when joined together, can cover all the loss of substance.

Similarly, there are also discontinuous skin grafts, in which the damage is not fully covered. Among them are the following options:

• Tanner and Vandeput mesh.
• Multifragmented graft.
• Graft in Trueba tracks.
• Gabarro stamps.
• Davis or gum graft.

Special situations

The choice of one type of graft over another answers several questions. The location of substance loss is extremely important, as is the selection of the donor site.

Similarly, the extent of the lesion will allow considering different types of graft. Meanwhile, the cause of substance loss helps the surgeon choose the most appropriate thickness.

Characteristics of skin grafts

Depending on the thickness of the fragment, each type of graft has some advantages over the others. In addition, the injured tissue also plays an important role for the graft “pick up”, that is, for the success of the technique. Let’s describe below some of the features that need to be considered.

Donor and recipient

Since the skin has a high antigenicity, skin grafts can only originate from the person himself. This is because the immune system is not able to recognize elements other than yours. Thus, an immune response is triggered that eventually rejects the grafted tissue.

This type of transplant – in which the donor is the same individual as the recipient – is known as “autograft”. However, there are situations (such as large burns) in which the use of skin grafts from cadavers, or even pigs, has some use.

Donor tissue conditions

The choice of the place from which the skin graft will be removed should be judicious to ensure the best possible result. Therefore, fragments usually come from sites close to the lesion. In general, the following recommendations are suggested:

• Have coloring similar to the receiving site.
• In cases of tumor resection, it is advisable to choose the contralateral limb to remove the graft.
• The tissue should be free of infection.
• It is recommended that the texture and distribution of body hair between the two sites (donor-recipient) be similar.

Conditions of injured tissue

The recipient bed is the bottom where the skin graft should adhere. It must have abundant vascularity to allow the new tissue to survive. However, the presence of infections or hemorrhages decreases success rates and therefore it is necessary to treat them first.

Situations where skin grafting is useful

Although it represents a solution for complex skin lesions, not all body locations allow skin grafts to be the best option. Despite this problem, the main situations in which they are used are as follows:

• Big burns.
• Extensive wounds.
• Resection of cutaneous tumors.
• Ulcers in the lower limbs.
• Damage to mucous areas.
• Fasciotomies.

Skin grafts can only come from the person himself; otherwise, an immune response occurs that rejects the tissue.

Healing of the lesion

In addition to providing tissue vascularization, the receptor bed can produce retractions in the skin graft, especially if it is partially thick. Therefore, it is recommended to use full-thickness grafts in aesthetic areas such as the face, as they have better coverage and less shrinkage.

On the other hand, when substance losses are very extensive, it is more appropriate to use partial-thickness fragments, which are also discontinuous. The mesh, for example, allows to increase the size of a continuous skin graft by up to three times. This increases the cover capacity of the fragment, although it represents less aesthetic results.

Skin graft complications

As with any surgical treatment, there are some risks with skin grafting. The most common include the following:

• Hemorrhaging.
• Bruises.
• Seromas.

On the other hand, retractions, scars and changes in pigmentation can affect the final appearance of the skin graft. In such cases, additional dermatological procedures may be recommended to improve the final appearance.

Get the best burns treatment in Mumbai with Dr. Vishal Patel. With advanced techniques and personalized care, he offers effective solutions for burns of all types. Benefit from his expertise and compassionate approach, and regain your confidence.

Plastic surgeries for burns treatment in Mumbai are quite common and necessary, they are recommended for patients who have just suffered severe burns.

The skin is the largest organ of the human body and any damage caused by accidents or other events can cause it to change both locally and systemically. Systemic changes are caused due to generalized inflammatory reactions due to burns and may even affect other organs of the body, with greater or lesser severity, according to each case.

In some cases plastic surgery is necessary for burns, according to the temperature of the heat source that caused the injury and the time that the body was exposed to this heat, factors that modify the depth and extent of the burn.

In What Cases Is Plastic Surgery for Burns Treatment in Mumbai Required?

There are numerous indications of surgery as a form of reparative treatment when changes occur that bring aesthetic and functional damage to the affected body region.

Functional impairment of the region affected by the burn can occur mainly when the fire affected joint regions (neck, elbow, armpits and knees).

The patient may have difficulty stretching the limbs or freely moving the head, as the burned skin ends up being retracted.

On the other, the aesthetic changes caused by burns may involve changes in skin tone. It is common for the tint to change and may become darker or lighter. There are also changes in consistency to the touch and deformations of structures such as ears, nose and eyes.

How is plastic surgery performed for burns?

The burns treatment in Mumbai by means of plastic surgeries is performed according to the depth and extent of the affected area. The change of dressings and the use of ointments is sufficient in simpler cases, while more complicated cases may require surgeries.

There are two ways to perform the procedure:

• With grafts: thin slices of healthy skin of the patient himself are used, which are applied on the area affected by the burn;
• With flaps: parts of skin and tissue irrigated by arteries are transferred to the affected region.

Techniques vary by case. In the same patient, for example, restorative and aesthetic plastic surgeries can be performed at the same time.

The optimal treatment for which the plastic surgeon in Mumbai will choose also takes into account the cause and type of the burn.

What are the main causes and types of burns?

Every burn, before being conducted for appropriate treatment, be it plastic surgery or just medication is classified according to the type of agent and the degree of depth of the lesion.

This qualification is essential to understand the ideal type of treatment and predicting the time for patient recovery.

The main burn-causing agents are:

• Electrical: accidents in the electricity grid, lightning;
• Thermal: contact with extreme temperatures (very hot or very cold);
• Chemicals: burns caused by chemicals such as acids and alkaline substances.

Understand the most common types of burns

Burns are classified according to the depth of the lesion. They are:

• First-degree burn: a superficial injury that results in a change in skin color, leaving it reddish, swollen, and with uncomfortable burning. It can be caused, for example, by prolonged exposure to the sun.
• Second-degree burn: promotes a deeper injury than the first-degree, causing the formation of blisters on the skin, which have a reddish color and contain thick liquid. It’s the most painful of burns. The most indicated is to wait for a moderate of the patient’s skin. The result may not be perfect due to the presence of scars and some regions with different shades, but plastic surgery for second-degree burns should be performed by the plastic surgeon, who will also accompany the patient during treatment. Generally, the burned area is removed, and a skin graft is sutured in its place.
• Third-degree burn: it is the deepest level of burn and causes necrosis, characterized by the death of tissue from the region. It presents whitish color, and absence of pain, and promotes loss of sensitivity of the affected region. There is no method of how to treat third-degree burns without any traces of surgery, as these burns are very intense and deep. Neverthemore, burns of this degree should be treated by surgical procedures, such as debridement (removal of necrotic skin) and graft in the burned area. The results obtained through plastic surgeries are very satisfactory and alleviate the problem well.

Regardless of the level of burn and the causative agent, whenever accidents occur that cause injury, it is essential to seek the help of a specialist to assess the situation and, if necessary, indicate the ideal burns treatment in Mumbai for the case. And remember, self-medication can aggravate the situation.

Which people can undergo plastic surgery for burns?

All people who have been involved in burn accidents. Those who have lost part of the movements in the neck, shoulders, hands, or legs undergo processes for the release of scar contractures, which offers excellent results.

Scars located on the nose, eyelids, and lips or that have resulted in hair loss can also be treated, as well as those that have larger, more complex, and discolored scars.

Preoperative procedures

• Schedule an appointment with the best plastic surgeon in Mumbai;
• Talk about the desired objectives and results;
• Enter into an agreement with the plastic surgeon regarding the expected results and the benefits that will be obtained in the long term.

Postoperative procedures

• Invest in physical training procedures, due to the need for specific postures and positions in certain cases to obtain better results;
• Keep follow-up with the plastic surgeon in Goregaon so that the evolution of the case is analyzed.

Although they are considered a charm by many people, moles often pose a health risk and can evolve into a malignant skin tumor. In these situations, it is necessary to consult with a specialist in removal of moles for a careful evaluation of the case and safe performance of the procedure.

The professional specialist in mole removal is the dermatologist, a doctor who has deepened in the study, diagnosis and treatment of diseases that affect the skin, hair, mucous membranes, hair and nails. This professional is also able to make an evaluation of the skin signs presented by the patient, identifying their chances of malignancy and pointing out the most appropriate methodology to extract the structures.

Who’s the mole removal expert?

The most indicated professional to perform the mole removal surgery is the dermatologist, who can make an evaluation of the melanocytes nevi and indicate the performance of a dermatoscopy. This is an examination that allows the visualization of skin structures in more detail, thus evaluating the characteristics of the lesion and confirming the need to remove moles.

The presence of irregular moles in the body is considered a risk marker for the development of melanoma, a very aggressive cancer. Ideally, patients with melanocytes nevi around the body are periodically evaluated by a mole removal specialist so that a possible melanoma is identified and removed as soon as possible.

The delay in performing the surgery can make a lot of difference in the prognosis of a melanoma-like skin cancer, seriously compromising the patient’s health. Therefore, it is recommended to seek an expert in mole removal when noticing the appearance of signs and other skin changes.

How is the mole removal procedure done?

Mole removal surgery can be performed from different techniques such as excision, shaving, punch biopsy or laser treatment. The most appropriate methodology should be indicated by the specialist in mole removal after careful analysis of the shape, size, location and aspect of the lesion. In most cases, the procedure can be performed in an outpatient setting, without the need for hospitalization.

In general, it is a relatively simple surgery, but one that requires special care for proper healing and full recovery of the patient. It is essential to be careful mainly in relation to the hygiene of the region and use of antibiotics as instructed by the dermatologist who performed the procedure. It is also necessary to be careful with sun exposure and use specific skin care products.

When is surgery necessary?

There are two basic situations in which it is necessary to seek a specialist in mole removal to perform the procedure: when the mole can turn into a malignant tumor or when the patient feels aesthetic discomfort in relation to the nevus. It is the dermatologist’s responsibility to evaluate the case, identifying his chances of malignancy and possibility of removal for aesthetic reasons.

The main criterion used by medicine to evaluate moles is the so-called ABCDE test, which involves the analysis of the following aspects:

• Asymmetry of the pint;
• Edges, and regularity at the edges is a sign of healthy moles;
• Coloring, which must be constant;
• Diameter, which should also not change with time;
• Evolution, and accelerated growth in the size or quantity of moles is considered a sign of danger.

When noting the appearance of moles and nevi on the skin with characteristics considered suspicious for malignancy, according to the criteria indicated above, contact and schedule a consultation with the specialist in removal of moles

Healing care and prevention

Surgery to remove moles is a necessary treatment for cases with suspected malignancy, and care for its healing is essential for the full recovery of the patient. In this sense, it is essential that the dermatologist’s guidelines regarding the hygiene of the site where the nevus was extracted and use of antibiotics be followed.

After removal of stitches, the doctor may indicate the use of specific products for healing and regeneration of skin tissues. In addition, it is essential that the region is protected from sun exposure and that the patient adopts preventive measures to prevent the development of melanomas, especially if it presents risk factors.

In general, risk factors relate to family history of skin cancers, frequent sunburn, and presence of fair skin. The recommended care, in turn, boils down to frequent use of sunscreen, avoiding excessive exposure to ultraviolet rays and doing self-examination regularly looking for new moles or suspicious moles on the skin.

If you have one or more moles on the skin with characteristics considered suspicious, schedule a consultation with the dermatologist to assess the need to perform the mole removal surgery.

There are several methods available for tattoo removal, so it is critical to consult a doctor or dermatologist before making a decision.

In this medical evaluation, the characteristics of your skin and tattoo are analyzed, constituting the basis for choosing the most appropriate tattoo removal method for you.

The factors that interfere with the removal of a tattoo are basically the size of the tattoo, the color and characteristics of your skin. The treatment time varies according to the chosen method and the characteristics mentioned.

Lighter-colored tattoos such as white, yellow, red, and green are more resistant, and those of black and dark blue are more easily removed.

Tattoos made by qualified professionals tend to be more easily removed, since there are more chances to have been made in the correct layer of the skin. In addition, older tattoos, whose pigment has already been more absorbed by the skin, are also easier to remove.

In general, the technique most used and indicated by specialists is laser removal, which usually generates very satisfactory results.

Pros and Cons of Tattoo Removal

The reasons for someone removing a tattoo are very particular, so it is important to consider all the pros and cons before making a decision, which is costly and requires patience:

Pros 

• You can be free of a tattoo, the result of which you did not like or that no longer has the same meaning as it had when you tattooed. These situations can generate a lot of dissatisfaction with the body itself, so the removal of the tattoo presents itself as a good way out.
• Symptoms after the tattoo removal procedure are usually mild, with a small swelling and redness at the site.
• During the procedure, the specialist may anesthetize the site to minimize pain.

Cons

• Tattoo removal has a high cost, especially if it is done with modern laser equipment.
• Dark skins have higher risks of burning, scarring and hyperpigmentation, as they have a natural pigmentation similar to that of tattoo inks.
• Tattoo removal requires several sessions and can take up to two years to achieve a complete elimination result.

Main methods of tattoo removal

The main methods of tattoo removal are:

Laser tattoo removal

Laser tattoo removal is one of the most effective methods and therefore is also one of the most sought after.

The laser penetrates the skin and is attracted by the ink pigments that make up the tattoo. The small pigment particles resulting from the action of the laser are eliminated by the immune system.

The greater the contrast between the color of the person’s skin and the color of the tattoo, the better the result, because the laser is attracted by the pigment and, therefore, different types of laser are used for each color.

This process is time consuming and, depending on the tattoo, it may take six, ten or more sessions to reach the desired result. Each session has a relatively high cost and the more modern the laser used, the more expensive the treatment tends to.

It is necessary to give an interval of 45 to 60 days from one session to another, so that healing is complete and depigmentation is more efficient.

Currently, there are several options of lasers on the market, with variations in wavelengths, for example:

• Laser QS Ruby: This laser emits a wavelength of 694 nanometers, used in tattoos with black, blue, green and purple pigmentation.
• Laser QS Nd YAG: emits the wavelength of 1064 nanometers, used for removal of tattoos with black and blue pigmentation. It can also emit a wavelength of 532 nanometers, efficient for removing yellow, red and orange color.
• Laser QS Alexandrite: emits a wavelength of 755 nanometers, used to remove tattoos in purple, green, black and blue color.

When the tattoo has several colorings, lasers with different wavelengths need to be used. In these situations, it is indicated to start with the highest wavelength and decrease in the next sessions.

Dermabrasion

Dermabrasion consists of a very invasive and aggressive technique because it basically sands the skin to remove the tattoo. The method is performed with local anesthesia and with a high-rotation abrasive disc.

This method is not as commonly used today, due to the risk of infection of skin lesions and discomforts after the procedure, which are similar to that of a burn.

Dermabrasion is not indicated for people who have tendencies to loloid, which is a lump that forms in the skin by excess collagen after healing.

Removal of tattoo by excision (surgery)

Surgical removal is a little used method, as it leaves an apparent scar at the place where the tattoo was removing.

This scar can bring back memories that one day the tattoo existed and, depending on the location, can bring embarrassment to the person.

In places where there is no excess skin, it is necessary to resort to grafts, with the aim of leaving the skin with the healthiest appearance.

Usually, surgery is indicated for people who have an allergic reaction to tattoo pigments and need to urgently remove it to contain the allergy.

Like all surgery, the postoperative requires care that is guided by the surgeon or plastic surgeon responsible for the case.

Care after tattoo removal

Using sunscreen is always important, but after removing a tattoo, even more

After tattoo removal sessions, it is important to take some care, to avoid blemishes, irritation, itching and scars on the skin:

• Avoid sunbathing and use sunscreen. If possible, wear clothing with sun protection.
• Avoid using accessories where the tattoo removal procedure was done.
• Do not forget to apply the healing ointment recommended by the professional who got the tattoo or by the dermatologist.
• Keep the skin well hydrated, with the application of moisturizers and with the intake of water.
• Do not remove crusts or bubbles that may form in the region. Let the skin heal naturally.
• Avoid pro-inflammatory foods, which impair healing.

By following these recommendations, you will have a good and smooth recovery and you will be able to enjoy this new phase without the tattoo.

Scar revision surgery in Malad West, Mumbai reduces the scar so that it is more uniform with your skin tone and surrounding texture.

Scars are visible signs that remain after a wound is healed, being an inevitable result of injury or surgery, and their development can be unpredictable. Poor healing can contribute to the emergence of unfavorable scars. Even a wound that heals well can result in precarious scarring in its appearance.

Your treatment options vary by type and degree of healing and may include:

• Simple topical treatments;
• Minimally invasive procedures;
• Surgical review with advanced wound closure techniques.

Scar revision surgery in Goregaon West, Mumbai is intended to minimize the scar so that it is more uniform with your skin tone and surrounding texture. Although the correction of the scar provides a more pleasant aesthetic result or improve a scar that has poor healing, a scar cannot be completely erased.

What is scar revision?

Scar revision in Malad West is plastic surgery performed to improve the condition or appearance of a scar on any part of the body. The different types of scar include:

Discoloration, surface irregularities and other more subtle scars may be aesthetically improved by surgery or other treatments recommended by the best plastic surgeon in Malad West. These types of scars do not impair function or cause physical discomfort and include acne scars, as well as scars resulting from minor injuries and previous surgical incisions.

Hypertrophic scars are thick clusters of scar tissue that develop directly at the site of healing. These scars are most often tall, red and/or uncomfortable, and can become larger over time. They can be hyperpigmented (darker in color) or hypopigmented (lighter in color).

Keloids are larger than hypertrophic scars. These scars can be painful or itchy and can also wrinkle. They extend beyond the edges of an initial wound or incision, and may occur anywhere in the body, but develop most commonly where there is little underlying fat tissue, such as on the face, neck, ears, chest, and shoulders.

Contractures are scars that restrict movement due to the joint of the skin and underlying tissue during healing. Contractures occur when there is a large amount of tissue loss, for example, after a burn. Contractures can also form where the wound joins the joint, restricting the movement of the fingers, elbows, knees and neck.

The type of scar you have will determine the proper techniques that the plastic surgeon in Malad will use to soften the scar.

Is the procedure indicated for me?

Scar revision surgery in Goregaon West, Mumbai is a highly individualized procedure and you should do it for yourself, not to satisfy someone else’s desires or to adapt to any kind of ideal image.

The procedure can be performed on people of any age and is a good option for you if:

• You feel bothered to have a scar on any part of your body;
• You are physically healthy;
• You do not smoke;
• You have positive perspective and realistic expectations about the procedure;
• You do not have active acne or other skin diseases in the area to be treated.

Surgical procedure

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. Options include intravenous sedation and general anaesthesia. Plastic surgeon in Mumbai will recommend the best option for you.

Step 2 – Treatment

The degree of improvement that can be obtained with scar correction will depend on the severity, type, size and location of the scar. In some cases, a single technique can provide significant improvement. However, the best plastic surgeon in Goregaon may recommend a combination of correction techniques to achieve the best results.

Topical treatments such as gels, ribbons, or external compression can help close wounds and heal or decrease the skin’s ability to produce irregular pigment. These products can be used for the treatment of existing superficial scars and discoloration, and to aid in the healing of scar correction procedures.

Injectable treatments are often used to fill reduced scars. Depending on the injectable substance used and the scar conditions, the results can last from three months to several years. Therapy should be repeated to maintain results. One form of injection therapy uses compound-based steroids to reduce collagen formation and can alter the appearance, size and texture of scar tissue.

Surface treatments are most often used for aesthetic improvement of the scar. These methods can smooth surface irregularities and reduce irregular pigmentation. Surface treatments are a controlled means of mechanical removal of the upper layers of the skin or alteration of the nature of the tissue. These treatment options include:

• Dermabrasion: Helps refine the surface layers of the skin by means of a controlled method of surgical scraping.
• Laser or light therapy: Causes changes in the surface of the skin, allowing new and healthy skin to form at the site of the scar.
• Chemical peeling solutions: Penetrate the surface of the skin to smooth out irregularities in texture and color.
• Skin whitening agents: Medicinal products applied topically to lighten the skin.

Step 3

Sometimes, for deeper scars, multiple incisions may be required to surgically remove the scar.

Step 4 – Closing incisions Some

scars require layered closure. Layered closure is often used where the incision extends to the tissue, below the surface of the skin, or in areas with a high degree of movement. The first step, or layer, requires subcutaneous closure (below the surface of the skin) with absorbable or non-removable sutures.

Advanced scar revision surgery in Malad West, Mumbai includes closing the flap to reposition a scar so that it is less visible, or to improve flexibility where contracture restricts movement.

Pharmaceutical tissue substitutes can be used if healthy tissue is not present to close a scar excision, and is most likely with the correction of severe burn scars.

Tissue expansion may be a substitute procedure for skin grafts. In this procedure, an inflatable balloon, called a tissue expander, is placed under the skin near the site of the scar.

Over time, the balloon is filled slowly with sterile solution to expand the healthy skin area.

Once the skin has been sufficiently stretched, the expander and scar are removed and the stretched skin is moved to replace the scar tissue. This process may involve several stages or surgical procedures in order to achieve the final results.

Postoperative recovery

The initial phase of healing may present localized swelling, discoloration, or discomfort and may take 1 to 2 weeks. Healing will continue for several weeks. With dermabrasion, chemical peeling, or laser resurfacing, the conditions in the treated areas will be the same, in addition to sensitivity in general.