The skin is the body’s largest organ, which means that it is exposed to many different kinds of everyday stress. Light damage – so-called keratoses – can occur, above all from ultraviolet rays, and these may in the worst case lead to the formation of malignant skin tumours.
Whilst skin alterations such as birthmarks, warts, fibromas, age marks and pigmentation marks, which are mostly harmless but often aesthetically unwelcome, can occur in any part of the body, so-called ‘light or white skin cancer’ (basalioma) occurs mostly in areas exposed to sunlight such as the face – in particular on the eyelids, nose or ears or around the mouth. Malignant skin tumours such as melanoma (‘black skin cancer’) can even develop from small, benign skin mutations or birthmarks. This form of skin mutation is a disease that must be taken very seriously. It can affect any part of the body.
Skin lesions on the face are therefore not just a purely aesthetic nuisance, but in certain cases also a serious health-threatening disease, which requires close examination (skin screening), subsequent surgical treatment and special aftercare.
In a microsurgical operation, unwelcome skin alterations can be removed in accordance with the current state of surgical medicine. A technically adept operation technique is required to ensure that the tissue defects caused by the removal of the tumours are closed again in such a way as to be inconspicuous. These are usually minor operations which can be performed in a short time. In some cases, it is necessary to proceed according to the findings, making several incisions. With more major defects, local sliding skin flap techniques or skin transplantations may become necessary.
During the surgical procedure tissue samples are taken for histological examination and checked for a precise diagnosis. Close collaboration with the diagnosing dermatologist is important.
INDICATION: cosmetically unwelcome skin alterations, skin lesions of unclear origin revealed in skin screening
HOSPITALISATION: out-patient, though a brief in-patient stay may be necessary in the context of a complex grafting procedure
DURATION OF OPERATION: 15 – 45 minutes on average
ANAESTHETIC: usually local anaesthetic, though general anaesthetic / semi-conscious sedation may be necessary in the context of a complex grafting procedure
RESULT: depending on findings
PRESENTABILITY, RETURN TO WORK: immediate, though there may be conspicuous facial wounds at first
SPORT: after approx. 2 weeks
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