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Dermatosurgery: Treatment, Cost and Side Effects

Last Updated: Sep 25, 2024

What is the treatment ?

Dermatology is a treatment which covers problems associated with skin, hair, mucous membrane and nail disorders. They extend their support for cosmetic issues and skin, nail and appearance of hair. It mainly deals with the treatment of damaged skin under local anesthesia. It is purely clinic based processing. Initially, an evaluation is performed to analyze how much skin is under damage and how it should be treated or cured. Apart from this, a full body examination will be recommended to know about the health of the patient. This helps a surgeon in providing the patient with information and instructions. Dermatosurgery generally treats the conditions like Cysts, Cutaneous Horn, Vitiligo, Verrucas Nevus, skin resurfacing, scar removal can be done using this treatment. The soft tissue damages are treated using suitable lasers or surgeries. It helps in regenerating the tissues. The tools used in this treatment are chemical peels, radio frequency waves, lasers, mid-infrared light etc. Lasers can treat hair removal, acne scar, vascular lesions, tattoo removal, pigmented birthmarks. Intense pulse light and infrared are used for fat reduction and skin tightening. Machines and pieces of equipment are used for cellulite and fat reduction. Apart from these faces wrinkles and tissue augmentation are done using Botox and Dermal Fillers.

How is the treatment done?

There are three basic types of Dermatosurgery. The first category is diagnostic which involves taking a small part of the skin which will be studied using the microscope for diagnosis. Next type is the Therapeutic treatment which takes care of mole removal and skin growths. Subcision or dermabrasion of acne scars falls under the category of cosmetic surgery.

The different cosmetic procedures are

  1. Biopsies: certain skin conditions are analyzed using Biopsies. The three main types of biopsy are shave biopsies which remove a top layer of skin as small sections. When deeper layers are removed in circular section, it is called punch biopsies and when entire abnormal skin is removed it is known as excision biopsies.
  2. Chemical peels: A chemical solution is first applied to the skin. This causes the skin layer to peel off leaving behind a new layer of smoother regenerated skin. generally, this is used to treat skin which is damaged in the sun and affected by acne. Also, this can treat age spots and underlines of eyes.
  3. Cosmetic injections: injections are given to reduce wrinkles, scarring, and facial dullness. Botulinum toxin or fillers are injected to treat the same.
  4. Cryotherapy: this is performed to treat skin warts. Liquid nitrogen is used to freeze skin lesions which can destroy affected cells in the skin.
  5. Laser surgery: various skin complaints such as warts, moles, tattoos, scars, wrinkles, unwanted hair, and birthmarks are treated using the special beam of light.
  6. Dermabrasion: skin patches, wrinkles, and scar tissues are removed using a high-speed rotating brush.
  7. Excisions of lesions: lesions are removed to prevent infection, disease spreading, treat symptoms. General anesthesia is given to numb the area where lesions are to be removed.
  8. Skin grafts and flaps: often missing skin can be replaced using the skin from some other parts of the body. A skin graft or flap is created from tissue near the area of skin loss.
  9. Tumescent liposuction: excess fat from the body is removed using tumescent liposuction. Local anesthesia is injected into fatty tissue, which is then sucked to remove the fat. Also, lasers can be used to burn fat cells and remove the tumescent fluid.
  10. Vein therapy: some time spider veins, small dilated surface veins are removed for cosmetic purposes. The treatment for spider vein removal is Sclerotherapy. A chemical solution is injected into the target vein which will irritate the vein making it less distinct or disappear completely.

Who is eligible for the treatment?(When is the treatment done ?)

Persons who are having skin problems which worsen the appearance and abnormal hair growth, scars, acne, and pigmented marks are eligible for Dermato surgery. A surgeon will evaluate your skin conditions and then decides the type of treatment.The eligibility for the treatment for the disease can be best diagnosed by the specialist doctor. It is therefore advised that the patient consults the doctor before undergoing any specific treatment. Doctors on examining the conditions shall decide the eligibility for the treatment.

Who is not eligible for the treatment?

People who are undergoing severe medications or having health problems are not eligible for this treatment.

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Are there any Side Effects?

There might pain during the procedure and also due to the anesthesia is given. A slight discomfort, seroma formation, bleeding, and infection are the other side effects. Some people may tend to develop the allergic reaction to anesthesia.

What are the post-treatment guidelines?

It is essential to take care of your skin to prevent pigmentation. Gentle cleansing and moisturizing are required to preserve the skin. Use non-soap cleansers, fragrance-free moisturizers, and mild hypoallergic products. Protection from the sun is another important thing that must be noted. Avoid shaving for a few days after the treatment. Give time for the wound to heal. Stay hydrated. Follow medications if any and guidelines properly as instructed by the surgeon.

How long does it take to recover?

Depending upon the surgery it may take 2-3 weeks to completely recover from the surgical procedure. Special care must be given to the skin during the initial days. Sometimes you may need to wear a dressing for 1-2 weeks. The recovery time may extend if some infection or bleeding occurs after the treatment. The recovery also depends upon how well you take care of the skin after the surgery.

What is the price of the treatment in India?

India is growing in the cosmetic treatment sector. Almost all cities offer dermatosurgery. The price depends upon the facility and quality of the hospital. It is always advisable to approach a certified dermatologist for diagnosis and treatment. Acne and scar treatments cost about Rs 1000-3000 per session. you may be asked to undergo six to eight sessions. There are some hospitals which charge 8000-9000 per session. Some treatments even costs around Rs 50,000-Rs 1,00,000. Most hospitals these days offer packages. Dermatosurgery can be covered under insurance.

Are the results of the treatment permanent?

There is nothing called permanent in this treatment. The entire procedure aims to improve the appearance by reducing scars, acne, and unwanted hair. They can achieve noticeable results. The effects can be maintained in a long-term by giving proper care and attention to the skin. The treatment aims at the growth of a new and healthy skin which will reduce the scars, pigments and marks and uneven tone and texture of the skin. The way you maintain your skin will decide the results.

What are the alternatives to the treatment?

There are many natural products which can make your skin free from all kinds of problems. Minor issues can be treated with natural products rather than choosing surgeries and injections. Proper food is one of the important things. The food intake must have enough vitamins and minerals which can nourish the skin. Olive oil, coconut oil, flaxseeds oil are some of the natural products used to treat wrinkles. Gently rinsing your face with warm water and consuming foods that are rich in vitamin B and E can really help in healing and recovering your skin. Massage with lemon juice can reduce wrinkles and dark lines on your face. The acidity of lemon can turn your face brighter. Eating enough fruits and vegetables also helps in keeping your skin healthy. Silicone gel sheeting, apple cider vinegar, aloe vera gel, Emu oil are some of the natural products which can reduce scars and acne. Tea tree oil, onion extract, honey, cucumber paste can also do wonders.

References

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Written ByDr. Ashish DavalbhaktaMBBS Bachelor of Medicine and Bachelor of Surgery,FRCS (UK),FRCS,MS General Surgery,Mch (Plastic Surgery)Cosmetic/Plastic Surgery
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