Dermato-surgery simply means surgery of the skin and related conditions. Because of in depth knowledge of skin anatomy and physiology, skilled dermatologists are adept at performing skin surgeries and delivering superior results.

Skin/Mucosal Biopsy – It is minor surgical procedure done on OPD basis where small tissue of the skin is cut with the help of disposable sterile biopsy punch under local anesthesia in order to confirm the diagnosis of skin disorders. Tissue obtained is sent to expert dermatopathologist where it is stained with special dyes and examined under microscope to arrive at the final diagnosis.

Radiosurgery/Electrocautery – These special devices utilize radio waves or electric energy to destroy target tissue without damaging surrounding skin. It is used to treat conditions like Skin tags, Moles, Warts, Syringomas, Scrotal cysts, etc.

Ear lobe repair (Auroplasty) – It is a reconstructive surgical procedure performed to repair elongated or torn ear lobes. This can be achieved either using sutures under local anesthesia or special tissue glue.

Cyst Removal – Epithelial or Sebaceous cysts are closed sac like structures formed inside the skin due to collection of keratin or sebum. Under local anesthesia, cysts are opened with small incision and removed along with its wall to prevent recurrence.

Lipoma excision – This is a benign tumour of fat cells. It is excised with a novel technique named NHET (Narrow Hole Extrusion Technique) wherein large tumour can be removed through a small opening resulting in minimum scarring.

Corn Surgery – Corns are removed completely with excision surgery under local anesthesia or scraped with sterile surgical blade layer by layer at regular intervals causing minimal pain or bleeding (Paring).

Acne Scar Surgery
  • Subcision – This most commonly performed scar surgery is usually advised for atrophic acne scars. During this procedure, a special needle is passed below the scars to break the fibrous bands which are holding them down. It is done under local anesthesia so you don’t feel the pain. Mild redness and swelling is expected after the surgery which resolves in a day or two. This procedure can be combined with Laser or Microneedle therapy to improve the outcome.
  • Other surgeries - Dermabrasion, Punch excision and suturing, Radiofrequency surgery, Fractional Co2 laser.
Nail Surgery –
  • Partial or total nail avulsion done in ingrown toe nail to alleviate pain and swelling.
  • Nail Biopsy is done to diagnose certain nail diseases.

Molluscum Extraction – Molluscum Contagiosum is a contagious viral infection of skin causing pearly white colored elevated lesions. These lesions need to be removed to avoid spread of infection to other parts of body as well close contacts of the patient. This is done under topical anesthesia with the help of a curette or radiocautery.

Vitiligo is mainly treated by medical line of management, however for certain lesions which fail to respond to medications alone, surgery becomes the preferred choice of treatment.

Am I the right candidat to undergo vitiligo Surgery?

The cases which are suitable for surgery are:

  • Segmental vitiligo
  • Lip vitiligo
  • Stable cases of vitiligo which do not respond to conservative management

What is the principle of Vitiligo Surgery?

The basic principal surgical method is to transfer the pigment cells- melanocytes from normal skin to the stable vitiligo patch. This is done either by tissue grafts or cellular grafts.

What are Tissue Grafts?

  • Suction blister epidermal grafting (SBEG) - It is a technique where blisters are raised on the skin commonly from the thigh with a suction technique and the skin is then transferred to the vitiligo patch. After transplantation, the both the sites are covered with a surgical dressing which is removed after few days. The major advantage is that there is no scarring at the donor or recipient site and its ideal for small patches.
  • Punch Skin Grafting Procedure – In this procedure, multiple tiny wells are made with a small punch at the vitiligo patch (recipient site). The skin tissue grafts obtained from the donor site are then transplanted in these wells at the recipient site at regular intervals. After transplantation, both the sites are covered with a surgical dressing which is removed after few days.

What are Cellular Grafts?

Autologous non-cultured Melanocyte- Keratinocyte cell suspension grafting - This novel surgical technique is the latest breakthrough in the field of vitiligo surgery. Superficial layer of the skin, about one sixth to one-tenth the size of the recipient area is obtained from the donor area. With a specialized method, the pigment cells and the epidermal cells are then extracted from this donor tissue to obtain a suspension. The recipient skin is prepared and this suspension is then applied over the area. A surgical dressing is placed over the site.

The major advantages are

  • Smaller amount of donor skin is needed to cover a large recipient area
  • Minimal postoperative pain and discomfort
  • Near natural colour match

Will my Vitiligo Patch appear pigmented as soon as the dressing removed?

The vitiligo patch usually appears reddish or even white after the dressing is removed. Re-pigmentation over the area starts showing only after 2-3 months. This can be aided by phototherapy to see faster results.

What are the chances of Vitiligo site being completely pigmented after the surgery?

These above mentioned techniques are time tested and scientifically proven to achieve excellent results. However there is no 100% guarantee that will assure the complete re-pigmentation of the vitiligo patches as this depends on your body’s response to the transplanted pigment cells, it varies from patient to patient and thus cannot be predicted by the doctor. Many times a delayed response is seen so don’t get discouraged if you don’t see results in 2-3 months time. If small areas fail to re-pigment after surgery they tend to respond favorably to the medical management or phototherapy.

FOR FURTHER QUERIES AND TO KNOW MORE ABOUT THE PROCEDURES VISIT ETERNIS CLINIC.