Plastic surgery in the fight against nevi and scars.

 

  1. Most of us surgeries, including nevi and scars removal, associate with cold, hospital operating theatre and high level of stress. Is it right?

Nevi and scars removal, in most cases, does not require hospital treatment and general anesthesia unless we deal with very large changes. Smaller ones, can be removed in the intimate conditions of the treatment room. Patients are stressed out before the treatment, especially if this is their first contact with the surgeon – this is a normal reaction. Usually after the treatment, they also admit that the stress was completely unnecessary.

  1. Anyone who decides to cut a nevus would like to remove it definitively – without the risk of being reminded of the change by a disfiguring scar. Is it possible at all?

Human wounds heal through reparations and not regeneration. This means that any surgical procedure that breaks the tissue continuity leaves a scar. Wound healing without scars is only possible during the fetal period. How scar looks after the surgery depends on a number of factors including the patient’s age, location of change and its size, individual inclinations to keloids, or current health condition.

It is also important to choose a cutting location, select precise micro tools, sewing materials and operating techniques. It is also important for the patient to follow the recommendations after the treatment. All these aspects have a huge impact on the final result.

  1. Can the scar that appeared after the surgery be somehow eliminated?

Of course. We can use the supportive treatments, such as laser therapy – CO2 fractional laser. Later, we can offer therapies with the use of platelet-rich plasma, which bring excellent results. In extreme cases, when we are dealing with post-traumatic scars, the improvement can be obtained by autologous transplantation of adipose tissue.

  1. Nevi removal is done by dermatologists, but not all. Some of them do not cut the changes in the area of face, scalp, neckline or other visible places. Why?

All my work as a plastic surgeon focuses on precise cutting and sewing. To do it perfectly I went through a series of trainings. It is difficult to compare this to the work of a dermatologist, who focuses mainly on skin diseases and their treatment. Therefore, the skin changes removal treatments are performed by dermatologist additionally.

  1. Does the surgical removal of nevi or scars exclude us from normal functioning?

From normal functioning no. However, there are some time restrictions, such as a ban on using the swimming pool, sauna or solarium. Immediately after the surgery, it is also advisable to limit physical activity.

  1. What is the best time to remove scars and nevi?

Surgical procedures on exposed body parts such as face, neck, neckline, arms or legs are the best to be performed between September and May when exposure to sunlight is not so frequent. If you do not plan your holidays, sunbathing and you use a cream with SPF 50, there are no contraindications to do the treatment during the summer. Treatments on other parts of the body can be safely performed throughout the year.

  1. Do you see a change in the way you are perceived by patients before and after removal of disfiguring skin lesions?

In case of changes that clearly affect the look – of course. Especially if such a lesion was a big problem for the patient. Then, self-esteem increases significantly. Please note, however, that among the skin changes there are also the ones, which in the histopathological examination prove to be malignant. In this case, we are not talking about aesthetic improvement but also about saving lives. Leaving these changes alone can have very serious health consequences.

Final conclusions?

It turns out that surgical removal of scars, nevi has become a painless, short procedure performed in a patient-friendly atmosphere. The decision about the method and whether the skin change needs to be removed is taken by the patient after prior consultation with a doctor. Skin lesions removal is not only aesthetic improvement but also a lifesaver if after histopathological examination changes appear to be malignant. Do not leave changes that you have observed on your skin, they may have very serious health consequences.

 

   
Lek. Agnieszka Budzyńska – chirurg plastykAgnieszka_Budzynska_drlegrand

Agnieszka Budzyńska graduated from the Faculty of Medicine at Jagiellonian University in Cracow. She is a specialist in Plastic Surgery with 20 years of experience. She systematically improves her qualifications through participation in symposia, conferences and courses in the field of microsurgery or aesthetic surgery. She is a member of the Polish Society of Plastic, Reconstructive and Aesthetic Surgery and Polish Society of Burns Treatment. Agnieszka Budzyńska performs dermatological procedures such as removal of mole, subcutaneous nodules, warts, sebaceous cysts, xanthelasma, fibromas and oncoplastic – removal of skin neoplastic changes. Additionally, she deals with the postoperative and post traumatic scars.