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Dermatosurgeon

Dermatosurgeon is an all-encompassing term referring to medical professionals who are skilled in the surgery of damaged skin in clinical conditions using local anaesthesia. Use of minimally invasive procedures to improve the health and appearance of the skin is the ultimate aim of dermatosurgery. Care is taken to rejuvenate the skin, in case any soft tissue damage occurs and the level of risk varies in every procedure.

Dermatologists in Delhi use lasers, and other advanced technology to treat harmless but revolting skin conditions. Risk of damage to soft tissue, hospital acquired infections, damage to surrounding skin, emotional distress is always there but proper communication is the key to ensuring a healthy patient-doctor relationship. Every step should be documented and the exact outcome of the surgery should be precisely communicated to the patient in order to meet and exceed patient expectation. Not adhering to these protocols can cause mishaps and there are chances of the dermatosurgeon being sued in the court of law. More and more doctors are now seeking insurance coverage as the consumer protection Act now tilts heavily in the favour of the patient.

Patient selection is an important part of the dermatosuregon job and just the desire of the patient to undergo a cosmetic procedure to look beautiful is not enough. Various indications and contra-indications need to be taken into account so as to avoid the spectre of litigation that arises due to mismatch of expectations. Age of the patient, co-morbidities (if any), depression, and dysmorphobia are certain issues where a dermatosurgeon needs to involve a psychiatriast or clinical psychologist before embarking on any aesthetic procedure. A comprehensive evaluation of the condition of the patient like lipid profile, thyroid profile, haemmogram is done and the full extent of skin damage is assessed before any aesthetic procedures begin. Other parameters that need to be taken into account before initiating any surgical procedures include:

  • Allergic Reactions
  • Smoking and alcohol dependencies
  • Drug intake
  • Keloidal tendencies
  • Bleeding diathesis
  • Herpes simplex infection
  • Implantation of any existing cardiac pacemaker
  • History of past aesthetic procedures.

It goes without saying that signing of the consent form before surgery occupies more significance in dermatological practice and is a fiduciary responsibility that had to be exercised by the dermatosurgeon in order to maintain the highest standards of clinical care.

Popular procedures conducted by dermatosurgeons include:

Following is a list of procedures that are conducted by dermato-surgeons in order to

Vitiligo surgery:

Melanocyte implantation is undertaken to treat vitiligo or leucoderma that appears as white patches at multiple areas on the skin. And it offers the best results always!

Cyst removal:

To prevent a small cyst from becoming an inflamed cyst, sebaceous cyst excision is undertaken in order to remove the cyst along with the sac and its content. Usually performed to improve the looks and physical appearance of the patient.

Punch elevation or acne scar subcision:

Single or multiple lesions are removed by creating an artificial scar below the actual scar at the transection of the fibrous tissue to prime tissue resulting in raising of the scar and bringing it at the level of the surrounding skin.

Earlobe repair:

Elongated, Stretched, torn or damaged earlobes are repaired through anaesthetic ear block technique where local anaesthesia is applied to the affected area in order to make it numb for surgery. Sutures are made to repair the earlobe and removed a week after the procedure. Re-piercing is forbidden for 6 weeks after the procedure. And that too should be done under clinical guidance.

Nail avulsion:

Ingrown toenails and other nail disorders are treated by administering anaesthesia to the affected nail and then removing the whole or a part of the complete nail. In order to inhibit regrowth of ingrown toenails, phenol is applied and the patient is forbidden from carrying out any stressful activity like driving, weight lifting for 2-3days.

CO2 laser Ablation :

Scarring, skin resurfacing, verrucas nevus, cysts and cutaneous horns, Cysts and mucocele are treated through ultra-high frequency radio waves that cut and clot the affected tissues without much bleeding. Other revolting skin disorders treated through this technique include warts, moles, skin tags, milia and mollusc.