Details and Information on some of our more common procedures
A number of procedures are available under local anaesthetic:-
Many people have ugly blemishes or skin tags that are long-standing. They are no danger and could be left alone but the individual feels embarrassed by them or feels they spoil their appearance. *
Most of these blemishes can be removed easily under local anaesthetic.Radio-frequency surgery is frequently performed.
Dr Harker will make a careful assessment first to check they are just cosmetic blemishes. If you would be eligible for treatment under the NHS Dr Harker will inform you so that you can approach your own GP for onward referral.
Cosmetic blemishes are not eligible for treatment under the NHS cosmetic policy which only allows such operations under conditions of “exceptional clinical need”.
Your general medical history and history of any medicines you are on will be asked.
To remove these you will first have an injection of local anaesthetic to the area of the blemish, similar to that given at the dentist, which will only take a few seconds.
The actual removal process will depend on the type of blemish, size and situation.
For blemishes that stick out from the surface, they can simply be “shaved” away under local anaesthetic.
With all blemish removal treatment, the skin left behind may be tender for a few days. It’s also best to use strong sunscreen on the area for six months or so as it will be more sensitive to sunlight.
The procedure will be explained to you carefully and what result can be expected.The possibility of side effects,for example infection, will be evaluated for your particular case and discussed with you.Of course every precaution will be taken to avoid complications.Any risks will be assessed for your particular case and explained to you.
Post-procedure instructions will be given for all removals. If these instructions are followed carefully by the patient an excellent result can be expected. The specimen will be checked under the microscope at the laboratory.
Skin heals over a number of days and patience is needed. The final result cannot be seen for some weeks and then the appearance should continue to improve. The first four weeks or so the operated area will be red, then fade to pink, then fade to the natural colour and merge in completely with the surrounding skin some months later.
Every effort will be made to achieve the optimum result.
People can have yellow, fatty streaks on their upper eyelids. Sometimes raised lipids or cholesterol is part of the cause and a blood test for this with their GP is advisable. These streaks can be a signal of a weight problem and weight reduction is advisable. The streaks themselves are a cosmetic problem which bothers some individuals. These can easily be removed after an injection of local anaesthetic to numb the area. Some bruising and swelling are to be expected in the next few days after the procedure as with any procedure around the eye.
It is possible to improve and sometimes remove completely those unsightly, wiggly pink, tiny surface veins using a process called hyfrecation or radiofrequency ablation. This type of problem commonly occurs on the face or legs. This involves passing a very low voltage electric current or low fluence radiofrequency to the exact point where these veins are which desiccates them (fries them up!). People usually find this causes only minor discomfort, no worse than waxing, for example. Local anaesthetic cream can be used if necessary before this is done.
Dr Harker will advise you whether your condition is suitable for this treatment. Some cases are not suitable and would be better treated by another means and I can refer you.Hyfrecation/ Radiofrequency treatment does not work for the blue/black thread veins.
* Results may vary from person to person.
All work is compliant with NICE guidelines.
It is our policy to refer any problems that can or should be treated on the NHS back to your GP.
Dr Harker offers all these treatments personally.