Dermoscopy can examine a large number of skin changes in one examination. The procedure is completely painless. If the change is doubtful, the correct diagnosis is made after the removal of the pathohistological examination, the accuracy of which is almost 100%. A dermoscopic examination by an experienced clinician can begin whether a change is benign or malign in over 90% of cases.
No special preparation is required for this examination
It is a non-invasive procedure where, with the help of a camera and a magnification of 10 times, the changes are captured and analyzed on a computer. The change from the computer can be further enlarged in order to better understand the details of the change and to raise suspicions and indications for a possible excisional biopsy.
If the change is bleeding or with a scab that cannot be removed or there is a recent trauma that masks the true nature of the change, then dermoscopy may be delayed or minor surgery may be performed immediately to remove the change completely and make a pathohistological diagnosis.
Since it is a non-invasive method, painless, recovery is practically non-existent and you can return to all your daily activities immediately
Depending on the size of the planned operative procedure, the first examination explains the planned procedure and possible preparation for that region to the body. Usually, the patient is asked if he has any other diseases, if he takes any therapy regularly, and then therapy is corrected if necessary.
After the examination or if there are conditions immediately after the examination under local anesthesia, in most cases, an intervention is performed immediately.
If a certain preparation is needed or the intervention will be done in some other form of anesthesia, then the intervention is postponed until the conditions for it are met.
The intervention is most often performed under local infiltrative anesthesia with a radiowave knife or a classic scalpel.
The resulting defect is usually closed by direct closure or, if necessary, a reconstructive procedure can be performed to close the defect and make it aesthetically acceptable.
The patient goes home immediately, then if bandages and suture removal are needed, the patient is scheduled for new controls. The preparation that was removed is usually sent for pathohistological analysis, which is usually obtained within 7 days.
Active inflammatory processes on the face and the use of anticoagulants at the time of intervention. If anticoagulants (Aspirin, Andol, etc.) are taken regularly, they should be stopped 10 days before the intervention. Patients with serious cases are with very sagging skin or with a lot of subcutaneous fat or patients with very thin skin.
After the intervention, adhesive tapes are placed, which are better for the skin and are worn for about three days. During that time, excessive facial expressions should be avoided in order for the threads to bind to the tissue as well as possible. After removing the tape, smaller wrinkles on the skin are possible along the pulling of the thread, and they will be pulled off in the next few days. The effect can last from 12 to 24 months.
