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Scar and Tattoo Removal

Scars, caused by an injury or surgery, disrupt the appearance of our body, no matter where they are. Tattoos, on the other hand, often represent or medium for expressing attitudes and personalities.

Preparation for the surgery

During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).
On the day of the operation, you should not use shower preparations that grease the skin, but ordinary soap or shower gel.

Procedure

Scar correction is usually done 6 months after the injury. The procedure is performed under local anesthesia. In certain cases, it is enough to cut a small part of the skin and sew it with a fine seam. Indented scars can be corrected by fat tissue transplantation or muscle transposition. The direction of the scar can be corrected, also narrowed or long scar can be divided into smaller components smooth out the unevenness or distortion of the scar and can be corrected with the expressed pigmentation.
In addition to the above, there is also a method of transplanting skin from another part of the body.

Complication

There is a possibility, although rare, of infections, bruising and swelling.
These are normal symptoms that subside after a week.
If pain occurs after the procedure, it is easily alleviated with appropriate medication.
If severe pain occurs, a doctor should be contacted.

Recovery

If that is the doctor’s recommendation, you should come to our polyclinic for check-ups and bandage covering. If it is a matter of removing minor scars and tattoos, it is important that you do a regular toilet yourself according to the instructions given to you by your doctor. It is recommended to permanently protect the scar from direct exposure to sunlight as well as higher stresses, so that the wound heals normally. Also, it is very important that you start treating the scar in time with certain treatment, about which Dr. Smiljanić will inform you.

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The Mole Removal Surgery

There is a widespread opinion that moles should not be removed, which is a misconception denied by modern methods and the experience of doctors. Moles who show certain changes (redness, itching, tingling in the area of the youth) need to be removed. Moles are also removed for aesthetic reasons, after which the person can gain additional self-confidence. Also, by removing the moles, we become safer because we eliminate any possibility of getting a malignant skin tumor. It is important to report any suspicious changes to the doctor as soon as possible, because he will carefully examine the moles and those suspicious ones will be observed with a special magnifying glass or dermoscope. The examination is completely painless, short and gives very reliable indicators.

Preparation for the surgery

During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).

Procedure

The surgical method is used to perform elliptical excision (cutting) with minimal incision under local anesthesia.
The procedure takes about 20 minutes. When the mole is removed, they must be sent for histopathological examination in order to maximize the patient’s health safety.
The threads are removed after 7 to 10 days.
If changes are noticeable on the mole in the form of melanoma, the intervention is performed under general anesthesia and the entire thickness of the skin at area of surgery is removed, as well as the fatty tissue under the skin, all the way to the muscle fascia.

Complications

There is a possibility, although rare, of swelling. If pain occurs after the procedure, it is easily alleviated with appropriate medication. If severe pain occurs, a doctor should be contacted.

Recovery

If that is the doctor’s recommendation, you should come to our polyclinic for check-ups and bandage covering .
If it is a matter of removing smaller moles, it is important that you do the regular toilet yourself according to the instructions given to you by the doctor.
Permanent protection of the scar from direct exposure to sunlight is recommended, as well as hesitation from higher stresses, so that the wound heals normally.

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Dermoscopy

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 tell whether a change is benign or malign in over 90% of cases.

Preparation (without surgery)

No special preparation is required for this examination

Procedure

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

Complications

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.

Recovery

Since it is a non-invasive method, painless, recovery is practically non-existent and you can return to all your daily activities immediately

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Soft Tissue Tumor Removal

Preparation for the surgery

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.

Procedure

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.

Complications

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.

Recovery

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.

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