Removal of skin tumours, moles, nevi, melanomas, tattoos, soft tissue tumours, lipomas
The removal of benign skin tumours, skin cancer, moles and other skin changes, including some tattoos, is carried out according to the principles of plastic surgery.
General information
Due to the considerable increase in benign and malignant skin changes, particularly in the facial area, over the last ten years, the removal of these skin changes is necessary in accordance with the latest tumour guidelines. In our practice, the aesthetic result with a scar that is as inconspicuous as possible is our top priority.
The prior histological examination of the tissue samples taken is a matter of course and can also be carried out in-house for the most part. This guarantees optimal care with short distances and minimal waiting times.
In the following we would like to give you an overview of skin and tissue changes.
Brief overview:
Operation duration:
15 -90 minutes, depending on expansion
Anaesthesia:
Local anaesthesia, possibly combined with twilight sleep or anaesthesia
Follow-up treatment:
none
Load restrictions:
depending on the region
What is a lipoma?
A lipoma is a benign tumour of fatty tissue that typically manifests itself as a soft, movable swelling under the skin. This adipose tumour is characterised by slow growth and does not usually cause pain, but is often a visual problem for those affected.
When is surgical removal of a lipoma advisable?
Surgical removal is recommended if:
- the lipoma hurts or on Presses on nerves or blood vessels
- it grows fast or to changed
- it aesthetically disturbing or the Restricts movement
- Uncertainty about the benignity exists (e.g. if a liposarcoma is suspected)
Are there alternatives to surgery?
Yes, there are alternatives to surgery for the treatment of lipomas. The most common methods are
- Liposuction (liposuction)
- Injection lipolysis (fat removal injection)
- Ultrasound lipolysis
- Laser lipolysis
- Cryolipolysis
If the lipoma does not cause any symptoms, treatment is often not necessary. If there are cosmetic or functional problems, surgical removal remains the most effective method. Alternatives can be useful in certain cases, but must always be examined and discussed on an individual basis.
What is a melanoma?
Melanoma, also known as black skin cancer, is a malignant form of skin cancer that develops from the pigment cells of the skin (melanocytes). These cells produce melanin, which determines the colour of the skin and protects it from UV radiation. Melanoma can grow rapidly, penetrate into deeper layers of the skin and has a high risk of metastasising to other organs such as the lungs, liver or brain.
When is surgical removal of a melanoma advisable?
A Melanoma should be surgically removedas soon as the Suspicion of malignant melanoma exists. Surgical removal is the most important and effective treatment method, to prevent the disease from progressing and at the same time serves to Confirmation of diagnosis.
What is a nevus?
A nevus (plural: nevi) is a circumscribed, benign change to the skin or, more rarely, the mucous membranes. It is colloquially referred to as a birthmark or mole.
When is surgical removal of a nevus advisable?
One Surgical removal of a nevus (birthmark) is medically recommended in the following cases:
Suspected skin cancer
If a mole changes (e.g. in size, colour, shape) or shows symptoms such as itching, bleeding or pain, it should be removed and histologically examined. This is particularly important if a malignant melanoma or other forms of skin cancer are suspected.
Cosmetic or mechanical reasons
If a nevus is aesthetically disturbing, e.g. on the face or in visible areas. If it is located in an area subject to mechanical stress (e.g. under bra straps, on the waistband of trousers) and is therefore constantly irritated.
Congenital large nevi
Large congenital nevi have an increased risk of changing over the course of a lifetime. In such cases, preventive removal may be advisable - especially in the case of very large or conspicuous moles.
Patient's request
Even if there is no medical necessity, a birthmark can be removed at the patient's request - e.g. for psychological or aesthetic reasons.
Birthmark - when is surgical removal advisable?
Surgical removal of a birthmark (nevus) is medically advisable in the following cases:
Suspicion of malignant change
If a birthmark changes visibly, e.g. in:
- Size
- Colour
- Shape
- Surface
Or if it itches, bleeds, hurts or suddenly grows, this may indicate a possible degeneration (e.g. melanoma).
Mechanical irritation
Moles in areas that are constantly irritated (e.g. by clothing, shaving or jewellery) can become inflamed or uncomfortable.
In such cases, removal is advisable to prevent complications.
Cosmetic or psychological reasons
If a birthmark is perceived as aesthetically unpleasant - especially on the face or visible parts of the body.
Removal may also be justified in cases of psychological stress caused by the birthmark.
Congenital large moles
Particularly large or hairy moles (e.g. nevus cell nevi > 2 cm) have an increased risk of changing over the course of a lifetime.
Congenital large moles
If it is not possible to say for sure whether a birthmark is benign, it is often removed as a precaution and examined histologically.
Why is removal by a specialist in plastic and aesthetic surgery advisable?
The surgical removal of a skin tumour by a specialist in plastic and aesthetic surgery is particularly useful in many cases. The most important reasons are
1. technical expertise for complex interventions
Plastic-aesthetic surgeons are specially trained to perform precise and tissue-sparing surgery - even in aesthetically sensitive areas such as the face, neck or hands. They not only consider the complete removal of the tumour, but also the functional and cosmetic restoration with the best possible inconspicuous scarring.
2. low-scar techniques
These specialists have mastered special suturing techniques and incisions that are designed to minimise visible scars. This is particularly important for procedures on the face or other highly visible areas of the body.
3. reconstructive possibilities
If a large skin tumour has to be removed, larger tissue defects may occur. Plastic surgeons specialise in reconstructing these defects functionally and aesthetically with skin transfers, flaps or skin grafts.
4. holistic treatment approach
In addition to removing the tumour, plastic surgeons also take care of aesthetic aftercare, which may include scar correction or cosmetic optimisation.
5. safety and experience
Particularly in the case of malignant skin changes (e.g. melanomas), it is crucial that the tumour is removed completely and with a sufficient safety margin. Plastic surgeons often work closely with dermatologists and pathologists to ensure safe and effective treatment.
What should you look out for when choosing a doctor / clinic?
When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.
Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.
Why should you come to us?
Extensive experience, maximum hygiene and infection protection, continuous further training and maximum care are the basis of our practice. This is also reflected in the large number of positive patient reviews, our seals and awards.
Benefit from our many years of experience. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021.
What do patients say about us?
Do you have any questions?
Dr Michaela Montanari and Dr Anna Maria Bugariu will be happy to answer any questions you may have. Arrange your personal consultation.
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