Every procedure,
with its protocol.

For each one: what is done, in what order, what the realistic ceiling is, and how long it actually takes. If a procedure has a recurrence rate, it is on this page, not discovered afterwards.

Lesion & Oncologic

Anything that could be more than cosmetic. Assessed first, excised second, tested always.

Illustration

Lesion & oncologic

Mole & Naevus Excision

Full-thickness excision with clear margins, closed in layers along relaxed skin tension lines.

Every specimen is sent for histopathology without you having to ask. Laser destruction of a pigmented lesion is refused unless it has first been assessed, because lasering it destroys the only tissue that could have been tested.

The protocol

Dermoscopy before anything is planned
Excision with margin appropriate to the clinical suspicion
Layered closure, oriented to tension lines
Histopathology on every specimen, report to you directly

Sutures out at 7 to 14 days depending on site. Scar matures over 12 months.

Performed by Dr. RevanthHistopathology always

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Lesion & oncologic

Cyst, Lipoma & Skin Tag Removal

Complete capsule removal, not deroofing. Deroofing is why they come back.

An epidermoid cyst recurs when the capsule is left behind. We remove the sac intact through the smallest incision that allows it, which is slower than lancing and is the reason it does not return.

The protocol

Ultrasound where depth or extent is unclear
Intact capsule removal
Dead-space closure to prevent seroma
Histopathology on every specimen

Same-day procedure. Review at day 7.

Performed by Dr. RevanthHistopathology always

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Lesion & oncologic

Suspicious Lesion Assessment

Dermoscopy and, where indicated, biopsy. Time matters more than convenience here.

A changing lesion is a clinical question, not a cosmetic one. We hold urgent assessment slots and we would rather see you and find nothing than see you late.

The protocol

Same-week appointment for any changing lesion
Dermoscopic imaging recorded to your file
Biopsy where clinically indicated
Onward referral arranged by us if the report requires it

Histopathology report typically 7 to 10 working days.

Performed by Dr. RevanthHistopathology always

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Scar & Reconstruction

Improvement is quantified before it is attempted. Nobody here promises removal.

Illustration

Scar & reconstruction

Acne Scar Revision

Scars are typed before they are treated. Ice pick, boxcar and rolling need different instruments.

Most disappointing acne scar treatment is a single modality applied to a mixed scar pattern. We map the face by scar type and stage the correction accordingly, and we tell you the realistic improvement per type before we start.

The protocol

Scar mapping and typing under raking light
TCA CROSS for ice pick
Punch excision or elevation for deep boxcar
Subcision for rolling, with support where indicated
Resurfacing last, never first

Staged over 3 to 5 sittings, 4 to 6 weeks apart. Assessed at month 6.

Performed by Dr. RevanthHistopathology if tissue removed

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Scar & reconstruction

Surgical & Trauma Scar Revision

Excision and reorientation so the scar falls along a line the face already has.

A scar that crosses tension lines will always be visible. Revision moves it, breaks it up, and lets it settle where the eye does not look. It improves a scar. It does not remove it, and any clinic that says otherwise is describing something that does not exist in dermatology.

The protocol

Tension analysis before planning
Excision with reorientation, Z-plasty or W-plasty as indicated
Layered tension-free closure
Silicone and pressure protocol from week 2

Suture removal 5 to 14 days. Final assessment at month 12.

Performed by Dr. RevanthHistopathology if tissue removed

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Scar & reconstruction

Keloid Management

Excision alone recurs. It is the adjuvant protocol that holds the result.

Keloids recur in a high proportion of cases when they are simply cut out. We treat them as a programme, not a procedure, and we say up front that this needs your attendance for months rather than a single visit.

The protocol

Intralesional protocol commenced before any excision
Intramarginal excision where indicated
Pressure or silicone therapy maintained
Scheduled review at 6, 12 and 24 weeks

A programme measured in months. Reviewed at 6 months.

Performed by Dr. RevanthHistopathology if tissue removed

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Pigment & Vitiligo

Surgery only on disease that has been documented stable. Documented, not assumed.

Illustration

Pigment

Vitiligo Surgery

Melanocyte transfer for disease documented stable for twelve months. Not before.

Operating on active vitiligo produces new patches at the donor site and disappointment at the recipient site. Stability is documented, not assumed, and a test patch is done before any large or facial area is treated.

The protocol

Twelve months of documented stability required
Test patch before large or facial areas
Non-cultured epidermal cell suspension or punch grafting by site
Repigmentation expectation quantified in writing, per site

Repigmentation begins 4 to 8 weeks. Assessed at month 6.

Performed by Dr. RevanthHistopathology if tissue removed

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Structural & Nail

The reconstructive work most clinics refer away, kept in-house because it is technically demanding and poorly served.

Illustration

Structural & nail

Nail Unit Surgery

Ingrown nail, matrix biopsy, and the nail tumours that get missed for years.

A pigmented band in a nail is a lesion until proven otherwise. Nail surgery is technically demanding and poorly served, which is why it is on this list rather than referred away.

The protocol

Digital block anaesthesia
Partial or total matricectomy where indicated
Matrix biopsy for pigmented bands
Histopathology on every specimen

Nail regrows over 6 to 12 months.

Performed by Dr. RevanthHistopathology if tissue removed

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Structural & nail

Earlobe Repair

Split and elongated lobes reconstructed so the lobe can be pierced again.

Repaired with a closure that preserves the free margin, so the lobe does not notch as it heals. Re-piercing is planned into the repair rather than improvised afterwards.

The protocol

Margin-preserving repair technique
Layered closure
Re-piercing planned at week 8 and marked at the time of repair

Sutures out at day 7. Re-pierce from week 8.

Performed by Dr. RevanthHistopathology if tissue removed

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Not sure which
one applies to you?

Two minutes. It routes you to the right procedure, states the ceiling, and tells you honestly whether this should wait or should not.

Start the assessment

Questions people actually ask

How long does a mole removal take to heal?

The wound closes in about two weeks: sutures come out at day five to seven on the face and day ten to fourteen elsewhere. The scar takes far longer, maturing over twelve to eighteen months. Almost everything people dislike about an excision scar is decided in the first six weeks, by tension and by sun.

Which acne scar treatment works best?

There is no single best treatment, because rolling, boxcar and icepick scars each respond to something different and most faces have all three. Subcision releases tethered rolling scars, punch techniques address boxcars, TCA CROSS treats icepick scars, and resurfacing refines the surface. A plan is a sequence, not a procedure.

Every procedure,
with its protocol.